Changes in the availability of bedside ultrasound practice in emergency rooms and prehospital settings in France - 04/05/18
, M. Abou-Badra a , N. Hansel a , P. Pes b , T. Petrovic c , P.G. Claret a , J.Y. Lefrant a , J.E. de La Coussaye a Winfocus France Group
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Abstract |
Objective |
Ensuring the availability of ultrasound devices is the initial step in implementing clinical ultrasound (CUS) in emergency services. In France in 2011, 52% of emergency departments (EDs) and only 9% of mobile intensive care stations (MICS) were equipped with ultrasound devices. The main goal of this study was to determine the movement of these rates since 2011.
Methods |
We conducted a cross-sectional, descriptive, multicentre study in the form of a questionnaire. To estimate the numbers of EDs and MICS equipped with at least one ultrasound system with a confidence level of 95% and margin of error of 5%, 170 responding EDs and 145 MICS were required. Each service was solicited three times by secure online questionnaire and then by phone.
Results |
Three hundred and twenty-eight (84%) services responded to the questionnaire: 179 (86%) EDs and 149 (82%) MICS. At least one ultrasound machine was available in 127 (71%, 95% CI [64; 78]) EDs vs. 52% in 2011 (P<0.01). 42 (28%, 95% CI [21; 35]) MICS were equipped vs. 9% in 2011 (P<0.01). In 97 (76%) EDs and 24 (55%) MICS, less than a half of physicians were trained. CUS was used at least three times a day in 52 (41%) EDs and in 8 (19%) MICS.
Conclusion |
Our study demonstrates improved access to ultrasound devices in French EDs and MICS. Almost three-quarters of EDs and nearly one-third of MICS are now equipped with at least one ultrasound device. However, the rate of physicians trained per service remains insufficient.
Il testo completo di questo articolo è disponibile in PDF.Keywords : Emergency medicine, Clinical ultrasound, Ultrasound device
Abbreviations : CUS, EDs, MICS, ACEP, FAST, SFMU, FOAM, ERC, ASE, CPR, PEA
Mappa
Vol 37 - N° 3
P. 201-205 - Giugno 2018 Ritorno al numero
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