Evidence map›Paper›PMID 39776068›Full record

ArticleCJEM2025

Rural Canadian emergency physician experiences using point-of-care ultrasound.

Rafiq Andani, Queen Jacques, Yanqing Yi, Tomislav Jelic, Taft Micks, David Bradbury-Squires, Jordan Stone-McLean, Michael Parsons, Gillian Sheppard

Abstract read
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In one paragraph

Article in CJEM, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Rafiq AndaniDepartment of Family Medicine, University of Manitoba, Winnipeg, MB, Canada. rafiq.andani@umanitoba.ca.ORCID 0009-0003-1152-8898
Queen JacquesPopulation Health and Applied Health Sciences, Memorial University of Newfoundland, St. John's, NL, Canada.ORCID 0009-0003-4114-1002
Yanqing YiDivision of Population Health and Applied Health Sciences, Memorial University of Newfoundland, St. John's, NL, Canada.
Tomislav JelicDepartment of Emergency Medicine, University of Manitoba, Winnipeg, MB, Canada.ORCID 0000-0003-3212-4625
Taft MicksDepartment of Emergency Medicine and Family Medicine - Brandon Site, University of Manitoba, Winnipeg, MB, Canada.
David Bradbury-SquiresDisciplines of Family and Emergency Medicine, Faculty of Medicine, Memorial University of Newfoundland, St. John's, NL, Canada.ORCID 0009-0002-8955-3703
Jordan Stone-McLeanDiscipline of Emergency Medicine, Memorial University of Newfoundland, St. John's, NL, Canada.ORCID 0009-0006-9281-247X
Michael ParsonsDiscipline of Emergency Medicine, Memorial University of Newfoundland, St. John's, NL, Canada.ORCID 0000-0003-0341-9467
Gillian SheppardDiscipline of Emergency Medicine, Memorial University of Newfoundland, St. John's, NL, Canada.ORCID 0000-0003-1646-8794

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPoint-of-care ultrasound (POCUS) is a rapidly evolving and clinically significant skill set that has potential for improving patient care for the approximately 7 million Canadians living in rural and under-resourced environments. A national appraisal of rural POCUS training and utilization is needed to understand barriers to funding and training for rural emergency physicians in Canada. The primary objective of this study was to determine the current level of training and types of POCUS utilization by rural emergency physicians in Canada. The secondary objective was to describe the barriers to POCUS use.

methodsAn online survey of POCUS education, training, and utilization was distributed, in English and French, to rural emergency physicians across Canada via the Canadian Association of Emergency Physicians, Society of Rural Physicians of Canada and College of Family Physicians of Canada listservs.

resultsOne hundred and sixty-eight physicians completed the survey with a response rate of 10%. Most were family physicians registered with the College of Family Physicians of Canada (68%) and worked in rural communities with under 10,000 residents (64%). The majority of respondents (94%) used a POCUS device in their practice, with 40% always using POCUS and 84% having access to a high-quality device. POCUS was commonly used for abdominal aortic aneurysm, cardiac, and obstetrical exams. Key barriers to training were cost (62%), distance to the training center (48%), inability to take time off work (43%) and insufficient hospital administration support (21%). Eighty percent of respondents agreed that POCUS was valuable in rural and remote areas with limited access to diagnostic imaging and 78% agreed that institutions should fund POCUS training.

conclusionPOCUS is used daily for patient care in rural Canadian emergency departments. Despite widespread access to POCUS, rural emergency physicians face significant barriers in training and utilization.

Indexed as

Emergency MedicineEmergency Service, HospitalPoint-of-Care SystemsRural Health ServicesCanadaFemaleHumansMaleSurveys and QuestionnairesUltrasonographyEducationEmergencyPoint-of-care ultrasoundRural

Identifiers

What OpenQuestion holds

Textmetadata
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.