key: cord-0979804-5uwpanpv
authors: Györgyi, Zoltán; de Luca, Daniele; Singh, Yogen
title: The European Society of Paediatric Radiology’s position statement on point-of-care ultrasound
date: 2022-01-21
journal: Pediatr Radiol
DOI: 10.1007/s00247-021-05184-8
sha: 18f8b8b1728a15e5a33fbcfd41ba76c84d8130ae
doc_id: 979804
cord_uid: 5uwpanpv

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Second, we strongly agree with the closing remarks of the ESPR statement: POCUS should only be performed by competent operators within a systematic framework of regulations and expected standards. In ESPNIC's POCUS guidelines published in Critical Care, Singh et al. [3] emphasize that POCUS should be performed by intensivists for selected indications and under its limitations. POCUS is not intended to replace a formal assessment by the paediatric radiologist or cardiologist [3] .

Third, our standpoint regarding credentialing and reporting is that a unique (non-traditional to radiology) approach should be adopted to promote use of POCUS for pre-defined indications while ensuring qualityassurance expectations such as certification policy, integration in daily practice, standardised POCUS guidelines, patient safety measures, robust clinical governance, imaging storage and reviewing, and continuous medical education (CME) related to POCUS.

Fourth, we do believe that it is a false perception that POCUS would systematically lead to misdiagnosis or increase the scanning burden for paediatric radiologists. On the contrary, some beneficial systematic effects of POCUS on radiology workload have been published [4] . There is enough literature demonstrating these assumptions in adult medicine and there is no reason to think that it would be different for children and neonates [4, 5] .

Finally, 24/7 high-quality imaging by the paediatric radiologists and cardiologists remains a challenge, even in wellestablished children's hospitals in the Western world, especially during out-of-hours.

During the coronavirus disease 2019 pandemic, POCUS performed by trained general practitioners and in other prehospital care settings was well accepted [6] [7] [8] .

We believe that POCUS has the potential to increase collaboration between paediatric specialties. In the near future, we would support constructive discussions between paediatric radiologists, cardiologists, intensivists and

Non-radiologistperformed point-of-care ultrasonography in paediatrics -European Society of Paediatric Radiology position paper

Privileging for ultrasound imaging H-230.960. AMA PolicyFinder

International evidencebased guidelines on point of care ultrasound (POCUS) for critically ill neonates and children issued by the POCUS Working Group of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC)

Point-of-care ultrasound (POCUS): an opportunity for radiologists to improve patient care?

A multidisciplinary response to the Canadian Association of Radiologists' point-of-care ultrasound position statement

The role of PoCUS in the assessment of COVID-19 patients

Point-of-care ultrasound in primary care: a systematic review of generalist performed point-of-care ultrasound in unselected populations

The ultrasound-guided triage: a new tool for prehospital management of COVID-19 pandemic

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