JC: Access in EDs, Trauma Training, & Whiteout Lung

This weeks readings:

AlEassa et al.  Point of care ultrasonography use and training among trauma providers across Canada. Can J Surg, 2015

  1. What surprised you about the training experience of surgeons vs. ER physicians?
  2. More ER physicians are certified however than surgeons. Why might there be a difference between training and certification?
  3. How can we reconcile training differences and certification?
  4. Do we need certification?
  5. Come up with your idea of the best and most feasible way for certification?
  6. Which is better? self tracking of accuracy or hospital wide QA?

Sanders et al. Access to and Use of Point-of-Care Ultrasound in the Emergency Department. West J Emerg Med. 2015;16(5):747-752.

  1. Small ED Directors prefer mail over email contact? what assumption would you make on their uptake of POCUS technology?
  2. Do you think the same barriers exist in Canada? in PEM?
  3. How can we overcome the biggest barriers- limited training, expense, limited need?
  4. Only 12% of EPs used PoC US ≥80% of the time to place central venous lines. What concerns you about this finding?
  5. What surprised you about the usage statistics?

Berant et al. Emergency Point-of-Care Ultrasound Assessment of Whiteout Lung in the Pediatric Emergency Department. Pediatr Emer Care 2015;31: 872–875

  1. Does this case series change how you might practice?
  2. What is the next step in research?

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