Diagnostische Wertigkeit der Sonographie im Schock

Aufschnaiter, M.; Kofler, Heinz

doi:10.1007/978-3-642-82080-9_23

Cited by 1 publication

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“…[1][2][3] After its introduction in Europe and Japan in the 1980s, PoCUS started to appear in the United Sates. [4][5][6] Although emergency physicians led the use of PoCUS in North America, it has rapidly expanded to other aspects of medicine. 3 It has been found to be essential to diverse specialties and has been incorporated into many medical schools in the United States and Canada, with some medical educators believing that it will replace the stethoscope.…”

Section: Ré Sumémentioning

confidence: 99%

Point-of-care ultrasonography adoption in Canada: using diffusion theory and the Evaluation Tool for Ultrasound skills Development and Education (ETUDE)

Woo

Frank

Lee

2014

CJEM

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Objective: Point-of-care ultrasonography (PoCUS) first appeared in the 1980s in North America, but the extent of the diffusion of its adoption is unknown. We characterized early PoCUS adoption by emergency physicians in Canada and its barriers to use using Rogers' diffusion of innovations theory. Methods: We developed a questionnaire based on a pilot study and literature review to assess past, current, and potential use of PoCUS and potential barriers to adoption. A Dillman technique for electronic surveys was used for dissemination. Using Rogers' diffusion of innovations theory, we developed and validated the Evaluation Tool for Ultrasound skills Development and Education (ETUDE). ETUDE scores allowed categorization of respondents into innovators, early adopters, majority, and nonadopters. Descriptive statistics, correlations, and x 2 statistics were used to analyze the data. Results: The 296 respondents (36.4% of 814 surveyed) had a median age of 40 and were 72.5% male. Adoption scores using ETUDE revealed nonadopters (18.8%), majority (28.7%), early adopters (34.5%), and innovators (18.0%). Respondents endorsed ''always'' using PoCUS currently and in the future for focused assessment with sonography in trauma (FAST) (current 41.8%/future 88.4%), first trimester pregnancy (current 23.3%/future 73.7%), suspected abdominal aortic aneurysm (current 32.7%/future 92.6%), basic cardiac indications (current 30.7%/future 87.5%), and central venous catheterization (current 17.0%/future 80.3%). Several barriers to PoCUS were identified for part-time emergency physicians and those working in inner-city/urban/suburban settings.

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