- Point Of Care Ultrasound is the use of ultrasound technology for the bedside evaluation of emergency medical conditions. The use of POCUS can be categorized into: diagnostic, resuscitative, symptoms or signs-based, procedure guidance and therapeutic and monitoring. POCUS examinations are performed and interpreted by clinicians. The information obtained from POCUS examination is rapidly integrated in the evaluation of the patient.
- POCUS is a goal-oriented focused examination that intends to help the clinician answer specific clinical questions that will aid in the evaluation and management of a patient. POCUS is different, and it does not replace comprehensive ultrasound examination. POCUS is synonymous with other terms including bedside, point-of-care, focused, emergency ultrasound, clinical and physician performed. POCUS does not substitute the physical examination but is considered complimentary and should be considered a separate entity that adds anatomical, functional, and physiological information to the care of the emergency department It may be performed as a single examination, repeated due to clinical need or deterioration, or used for monitoring of physiological or pathological changes.
- Point of care ultrasound (POCUS) is goal specific Over the past decade, the use of Point of Care Emergency Ultrasound (POCUS) is prominently growing in the field of emergency medicine. POCUS was first introduced in trauma as the FAST (Focused Assessment with Sonography for Trauma) exam; since then emergency physicians began using POCUS in numerous other applications including for diagnostic purposes, procedure guidance and monitoring resuscitation. The literature provides strong evidence supporting that POCUS facilitates patient care in the emergency department.
What are the Basic POCUS applications based on the ESEM Credentialing Practice-Based Pathway Training?
- Basic Ultrasound Physics
- Extended Focused Assessment with Sonography for Trauma (E-FAST)
- Abdominal Aortic Aneurysm
- Soft Tissues/ Musculoskeletal Ultrasound
- Ultrasound guided vascular access
- The ESEM POCUS Credentialing Practice-Based Pathway is workingaims to provide systematic training that will promote the utilization of POCUS among emergency providers while upholding the quality and clinical standards to an internationally recognized curriculum.
- By completing the ESEM POCUS credentialing pathway, you will receive a letter to confirm that you completed specialized training in Point of Care Ultrasound and fulfilled requirement for competency in specific POCUS application (E-FAST, AAA, Renal, Soft Tissue/ Musculoskeletal) through practice based pathway defined by the Emirates Society of Emergency Medicine (ESEM) and supported by the International Federation of Emergency Medicine (IFEM).
- Physicians not previously exposed to Point of Care ultrasound who are interested to become proficient in utilizing this technology.
What are the steps required to complete the ESEM POCUS Credentialing Practice-Based Pathway Training?
- Induction: attend a 1-Day ESEM Basic Point of Care Ultrasound Course (or equivalent) didactics and hands on practice covering the basic applications. (E-FAST, Abdominal Aorta, Renal, Musculoskeletal/soft tissue)
- Gaining Experience: obtain a minimal of 25 ADEQUATE ultrasound scans for each basic application that should be saved and reviewed by ESEM US faculty. You should gather all the scans within 12 months of completing the basic ultrasound course
- Assessing Competency: once the requisite number of scans has been performed the trainee must successfully complete an online open-book written and visual exam with a pass rate of 85%.
- Create a gmail account (if you don’t have one)
- In google drive, create a folder to share your ultrasound images and videos.
- Name the folder (First Name, Last name, Registration number). Example: Saeed Ahmed 01
- Share the folder with firstname.lastname@example.org
- Upload the ultrasound scans (images and videos) in the folder (without any patient identifiers).
- Label each ultrasound scan file you add to drive with your first name, last name, US scan type name, US scan Number (out of the total 25 required)-serial number (Example: Saeed Ahmed-EFAST 01-01)
- You will receive feedback on your scans from ESEM US faculty
- You will receive an appointment to an online open book exam.
- After successfully completing the exam, you will receive a letter to confirm that you completed specialized training in Point of Care Ultrasound and fulfilled requirement for competency in specific POCUS application (E-FAST, AAA, Renal, Soft Tissue/ Musculoskeletal) through practice based pathway