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Published on: March 3, 2023
Focus cardiac ultrasound: the European Association of Cardiovascular Imaging viewpoint
Aleksandar N Neskovic1, Thor Edvardsen2, Maurizio Galderisi3
1Clinical Hospital Center Zemun, Faculty of Medicine, University of Belgrade, Belgrade, Serbia neskovic@hotmail.com.
Insights
Point-of-care, problem-oriented focus cardiac ultrasound (FoCUS) is valuable in emergencies. Trained non-cardiologists can use FoCUS for critical cardiac diagnostics, improving patient care.
Area of Science:
- Emergency Medicine
- Cardiology
- Medical Imaging
Background:
- Point-of-care, problem-oriented focus cardiac ultrasound (FoCUS) is increasingly used in emergency settings for cardiac conditions.
- Cardiovascular emergencies are managed by various specialists, not exclusively cardiologists.
- The European Association of Cardiovascular Imaging (EACVI) acknowledges the broader application of FoCUS.
Purpose of the Study:
- To outline the role and application of FoCUS in emergency cardiac care.
- To emphasize the benefits of FoCUS for patient outcomes when used by trained professionals.
- To differentiate FoCUS from traditional echocardiography and highlight training needs.
Main Methods:
- Review of current practices and guidelines regarding FoCUS in emergency medicine.
- Analysis of the differences between FoCUS and comprehensive echocardiography.
- Emphasis on the necessity of specific education and training for FoCUS users.
Main Results:
- FoCUS provides valuable information for emergency cardiac diagnostics and treatment.
- Non-cardiologists, with adequate training, can effectively utilize FoCUS.
- Specific training is crucial to maximize FoCUS benefits and mitigate risks in critically ill patients.
Conclusions:
- The EACVI supports the use of FoCUS by trained medical professionals in emergency cardiac situations.
- Proper understanding and application of FoCUS are essential for its effective use.
- Targeted education is vital for optimizing FoCUS in critically ill patients.
Abstract:
The concept of point-of-care, problem-oriented focus cardiac ultrasound examination (FoCUS) is increasingly applied in the settings of medical emergencies, including cardiac diseases. The European Association of Cardiovascular Imaging (EACVI) recognizes that cardiologists are not the only medical professionals dealing with cardiovascular emergencies. In reality, emergency cardiac diagnostics and treatment are also carried out by a wide range of specialists. For the benefit of the patients, the EACVI encourages any medical professional, sufficiently trained to obtain valuable information from FoCUS, to use it in emergency settings. These medical professionals need to have the necessary knowledge to understand the obtained information entirely, and to use it correctly, thoughtfully and with care. In this document, the EACVI underlines major differences between echocardiography and FoCUS, and underscores the need for specific education and training in order to fully utilize advantages and minimize drawbacks of this type of cardiac ultrasound examination in the critically ill patients.
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