Table 1.

Barriers to the use of emergency medicine point of care ultrasound

Barrier	Global or India-specific	Solution (see next section)
Lack of a national practice guideline or scope of practice for EM PoCUS	India-specific (though equally relevant in many regions and healthcare settings)	ScoP informs curriculum content; see also barrier 3 National EM PoCUS educational scrutiny body
Resistance from non-PoCUS users of USI and lack of awareness from those who undertake parallel or post-EM patient care	Global	Emphasis on formal training, as informed by ScoP ScoP (clinical and sonographic) defined and communicated
Heterogenous pattern of resources available in different institutes and settings	Global (but exacerbated in low and middle income [LMIC] regions)	ScoP aligned with local resource availability
PCPNDT act	India-specific	ScoP defined a priori Use of specific exclusions from ScoP; integral part of local and national agreement

ScoP: Scope of practice, LMIC: Low and middle income country, PCPNDT: Preconception and prenatal diagnostic technique, PoCUS: Point of care ultrasound, EM: Emergency medicine, USI: Ultrasound imaging