alexa Letter to Editor: “Ultrasonography as an Integrated Tool in Clinical Decision- Making in the Emergency Department” | Open Access Journals
ISSN: 2375-4273
Health Care : Current Reviews
Make the best use of Scientific Research and information from our 700+ peer reviewed, Open Access Journals that operates with the help of 50,000+ Editorial Board Members and esteemed reviewers and 1000+ Scientific associations in Medical, Clinical, Pharmaceutical, Engineering, Technology and Management Fields.
Meet Inspiring Speakers and Experts at our 3000+ Global Conferenceseries Events with over 600+ Conferences, 1200+ Symposiums and 1200+ Workshops on
Medical, Pharma, Engineering, Science, Technology and Business

Letter to Editor: “Ultrasonography as an Integrated Tool in Clinical Decision- Making in the Emergency Department”

Adela Golea*

Department of Emergency Medicine, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania

*Corresponding Author:
Adela Golea
Department of Emergency Medicine “Iuliu Hatieganu”
University of Medicine and Pharmacy County Emergency
University Hospital 3-5 Clinicilor - Street 400006 Cluj-Napoca, Romania
Tel: 0040264431876- 1099
Fax: 0040264599637
E-mail: [email protected]

Received date: April 01, 2016; Accepted date: April 21, 2017; Published date: April 28, 2017

Citation: Golea A (2017) Letter to Editor: “Ultrasonography as an Integrated Tool in Clinical Decision-Making in the Emergency Department”. Health Care Current Reviews 5:194. doi:10.4172/2375-4273.1000194

Copyright: © 2017 Golea A. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Visit for more related articles at Health Care : Current Reviews

According to the American College of Emergency Physicians ultrasound (US) policies, “bedside US exam” is included in clinical protocols in many Emergency Department (ED), especially in USA [1,2]. The above-mentioned study introduces the concept of “supporting role of integrated US exam” in diagnosis and clinical decision, with the aim of improving patients’ flow. A significant problem in the emergency department is the need for rapid decisions, alongside with low rates of error, therefore ensuring an optimal flow of the patients. In order to ensure a good practice, there must be a constant balance between: time, quality care and evidence based practice. Practitioners usually work with hypothetical-deductive models to develop strategies for good decisions. Hence, the “visual medicine” based on US exam becomes an opportunity to fill the gap which affects this cutting-edge care and offer practitioners a new skill for improving the practice [3]. Further going, US examination is non-radiating. Considering that for many unclear emergency clinical diagnoses, the imagistic gold standard examination is computed tomography, a highly radiating procedure with a significant risk of malignancy over time, US might represent a suitable alternative [4].

Practical Impact

This study, as well as previous ones, underlines the role of this imagistic investigation on diagnosis of non-differentiated emergencies bearing low clinical concordance [4,5]. Moreover, the results show that early US exam in ED allow rapid decisions regarding the surgical management. The results emphasize the role of receiving US information for patients with co-morbidities and those with alterations detected accidentally, which can influence the short-term prognosis [4-6]. US as a tool used on clinical decision making improves the health care strategy in terms of early diagnosis with reduced errors and urgent therapy, along with associated a rapid flow of patients in ED. We therefore believe that educational programs on integrated ultrasound in clinical assessment of patients designed for emergency medicine residents should be included in the residency program curricula, but also as part of continuing medical education programs [1,7].

Research Impact to Create an Evidence Based Tool for Clinical Decision in ED

Additional research is need on US exam as an integrated first line imagistic tool for clinical making decisions on all groups of symptoms in order to reduce the time spent and error rates, but also the irradiation of patients in ED [2,4,5]. Literature evidence must be graded to create strong recommendations based on the strength of data from the medical studies. Professional associations of emergency medicine physicians should build a continuous educational program to improve guided clinical assessment of emergencies according to the novel research data.

References

Select your language of interest to view the total content in your interested language
Post your comment

Share This Article

Relevant Topics

Recommended Conferences

Article Usage

  • Total views: 201
  • [From(publication date):
    June-2007 - Sep 22, 2017]
  • Breakdown by view type
  • HTML page views : 170
  • PDF downloads :31
 

Post your comment

captcha   Reload  Can't read the image? click here to refresh

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords