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J Korean Soc Emerg Med > Volume 21(2); 2010 > Article
Journal of The Korean Society of Emergency Medicine 2010;21(2): 166-174.
The Current Status and Activities of Emergency Physician-Performed Ultrasonography in Seoul and Gyeong-gi do
Jeong Joo Lee, Bo Seung Kang, Young Soon Cho, Young Joo Lee, Jin Hee Lee, Yoo Seok Park, Hyun Soo Chung, Young Rock Ha, Young Sik Kim, Jung Hwan Ahn
1Department of Emergency Medicine, Ajou University School of Medicine, Suwon, Korea. erdrajh@naver.com
2Department of Emergency Medicine, Guri Hospital, Hanyang University, Guri, Korea.
3Department of Emergency Medicine, SoonChunHyang University Hospital, Bucheon, Korea.
4Department of Emergency Medicine, Andong Hospital, Andong Medical Group, Andong, Korea.
5Department of Emergency Medicine, Bundang Hospital, Seoul National University, Seongnam, Korea.
6Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Korea.
7Department of Emergency Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea.
ABSTRACT
PURPOSE:
There have been reports that have focused on the usefulness of ultrasonography (US), yet there are no reports on its current status and activities. This study evaluated the current status and activities of US in Seoul and Gyeong-gi do.
METHODS:
This study was conducted using a questionnaire developed by emergency physicians who were experienced in workshops for emergency US. The activities of US were established by assessing the average frequency of US examination among 5 clinical situations as recommended by the American College of Emergency Physicians (ACEP). We assessed the association between these activities and the variables using linear regression analysis and regression trees.
RESULTS:
The overall response rate was 85.2%. The average frequencies of US examination are as follows: multiple trauma (75.1+/-29.5%), right upper abdominal pain (57.6+/-29.6%), cardiac arrest (54.4+/-30.6%), suspected ureter stone (42.4+/-31.6%), other abdominal pain (41.6+/-29.2%), chest pain or dyspnea (35.8+/-27.3%), right lower abdominal pain (33.6+/-28.9%), hypotension (33.3+/-27.8%), procedures (21.3+/-22.6%), intussusceptions (17.1+/-26.5%), central line access (16.2+/-21.4%), testicular torsion (14.7+/-23.7%) and assessing a pregnancy or a fetus (9.1+/-10.8%). The average percentage of current activities was 52.6%. The factors associated with current activities are as follows: the presence of supervisor for US training (p=0.030), the quality of the US machine (p=0.007), the number of patients (p=0.001) and the accreditation system for emergency US (p=0.014).
CONCLUSION:
The current status and activities of US are varied. The factors associated with current activities are the presence of a supervisor for US training, the accreditation system for emergency US, the quality of the US machine and the number of patients. It is important to improve these factors to effectively use US.
Key words: Emergency Medicine, Ultrasonography, Decision trees
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