Open AccessTransesophageal echocardiography in the emergency department: A comprehensive guide for acquisition, implementation, and quality assurance
Author(s) -
McGuire Duncan,
Johnson Steven,
Mielke Nicholas,
Bahl Amit
Publication year - 2022
Publication title -
journal of the american college of emergency physicians open
Language(s) - English
Resource type - Journals
ISSN - 2688-1152
DOI - 10.1002/emp2.12758
Subject(s) - credentialing , emergency department , cardiopulmonary resuscitation , medicine , quality assurance , medical emergency , process (computing) , modality (human–computer interaction) , medical physics , resuscitation , computer science , emergency medicine , pathology , medical education , nursing , external quality assessment , operating system , human–computer interaction
Abstract Echocardiography is an essential tool in emergency medicine, yielding valuable information for physicians that directly affects diagnostic and management strategies. Emergency department (ED) transesophageal echocardiography (TEE) is an increasingly common procedure performed in a variety of institutions, allowing for ongoing cardiac imaging during cardiopulmonary resuscitation as well as providing high‐resolution assessment of both cardiac and aortic anatomy. However, despite the numerous benefits of ED TEE, the process of implementing this modality within a department is difficult because of unique process and cost considerations. This paper serves to provide an updated and in‐depth description of these processes to assist with the initiation of such a program, including a detailed discussion of budgetary considerations, physician credentialing, and device use and maintenance protocols.