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Only 10% (17\/176) could access emergency ultrasound\u2009&lt;\u20091\u00a0h from request. The main barrier was a lack of trained personnel. HIC surgeons were more likely to have ultrasound training (24\/29; 82.8%) compared with LMICs (74\/147; 50.3%) (p\u2009=\u2009.001319; CI 95%). Self-perceived POCUS competence was associated with regularity of POCUS use (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; CI 95%). Those who already practice POCUS most commonly use it for trauma, intussusception, and ultrasound-guided procedures. Majority (90%; 159\/176) of child surgeons would attend formal POCUS training if available.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Ultrasound is critically important in children\u2019s surgery globally, however, many surgeons experience barriers to timely access. There is a strong interest in learning POCUS for relevant pediatric surgical applications. Further research is needed to evaluate the best methods of training, accreditation, and governance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00383-024-05797-8","type":"journal-article","created":{"date-parts":[[2024,9,5]],"date-time":"2024-09-05T14:02:25Z","timestamp":1725544945000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Global survey on point-of-care ultrasound (pocus) use in child surgery"],"prefix":"10.1007","volume":"40","author":[{"given":"Gerlin","family":"Naidoo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Salim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Jackson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashok","family":"Handa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kokila","family":"Lakhoo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Lindert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,9,5]]},"reference":[{"issue":"11","key":"5797_CR1","doi-asserted-by":"publisher","first-page":"3139","DOI":"10.1053\/j.jvca.2020.07.004","volume":"34","author":"Y Baribeau","year":"2020","unstructured":"Baribeau Y, Sharkey A, Chaudhary O, Krumm S, Fatima H, Mahmood F et al (2020) Handheld Point-of-Care Ultrasound Probes: the new generation of POCUS. 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