实施 eFAST 指南和教学，以改进记录方法和保存超声图像。

IF 1.7 4区医学 Q2 EMERGENCY MEDICINE Emergency Medicine Australasia Pub Date : 2024-05-19 DOI:10.1111/1742-6723.14431

Joseph Rossi MD, Anthony Van Assche MD

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引用次数: 0

摘要

目的研究以医院为基础的创伤超声聚焦评估（eFAST）指南和教学的实施是否改善了图像的记录和保存：方法：对2023年在悉尼圣文森特医院急诊科就诊的年龄≥16岁的创伤患者进行了为期两个月的回顾性队列研究：结果：通过实施指南和教学，创伤反应表上的记录有了统计学意义上的显著改善，从 85% (113/133) 提高到 93% (120/129)，比值比 (OR) 为 2.4 (95% 置信区间 [CI] = 1.03-5.40)，P = 0.04；保存的图像从 4% (5/133) 提高到 21% (27/129)，OR 为 6.7 (95% CI = 2.5-18.2)，P 结论：通过实施指南和教学，创伤反应表上的记录有了统计学意义上的显著改善：制定 eFAST 标准护理指南和开展教育与改进超声机的文档记录和图像保存有关。

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Implementation of an eFAST guideline and teaching to improve documentation practices and saving of ultrasound images

Objectives

To investigate whether implementation of a hospital-based Extended Focused Assessment with Sonography in Trauma (eFAST) guideline and teaching improved documentation and saving of images.

Methods

A retrospective cohort study was conducted on trauma patients aged ≥16 years presenting to St Vincent's Hospital Sydney Emergency Department over two, three-month periods in 2023.

Results

Guideline and teaching implementation resulted in statistically significant improvement in documentation on the Trauma Response Form, 85% (113/133) to 93% (120/129), odds ratio (OR) 2.4 (95% confidence interval [CI] = 1.03–5.40), P = 0.04, and images saved, 4% (5/133) to 21% (27/129), OR 6.7 (95% CI = 2.5–18.2), P < 0.001.

Conclusions

Developing an eFAST Standard of Care Guideline and education was associated with improvements in documentation and saving of images to ultrasound machines.

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来源期刊

Emergency Medicine Australasia 医学-急救医学

CiteScore

3.70

自引率

13.00%

发文量

217

审稿时长

6-12 weeks

期刊介绍： Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine. Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.