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February 21, 2013Emergency Medicine Journal

Performance of emergency physicians in point-of-care echocardiography following limited training

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Why the study?

Does limited training (web module + 3h practical) allow emergency medicine trainees to reliably perform and interpret point-of-care echocardiography compared to a board-certified cardiologist?

Population

9 emergency medicine trainees performing 100 focused echocardiography examinations on emergency department…

Comparison

Bedside-focused echocardiography performed by… vs Echocardiography interpretation by a…

Design

Cross-sectional

Key result

Emergency medicine trainees achieved 93% agreement (K=0.79; 95% CI 0.773-0.842) with a cardiologist for visual estimation of left ventricular function after limited training.

Authors

ABAida BustamAAAbdul Muhaimin Noor AzharRVRamesh Singh Veriah

Discussion

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Overview

Supports limited training for EM LV assessment; hypothesis-generating for broader POCUS adoption pending prospective validation.

Study Design

Type

Cross-Sectional (n=100)

Structured PICO

Does limited training (web module + 3h practical) allow emergency medicine trainees to reliably perform and interpret point-of-care echocardiography compared to a board-certified cardiologist?

P
Population
100 focused echocardiography examinations performed by 9 emergency medicine trainees on emergency department patients to evaluate diagnostic agreement with a cardiologist.
E
Exposure
Bedside-focused echocardiography performed by emergency medicine trainees following a web-based learning module and 3 hours of proctored practical training
C
Comparator
Echocardiography interpretation by a board-certified cardiologist
O
Outcome
Inter-rater agreement in estimating left ventricular function, detection of pericardial effusion, and inferior vena cava (IVC) diameter measurementssurrogate

Main Result

Effect estimate: K=0.79 (95% CI 0.773 to 0.842)

Emergency medicine trainees can reliably perform and interpret focused echocardiography for left ventricular function and pericardial effusion after a short training program, though IVC assessment showed lower agreement.

Cite This Study

Bustam et al. (2013) conducted a cross-sectional in Emergency department patients (n=100). Point-of-care echocardiography by emergency medicine trainees after limited training vs. Board-certified cardiologist was evaluated on Agreement between trainees and cardiologist for visual estimation of left ventricular function (K=0.79, 95% CI 0.773 to 0.842). Emergency medicine trainees achieved 93% agreement (K=0.79; 95% CI 0.773-0.842) with a cardiologist for visual estimation of left ventricular function after limited training.

synapsesocial.com/papers/6a97b7fd2c79db18722d145ehttps://doi.org/10.1136/emermed-2012-201789
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