Evidence map›Paper›PMID 26655376›Full record

ArticleBMC emergency medicine2015

A majority of rural emergency departments in the province of Quebec use point-of-care ultrasound: a cross-sectional survey.

Pierre Léger, Richard Fleet, Julie Maltais-Giguère, Jeff Plant, Éric Piette, France Légaré, Julien Poitras

Open access · goldAbstract read
In one paragraph

Article in BMC emergency medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.1field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Use of point-of-care ultrasound in rural British Columbia: Scale, training, and barriers.Canadian family physician Medecin de famille canadien · 2024
    Article
  6. Article
  7. Article
  8. The use of point-of-care ultrasound in Tshwane public and private sector emergency units.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023
    Article
  9. Article
  10. Article
  11. Observational
  12. A novel measure for characterizing ultrasound device use and wear.Journal of the American College of Emergency Physicians open · 2020
    Article
  13. Review
  14. Article
  15. Article
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  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Pierre LégerDepartment of Family and Emergency Medicine, Université Laval, Quebec City, QC, Canada. pierre.leger.1@ulaval.ca.
Richard FleetDepartment of Family and Emergency Medicine, Université Laval, Quebec City, QC, Canada. rfleet@videotron.ca.
Julie Maltais-GiguèreResearch Centre, Emergency Medicine Laval University - CHAU Hôtel-Dieu de Lévis Hospital, 143 Wolfe Street, Lévis, QC, G6V 3Z1, Canada. juliemgiguere@gmail.com.
Jeff PlantFaculty of Medicine, University of British Columbia, Vancouver, BC, Canada. planj@mac.com.
Éric PietteDepartment of Family and Emergency Medicine, Université de Montréal; Department of Emergency Medicine, Hôpital du Sacré-Coeur de Montréal, Montréal, QC, Canada. eric.piette@umontreal.ca.
France LégaréDepartment of Family Medicine and Emergency Medicine, Knowledge Transfer and Health Technology Assessment of the CHUQ Research Centre (CRCHUQ, Unité de Recherche Évaluative, Université Laval; Implementation of Shared Decision Making in Primary Care, Quebec City, QC, Canada. france.legare@mfa.ulaval.ca.
Julien PoitrasDepartment of Family and Emergency Medicine, Université Laval, Quebec City, QC, Canada. julien.poitras@fmed.ulaval.ca.
Université Laval · CACégep de Lévis · CAUniversité de Montréal · CAUniversity of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPoint-of-care ultrasound (POCUS) can be used to provide rapid answers to specific and potentially life-threatening clinical questions, and to improve the safety of procedures. The rate of POCUS access and use in Canada is unclear. The objective of this study was to examine access to POCUS and potential barriers/facilitators to its use among rural physicians in Quebec.

methodsThis descriptive cross-sectional study used an online survey. The 30-item questionnaire is an adapted and translated version of a questionnaire used in a prior survey conducted in rural Ontario, Canada. The questionnaire was pre-tested for clarity and relevance. The survey was sent to non-locum physicians working either full- or part-time in rural emergency departments (EDs) (n = 206). All EDs were located in rural and small towns and provided 24/7 medical coverage with acute care hospitalization beds.

resultsIn total, 108 surveys were completed (participation rate = 52.4%). Of the individuals who completed surveys, ninety-three percent were family physicians, and seven percent had Canadian College of Family Physicians - Emergency Medicine (CCFP-EM) certification. The median number of years of practice was seven. A bedside ultrasound device was available in 95% of rural EDs; 75.9% of physicians reported using POCUS on a regular basis. The most common indications for POCUS use were to rule out abdominal aortic aneurysm (70.4%) and to evaluate presence of free fluid in trauma and intrauterine pregnancy (60%). The most common reason (73%) for not using POCUS was limited access to POCUS training programs. Over 40% of POCUS users received training in POCUS during medical school or residency. Sixty-four percent received training from the Canadian Emergency Ultrasound Society, 13% received training from the Canadian Association of Emergency Physicians, and 23% were trained in another course. Finally, 95% of respondents reported that POCUS skills are essential for rural ED practice.

conclusionsPOCUS use in rural EDs in the province of Quebec appears to be relatively widespread. Access to training programs is a barrier to greater use.

Indexed as

AdultCross-Sectional StudiesEmergency Service, HospitalFemaleHumansMaleMiddle AgedPoint-of-Care SystemsQuebecRural Health ServicesUltrasonography

Identifiers

PMID26655376
PMCPMC4676152
OpenAlexW2195460236

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.