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Recommendations for the use of point-of-care ultrasound (POCUS) by emergency physicians in Canada

  • David Lewis (a1), Louise Rang (a2), Daniel Kim (a3), Laurie Robichaud (a4), Charisse Kwan (a5), Chau Pham (a6), Allan Shefrin (a7), Brandon Ritcey (a8), Paul Atkinson (a1), Michael Woo (a8), Tomislav Jelic (a9), Genevieve Dallaire (a10), Ryan Henneberry (a11), Joel Turner (a12), Rafiq Andani (a13), Roisin Demsey (a14) and Paul Olszynski (a15)...

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Corresponding author

Correspondence to: Dr. David Lewis, Department of Emergency Medicine, 400 University Ave., Saint John Regional Hospital, Saint John, NB E2L 4L4; Email: david.lewis@dal.ca

References

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1.Henneberry, RJ, Hanson, A, Healey, A, et al. Use of point of care sonography by emergency physicians. Can J Emerg Med 2012;14(2):106–12.
2.Olszynski, P, Kim, D, Chenkin, J, Rang, L. The core emergency ultrasound curriculum project: a report from the Curriculum Working Group of the CAEP Emergency Ultrasound Committee. CJEM 2018;20(2):176–82.
3.Kneebone, RL, Scott, W, Darzi, A, Horrocks, M. Simulation and clinical practice: strengthening the relationship. Med Educ 2004;38(10):1095–102.
4.Arntfield, R, Pace, J, McLeod, S, et al. Focused transesophageal echocardiography for emergency physicians-description and results from simulation training of a structured four-view examination. Crit Ultrasound J 2015;7(1):27.
5.Fair, J, Mallin, M, Mallemat, H, et al. Transesophageal echocardiography: guidelines for point-of-care applications in cardiac arrest resuscitation. Ann Emerg Med 2018;71(2):201–7.
6.Brun, P-M, Bessereau, J, Levy, D, et al. Prehospital ultrasound thoracic examination to improve decision making, triage, and care in blunt trauma. Am J Emerg Med 2014;32(7):817.e12.
7.Bleeg, RC. Ultrasound in the Royal Danish Air Force search and rescue helicopter: 2 case reports. Air Med J 2017;36(3):138–9.
8.Nelson, BP, Melnick, ER, Li, J. Portable ultrasound for remote environments, part I: feasibility of field deployment. J Emerg Med 2011;40(2):190–7.
9.Nelson, BP, Melnick, ER, Li, J. Portable ultrasound for remote environments, part II: current indications. J Emerg Med 2011;40(3):313–21.
10.Rudolph, SS, Sørensen, MK, Svane, C, Hesselfeldt, R, Steinmetz, J. Effect of prehospital ultrasound on clinical outcomes of non-trauma patients – a systematic review. Resuscitation 2014;85(1):2130.
11.Steiger, HV, Rimbach, K, Müller, E, Breitkreutz, R. Focused emergency echocardiography: lifesaving tool for a 14-year-old girl suffering out-of-hospital pulseless electrical activity arrest because of cardiac tamponade. Eur J Emerg Med 2009;16(2):103–5.
12.O'Dochartaigh, D, Douma, M. Prehospital ultrasound of the abdomen and thorax changes trauma patient management: a systematic review. Injury 2015;46(11):2093–102.
13.O'Dochartaigh, D, Douma, M, MacKenzie, M. Five-year retrospective review of physician and non-physician performed ultrasound in a Canadian critical care helicopter emergency medical service. Prehosp Emerg Care 2017;21(1):2431.
14.O'Dochartaigh, D, Douma, M, Alexiu, C, Ryan, S, MacKenzie, M. Utilization criteria for prehospital ultrasound in a Canadian critical care helicopter emergency medical service: determining who might benefit. Prehosp Disaster Med 2017;32(5):536–40.
15.McCallum, J, Vu, E, Sweet, D, Kanji, HD. Assessment of paramedic ultrasound curricula: a systematic review. Air Med J 2015;34(6):360–8.
16.Bahl, A, Pandurangadu, AV, Tucker, J, Bagan, M. A randomized controlled trial assessing the use of ultrasound for nurse-performed IV placement in difficult access ED patients. Am J Emerg Med 2016;34(10):1950–4.
17.Crager, S, Cinkowski, C, Gharahbaghian, L. Training nurses to assess fluid status using point-of-care ultrasound. Crit Care Med 2018;46(1):178.
18.Steinmetz, P, Dobrescu, O, Oleskevich, S, Lewis, J. Bedside ultrasound education in Canadian medical schools: a national survey. Can Med Educ J 2016;7(1):e7886.
19.Olszynski, P, Anderson, J, Trinder, K, Domes, T. Point-of-care ultrasound in undergraduate urology education: a prospective control-intervention study. J Ultrasound Med; 2018. Available at: http://www.ncbi.nlm.nih.gov/pubmed/29476563 (accessed May 13, 2018).
20.The Royal College of Physicians and Surgeons of Canada. Discipline recognition: Areas of Focused Competence (AFC) programs; 2018. Available at: http://www.royalcollege.ca/rcsite/specialty-discipline-recognition/categories/discipline-recognition-areas-focused-competence-afc-programs-e (accessed May 13, 2018).
21.College of Physicians and Surgeons of British Columbia. Reprocessing requirements for ultrasound probes; 2017. Available at: https://www.cpsbc.ca/files/pdf/Reprocessing-Requirements-Ultrasound-Probes.pdf (accessed May 13, 2018).
22.Basseal, JM, Westerway, SC, Juraja, M, et al. Guidelines for reprocessing ultrasound transducers. Australas J Ultrasound Med 2017;20(1):3040.
23.American Institute of Ultrasound in Medicine. Guidelines for cleaning and preparing external- and internal-use ultrasound probes between patients, safe handling, and use of ultrasound coupling gel; 2018. Available at: http://www.aium.org/officialStatements/57 (accessed May 13, 2018).
24.Ontario Agency for Health Protection and Promotion (Public Health Ontario) PIDAC. Infection prevention and control for clinical office practice. 1st Revision. Toronto, ON: Queen's Printer for Ontario; 2015. Available at: https://www.publichealthontario.ca/en/eRepository/IPAC_Clinical_Office_Practice_2013.pdf (accessed May 13, 2018).
25.Sonography Canada. Professional practice guidelines and policy statements for Canadian sonography; 2014. Available at: https://www.sonographycanada.ca/Apps/Sites-Management/FileDownload/DataDownload/46650/SC_ProfPractice Eng Rev 03Feb2017 final/pdf/1/1033 (accessed May 13, 2018).
26.Ontario Agency for Health Protection and Promotion (Public Health Ontario). Provincial Infectious Diseases Advisory Committee. Best practices for cleaning, disinfection and sterilization of medical equipment/devices. 3rd ed. Toronto, ON: Queen's Printer for Ontario; 2013. Available at: http://www.publichealthontario.ca/en/eRepository/PIDAC_Cleaning_Disinfection_and_Sterilization_2013.pdf (accessed May 13, 2018).
27.Vieira, RL, Hsu, D, Nagler, J, et al. Pediatric emergency medicine fellow training in ultrasound: consensus educational guidelines. Acad Emerg Med 2013;20(3):300–6.
28.Lewiss, RE, Chan, W, Sheng, AY, et al. Research priorities in the utilization and interpretation of diagnostic imaging: education, assessment, and competency. Acad Emerg Med 2015;22(12):1447–54.

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Supplementary materials

Lewis et al. supplementary material
CAEP PoCUS Position Statement 2019 Full text

 PDF (334 KB)
334 KB
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Supplementary materials

Lewis et al. supplementary material
CAEP PoCUS Position Statement - 2019 - Appendices

 PDF (266 KB)
266 KB
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Supplementary materials

Lewis et al. supplementary material
DE´CLARATION DE L’ACMU - E´DU - 2019 - Annexes

 PDF (295 KB)
295 KB
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Supplementary materials

Lewis et al. supplementary material
DE´CLARATION DE L’ACMU - E´DU - 2019 - Sommaire

 PDF (195 KB)
195 KB
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Supplementary materials

Lewis et al. supplementary material
DE´CLARATION DE L’ACMU - E´DU - 2019

 PDF (434 KB)
434 KB

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