Learning Curve of Emergency Physicians Using Emergency Bedside Sonography for Symptomatic First-Trimester Pregnancy

• DOI: 10.7863/jum.2010.29.10.1423
• Publication Date: 2017-01-09T19:35:49Z
• Authors: Timothy B. Jang; Wendy Ruggeri; Pamela Dyne; Amy H. Kaji
• Keywords: Molar Pregnancy; Adnexal mass; Vaginal bleeding

The purpose of this study was to prospectively assess the learning curve emergency physician training in bedside sonography (EBS) for first-trimester pregnancy complications.This a prospective at an urban academic department from August 1999 through July 2006. Patients with vaginal bleeding or pain underwent EBS followed by pelvic (PS) Department Radiology. Results were compared those PS using predesigned standardized data sheet.A total 670 patients complications 1 25 physicians who would go on perform least examinations. sensitivity and specificity intrauterine increased 80% (95% confidence interval [CI], 71%-87%) 86% CI, 76%-93%), respectively, physician's first 10 examinations 100% 73%-100%) 63%-100%) performed after 40 Likewise, adnexal mass ectopic changed 43% 28%-64%) 94% 89%-97%) 75% 22%-99%) 89% 65%-98%), whereas molar 71% 30%-95%) 98% 94%-99%) 20%-100%) 81%-100%). Although detection improved training, even experience including examinations, less than 90%.There is appreciable among that persists past