The use of point of care ultrasound (POCUS) in UAE emergency departments (ED)

Abstract

Point of care ultrasound (POCUS) performed at bedsides is an invaluable tool and is used to evaluate clinical manifestations, to facilitate accurate diagnosis, and to assist procedures in emergency and critical care. This study aimed to characterize the current practice of emergency physician-performed POCUS in UAE Emergency Departments. An online survey of all government emergency departments in the UAE was conducted from January 2016 to August 2016 in order to determine how POCUS was used. A 20-question survey, including Emergency department demographics, ownership of ultrasound (US) equipment, and frequency of POCUS performance in general and by examination type, credentialing patterns, quality assurance methods, and billing patterns was conducted. Overall, 70% of respondents reported lack of training as the greatest barrier for the use of POCUS. Other shortcomings included not owning equipment, concerns regarding liability, not beneficial financially, and adequate coverage by other specialists. In conclusion, the study identified an underutilization of POCUS in UAE government Emergency Departments, with only a quarter of them performing POCUS regularly. Most of the respondents stated that attending a training course is the minimal requirement for the physicians to perform POCUS. Recent educational and training advancements might help to overcome this barrier.

Keywords: Ultrasound, point of care ultrasound (POCUS), emergency department.