急診超音波之新進展

中華民國醫用超音波學會本週將在台北國際會議中心 (TICC)舉行2016年會和學術研討會,

這次急診科的主題為: 急診超音波之新進展,

講者和內容摘要如下,讓我們一同往前邁進 !!

2016醫用超音波年會急診科

完整年會節目表

New Advances in Emergency Ultrasound: Overview

Wan-Ching Lien

Emergency Department, National Taiwan University Hospital, Hsin-Chu branch

There is great expansion in clinical use of emergency ultrasound (EUS) in recent decades. EUS has the integrated and goal-directed characteristics that can be utilized to diagnose acute life-threatening diseases, guide invasive procedures, and treat emergency conditions. In 2008, the American College of Emergency Physicians (ACEP) revised the EUS guidelines that five scopes and 11 core applications of EUS were identified.

There are new advances regarding EUS in clinical practice, education and technology. EUS protocols during resuscitation and in shock assessment, EUS education policy and new technology will be introduced in this session.

New Advances in Emergency Ultrasound: 

Protocols (I) for Resuscitation

Kuo-Chih Chen

Department of Emergency Medicine, Shin Kong WHS Memorial Hospital

Cardiac arrest is a true emergency and survival from cardiac arrest needs an organized resuscitation team to implement multiple resuscitative tasks and find the reversible causes. Point of care ultrasound (POCUS) has been used in emergency medicine for more than 20 years. The scopes of POCUS have been expanded from single application to integrated, problem-based and protocol-based applications, such as EFAST protocol for trauma management, RUSH protocol for shock management and BLUE protocol for dyspnea management.

Articles about ultrasound uses in cardiac arrest are increasing rapidly during the previous decade, from airway management, causes identification to prognostication. In this section, I will review new advances of POCUS in managing resuscitation and how to implement the required techniques in a holistic and protocol-based approach.

New Advances in Emergency Ultrasound: 

Protocols (II) for Shock

Jen-Tang Sun

Far Eastern Memorial Hospital

Shock is common problem in Emergency and critical care medicine, early recognize etiology and provide adequate treatment can provide favorable outcome. Ultrasound is ideal diagnostic tool in this condition, due to portable and non-radiation. Goal directed ultrasound or point of care ultrasound can provide important etiology for shock patient, many protocols for shock were proposed. This lecture will review the ultrasound in shock.

New Advances in Emergency Ultrasound: Education

Wan-Ching Lien

Emergency Department, National Taiwan University Hospital, Hsin-Chu branch

Diagnostic imaging utilization and interpretation are important skills for emergency physicians (EPs). The American College of Emergency Physicians (ACEP) developed the standard recognition of emergency ultrasound (EUS) in the 2001 Model of the Clinical Practice of Emergency Medicine. It resulted in the Accreditation Council for Graduate Medical Education (ACGME) mandating that all emergency residents attain competency in the use of EUS by the completion of residency training. In 2012, the ACGME designated EUS as one of 23 milestone competencies for emergency medicine residency graduates.

Current EUS focuses on the education, assessment and competency. However, it takes much time for junior emergency physicians to have good diagnostic accuracy.

How to educate well and lessen learning time, and how to build reliable assessment tools are future works.

New Advances in Emergency Ultrasound: Technology

Yueh-Ping Liu, MD, 

National Taiwan University Hospital

The introduction of ultrasound into the acute management of patients has occurred in a non-coordinated fashion. The history of non-radiologist performed emergency ultrasound is most clearly by the development of ultrasound for trauma. At present, ultrasound plays an increasing role in the assessment of the acute patient and is now widely accepted in emergency medicine. In the last decade, advances in technology have led to smaller, more portable and easier to use machines with increasingly better image quality. These fundamental equipment changes have led to machine practitioners and the unique setting in which they work. Portable ultrasound scanners have the potential to become new-age stethoscopes for emergency physicians. For trauma cases in particular, portable ultrasound scanners can scan the chest and abdomen of emergency patients both rapidly and conveniently. Future technological advances, such as improvement of the ultrasonic hardware and software that provide automated interpretation in the emergency room, may improve the speed and accuracy of the initial evaluation.

Meanwhile, the health care of patients in rural or isolated areas is challenged by the scarcity of local resources, limited patient access to doctors and hospitals, and the lack of specialized professionals. This has led to a new concept in telemedicine: teleultrasonography (or teleultrasound), which permits ultrasonographic diagnoses to be performed remotely. Telemedicine and teleultrasonography are effective in providing diagnostic imaging services to these populations and reduce health care costs by decreasing the number and duration of hospitalizations and reducing unnecessary surgical procedures. Teleultrasound appears to be a valuable addition to remote medical care for isolated populations with limited access to tertiary healthcare facilities and also a useful tool for education and training. Above new technologies are revolutionizing visits to the emergency room (ER), may resulting in reduced wait times, improved time management and faster treatment of serious emergencies.

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