{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T02:26:27Z","timestamp":1740104787549,"version":"3.37.3"},"reference-count":13,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,5,8]],"date-time":"2018-05-08T00:00:00Z","timestamp":1525737600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>It is unknown if Emergency Physicians (EPs) rely solely on Emergency Medicine performed Point\u2010Of\u2010Care Ultrasound (EM\u2010POCUS) for clinical decision making or if they proceed to subsequent \u201cgold standard\u201d studies for confirmatory diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>After Institutional Review Board approval, an online survey was distributed by the Ohio Chapter of the American College of Emergency Physicians to its members.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The most common EM\u2010POCUS procedures used without confirmatory testing were: determination of cardiac activity during cardiac arrest (81.3%), differentiating cellulitis from abscess (63.2%), central venous catheter placement confirmation (43.2%), pericardial effusion evaluation (41.9%) and focused assessment with sonography for trauma (FAST\u201437.4%). The responses regarding remaining procedures suggest most physicians do not use EM\u2010POCUS or verify EM\u2010POCUS findings with additional testing. One hundred fifty\u2010five survey responses provided a confidence interval of &gt;90%. Two\u2010thirds (67.7%) of respondents were board\u2010certified EPs with 43.8% in practice for less than 5 years. EM\u2010POCUS examinations were performed at least weekly by 37.4% of respondents; 28.4% performed at least 1 EM\u2010POCUS examination per shift. Nearly half (47.7%) responded they had no concerns regarding use of EM\u2010POCUS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study describes the results of a survey on the use of EM\u2010POCUS for clinical decision making by Ohio EPs. A majority of them continues to rely on gold standard testing for confirmatory diagnosis, in addition to EM\u2010POCUS.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcu.22604","type":"journal-article","created":{"date-parts":[[2018,5,9]],"date-time":"2018-05-09T05:25:22Z","timestamp":1525843522000},"page":"437-441","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Do emergency physicians rely on point\u2010of\u2010care ultrasound for clinical decision making without additional confirmatory testing?"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0356-2944","authenticated-orcid":false,"given":"Mohamad","family":"Moussa","sequence":"first","affiliation":[{"name":"University of Toledo Medical Center Emergency Medicine Dowling Hall 2455 Mail Stop 1088, 3000 Arlington Ave., Toledo Ohio 43614"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie M.","family":"Stausmire","sequence":"additional","affiliation":[{"name":"Mercy Health St. Vincent Medical Center, Regional Academic Affairs\/Research 2222 Cherry St, MOB\u20102, Suite 1300, Toledo Ohio 43608"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,5,8]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.7863\/ultra.16.05064"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2014.09.017"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2015.7.27216"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/cem.2016.337"},{"key":"e_1_2_5_6_1","unstructured":"Accreditation Council for Graduate Medical Education. The emergency medicine milestone project.2015.http:\/\/www.acgme.org\/Portals\/0\/PDFs\/Milestones\/EmergencyMedicineMilestones.pdf. Accessed May 30 2017."},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2017.01.040"},{"key":"e_1_2_5_8_1","first-page":"S88","article-title":"Resident confidence and accuracy of abdominal ultrasonography","volume":"42","author":"Jang T","year":"2003","journal-title":"Ann Emerg Med."},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2007.01.018"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2016.08.457"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2014.11.23592"},{"key":"e_1_2_5_12_1","unstructured":"American College of Emergency Physicians. Emergency ultrasound imaging criteria compendium.2014.www.acep.org\/Clinical\u2014Practice-Management\/Ultrasound\/. Accessed November 6 2017."},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.22443"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2016.08.023"}],"container-title":["Journal of Clinical Ultrasound"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjcu.22604","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jcu.22604","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,17]],"date-time":"2023-09-17T06:16:08Z","timestamp":1694931368000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jcu.22604"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5,8]]},"references-count":13,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2018,9]]}},"alternative-id":["10.1002\/jcu.22604"],"URL":"https:\/\/doi.org\/10.1002\/jcu.22604","archive":["Portico"],"relation":{},"ISSN":["0091-2751","1097-0096"],"issn-type":[{"type":"print","value":"0091-2751"},{"type":"electronic","value":"1097-0096"}],"subject":[],"published":{"date-parts":[[2018,5,8]]},"assertion":[{"value":"2017-07-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-04-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-05-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}