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Review Article

Acta Inform Med. 2008; 16(2): 96-101


Urgent Ultrasonography in Daily Clinical Practice

Nizama Salihefendic, Muharem Zildzic.




Abstract

Emergency medicine is a clinical and academic discipline that does not deal with certain specific diseases or organic systems. This discipline is characterized with a comprehensive approach to the patients which is in a state of vital threat regardless of the nature and etiology of the disease which leads to such state. In the institutions of emergency medicine all patients arrives at any time of the days regardless of age and a range of symptoms so that emergency medicine applies clinical diagnostic and therapeutic methods of all other clinical disciplines in order that in the short period of time discover the cause of vital functions disturbance and apply emergency therapeutic procedures. All emergency states from all clinical disciplines belongs to the emergency medicine which leads practical management based on specific principles and approach to this kind of patients. Development of technology and application of new diagnostic procedures enabled doctors in emergency medicine to introduce effective diagnostic management during the first contact with the patient and to avoid costly and long hospital procedures. Ultrasonography examination is already for a long time important methods in all clinical disciplines, so it is inevitably applied in emergency medicine. Ultrasonography diagnosis has a high sensitiveness and specificity of most frequent illnesses at the departments and emergency wards, so the mobile ultrasonic device as an integral part of the equipment of family doctors may constitute “visual stethoscope “, especially important and indispensable in emergencies. This method applies the ideal technology achievement for nearly all the emergency sates and which is proven based on the needs in practice, on the basis of scientific facts based medicine and the recommendations of the World Health Organization (WHO) for the obligatory of application of this method in centers for emergency medicine. Additional benefits are simple handling of the machine and the possibility of repeated examination and monitoring of the dynamic pathological changes. Necessary practical and theoretical knowledge can be gained during under and post-graduate education within the framework of existing programs.

Key words: Emergency medicine, Ultrasound.






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