The use of point-of-care ultrasound in a regional emergency department in KwaZulu-Natal, South Africa

South African Family Practice

 
 
Field Value
 
Title The use of point-of-care ultrasound in a regional emergency department in KwaZulu-Natal, South Africa
 
Creator Khanyi, Halalisiwe B. Naicker, Bavani
 
Subject Emergency medicine; acute care; emergency care; critical care point-of-care ultrasound; emergency ultrasound; emergency care; emergency department; emergency medicine; critical care; primary care; prehospital care
Description Background: Formal ultrasonography has advanced to point-of-care ultrasound (POCUS) in the emergency department (ED) for the purpose of acute critical care. While POCUS application expands, little is known about POCUS utilisation in public hospital EDs. This study aimed to describe the use of POCUS in an ED in KwaZulu-Natal.Methods: A retrospective chart review study was conducted on all patients who had POCUS exams performed in the ED at the General Justice Gizenga Mpanza Regional Hospital from 01 September 2019 to 31 March 2020. A data collection tool was used to extract the required data from the Mindray M6 ultrasound machine. The data were processed using the Statistical Package for Social Sciences (SPSS version 26) and descriptive statistics were used to summarise the data.Results: A total of 978 POCUS were performed on 784 patients. Point-of-care ultrasound was utilised more often for focused emergency echocardiography in resuscitation (n = 383) and extended focused assessment with sonography for trauma (n = 319). The findings were normal in 17% of exams, 31% were positive, 9% were unspecified and 43% of POCUS exams were inconclusive. Seven percent of POCUS exams were performed by accredited level 1 emergency POCUS providers and ultrasounds occurred more frequently during day-shift hours than after-hours.Conclusion: Point-of-care ultrasound core applications were utilised by ED doctors for various emergency care scenarios, mainly for trauma and cardiac assessments.
 
Publisher AOSIS
 
Contributor
Date 2021-08-23
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article Retrospective chart review
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v63i1.5269
 
Source South African Family Practice; Vol 63, No 1 (2021): Part 3; 6 pages 2078-6204 2078-6190
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://safpj.co.za/index.php/safpj/article/view/5269/6849 https://safpj.co.za/index.php/safpj/article/view/5269/6850 https://safpj.co.za/index.php/safpj/article/view/5269/6851 https://safpj.co.za/index.php/safpj/article/view/5269/6852
 
Coverage KwaZulu-Natal; Ilembe Distict; Regional Emergency Department September 2019-March 2020 Age; Gender
Rights Copyright (c) 2021 Halalisiwe B. Khanyi, Bavani Naicker https://creativecommons.org/licenses/by/4.0
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