PoCUS: luces y sombras
DOI:
https://doi.org/10.17533/udea.iatreia.197Palabras clave:
Competencia clínica, Diagnóstico por imagen, Educación médica, Medicina de emergencia, UltrasonografíaResumen
Introducción: el ultrasonido junto a la cama del paciente (PoCUS) es una herramienta clínica que se emplea en los servicios de urgencias desde hace tres décadas. Sin embargo, actualmente persisten interrogantes relacionados con los riesgos de error diagnóstico por parte del médico no radiólogo y la certificación de competencias para su incorporación.
Objetivo: describir y analizar el marco conceptual sobre el uso de PoCUS en las especialidades medicoquirúrgicas en Colombia.
Resultados: la implementación del PoCUS mejora la sensibilidad de la exploración física en el contexto oportuno y orienta la formación médica en áreas como anatomía, fisiología y evaluación clínica. Además, permite a diferentes especialistas complementar su quehacer cotidiano, pues facilita la adquisición de habilidades y el reconocimiento de las limitaciones de la herramienta, según la certificación de competencias y la reglamentación vigente.
Conclusiones: el PoCUS es una herramienta efectiva (y con mínimos eventos adversos) para la toma de decisiones clínicas en el servicio de urgencias, e incluso en otros contextos de la práctica clínica. El entrenamiento requerido para la adquisición de las habilidades técnicas necesarias para su manejo está al alcance de cualquier médico.
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