Cuidelines RecommendationsThiemeEmergency Point-of-Care Ultrasound Stewardship -A Joint PositionPaper by EuSEM and EFSUMB and Endorsed by IFEM and WFUMBVerantwortungsbewusste bettseitige Notfallsonografie -eingemeinsames Positionspapier von EuSEM,EFSUMB und unterstutztvon IFEM und WFUMBAuthorsJoseph Osterwalder',Senad Tabakovic?,Christian Jenssen,Christoph F.Dietrich.Jim Connolly,Effi PolyzogopoulouVito Cantisani,Matthias Wustners,Bob larman,Beatrice Hoffmann10AffiliationsABSTRACT1 Executive Board,Polipraxis Group,St.Gallen,SwitzerlandEmergency Medicine Point-of-Care Ultrasound (EMPoCUS)is a2 Emergency Department,Regional Hospital,Wil.convincing concept.It has spread rapidly because of its intui-Switzerlandtive,simple applicability and low equipment costs.The speed3 Department of Internal Medicine,Hospital Markischof its emerging growth frequently outpaces the developmentOderland Strausberg/Wirzen.Wriezen,Germanyof quality assurance and education.Indeed,education stand-4 Department of Internal Medicine,Clinics Hirslanden Beauards vary worldwide,and in some cases seem to neglect theSite,Salem and Permanence,Bern,Switzerland5 Emergency Department,Royal Victoria Infirmary.principles of modern competence-based education.Addition-al challenges are encountered such as remote or low resourceNewcastle upon Tyne,United Kingdom of Great Britain andmedical practice.Here,EMPoCUS might be the only ad-hocNorthern Irelandimaging modality available.Once mastery of EMPoCUS is6 Emergency Department,General University Hospitalachieved,emergency physicians should be able to independ-Attikon,Athens,Greeceently and efficiently care for their patients using a variety of7 Department of Radiology,"Sapienza'University of Rome,PoCUS skills.However,most curricula only define these tasksROME,Italyas non-binding and in general terms or use outdated meas-8 Department of Central Interdisciplinary Sonography.ures,such as length of training and self-reporting of achievedBruederkrankenhaus,Trier,Germanyexaminations with variable oversight,or administrative meas-9 RVI's Great North Trauma and Emergency Centre,Royalures to create educational milestones.This threatens to takeVictoria Infirmary,St.Gallen,Seychellesquality assurance down the wrong path.It created a scenario10 Emergency Department,Harvard Medical Schoolin which concrete EMPoCUS skill outcome measures thatDepartment of Emergency Medicine Beth Israel Deaconesswould realistically reflect the training objectives and simulta-Medical Center,Boston.United Statesneously would be easily observable and verifiable are lacking.Key wordsIn view of the dangers of poorly controlled EMPoCUS dissemi-Stewardship,Point-of-care-ultrasound,Competency,Emer-nation and the current lack of European guidelines,we wouldgency Medicinelike to set central standards for European EMPoCUS steward-ship based on a critical review of the current situation.Thisreceived 08.11.2022position paper,which was jointly developed by EuSEM and EF-accepted after revi
