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Prehospital ultrasound

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https://www.readbyqxmd.com/read/28614862/-thoracic-trauma-prehospital-treatment
#1
Michael Hansen, Thomas Hachenberg
Penetrating thoracic injuries are rare in Germany and common in urban regions. 10 percent of the patients in Emergency Departments suffer from blunt thoracic trauma. Mechanism of trauma can predict the severity of the injuries. Very fast life-threatening injuries with hemodynamic problems like tension pneumothorax or cardiac tamponade have to be diagnosed. Prehospital emergency physicians need skills in ultrasound for diagnosis and in invasive therapy like chest tube or pericardium drainage tube. The application of an algorithm in exploration of a thoracic trauma seems to be useful...
June 2017: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/28499679/aeromedical-ultrasound-the-evaluation-of-point-of-care-ultrasound-during-helicopter-transport
#2
Jeffrey G Yates, Denise Baylous
INTRODUCTION: This study correlated the eFAST findings performed in-flight by the flight crew with the findings obtained by the trauma team upon initial evaluation at a level 1 trauma center and with the subsequent CT scans that were performed or the surgeon's operative note. We hypothesize that aeromedical eFAST examinations are highly correlated with the trauma teams findings. METHODS: This prospective, observational study evaluated 190 traumatically injured patients from June 2014 to December 2015 in Southeast Virginia and Northeast North Carolina...
May 2017: Air Medical Journal
https://www.readbyqxmd.com/read/28464969/utilization-criteria-for-prehospital-ultrasound-in-a-canadian-critical-care-helicopter-emergency-medical-service-determining-who-might-benefit
#3
Domhnall O'Dochartaigh, Matthew Douma, Chris Alexiu, Shell Ryan, Mark MacKenzie
Introduction Prehospital ultrasound (PHUS) assessments by physicians and non-physicians are performed on medical and trauma patients with increasing frequency. Prehospital ultrasound has been shown to be of benefit by supporting interventions. Problem Which patients may benefit from PHUS has not been clearly identified. METHODS: A multi-variable logistic regression analysis was performed on a previously created retrospective dataset of five years of physician- and non-physician-performed ultrasound scans in a Canadian critical care Helicopter Emergency Medical Service (HEMS)...
May 3, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28359986/diagnostic-accuracy-of-ultrasonography-for-detecting-nasogastric-tube-ngt-placement-in-adults-a-systematic-review-and-meta-analysis
#4
REVIEW
Tian Lin, Wendy Gifford, Yutao Lan, Xiuqun Qin, Xuelian Liu, Juan Wang, Biping Yang, Tianhui You, Ken Chen
OBJECTIVE: To review the evidence on diagnostic accuracy of ultrasonography for detecting correct nasogastric tube (NGT) placement in adults compared to X-ray as the reference standard. METHODS: This is a systematic review and meta-analysis of observational studies, searched in the literature between 1961 and 2015. We included studies which compared the diagnostic accuracy of ultrasonography detection for NGT placement with X-ray in adult patients who were undergoing NGT placement for any reason in any care setting...
June 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28089055/articles-that-may-change-your-practice-prehospital-ultrasound
#5
REVIEW
Russell D MacDonald, Selma Alqattan
No abstract text is available yet for this article.
January 2017: Air Medical Journal
https://www.readbyqxmd.com/read/27942784/-introduction-of-prehospital-emergency-ultrasound-into-an-emergency-medical-service-area
#6
C Weilbach, A Kobiella, N Rahe-Meyer, K Johanning
BACKGROUND: Emergency ultrasound as part of the provision of emergency medical services using mobile devices offers great benefits regarding to some important questions related to the management of critically ill and injured patients in the prehospital situation where diagnostic resources are limited. The aim of this study is to determine whether the comprehensive introduction of prehospital emergency ultrasound examinations into a German Emergency Medical Services ("rescue services") area is both feasible and beneficial for patients...
January 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/27491760/effect-of-ultrasound-training-of-physicians-working-in-the-prehospital-setting
#7
Charlotte Loumann Krogh, Jacob Steinmetz, Søren Steemann Rudolph, Rasmus Hesselfeldt, Freddy K Lippert, Peter A Berlac, Lars S Rasmussen
BACKGROUND: Advances in technology have made ultrasound (US) devices smaller and portable, hence accessible for prehospital care providers. This study aims to evaluate the effect of a four-hour, hands-on US training course for physicians working in the prehospital setting. The primary outcome measure was US performance assessed by the total score in a modified version of the Objective Structured Assessment of Ultrasound Skills scale (mOSAUS). METHODS: Prehospital physicians participated in a four-hour US course consisting of both hands-on training and e-learning including a pre- and a post-learning test...
August 4, 2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/27436374/five-year-retrospective-review-of-physician-and-non-physician-performed-ultrasound-in-a-canadian-critical-care-helicopter-emergency-medical-service
#8
Domhnall O'Dochartaigh, Matthew Douma, Mark MacKenzie
OBJECTIVE: To describe the use of prehospital ultrasonography (PHUS) to support interventions, when used by physician and non-physician air medical crew (AMC), in a Canadian helicopter emergency medical service (HEMS). METHODS: A retrospective review was conducted of consecutive patients who underwent ultrasound examination during HEMS care from January 1, 2009 through March 10, 2014. An a priori created data form was used to record patient demographics, type of ultrasound scan performed, ultrasound findings, location of scan, type of interventions supported by PHUS, factors that affected PHUS completion, and quality indicator(s)...
January 2017: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27313806/pre-hospital-assessment-with-ultrasound-in-emergencies-implementation-in-the-field
#9
Kevin P Rooney, Sari Lahham, Shadi Lahham, Craig L Anderson, Bryan Bledsoe, Bryan Sloane, Linda Joseph, Megan B Osborn, John C Fox
BACKGROUND: Point-of-care ultrasound (US) is a proven diagnostic imaging tool in the emergency department (ED). Modern US devices are now more compact, affordable and portable, which has led to increased usage in austere environments. However, studies supporting the use of US in the prehospital setting are limited. The primary outcome of this pilot study was to determine if paramedics could perform cardiac ultrasound in the field and obtain images that were adequate for interpretation...
2016: World Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26611224/assessment-of-paramedic-ultrasound-curricula-a-systematic-review
#10
REVIEW
Jessica McCallum, Erik Vu, David Sweet, Hussein D Kanji
OBJECTIVE: Prehospital ultrasound is being applied in the field. The purpose of this systematic review is to describe evidence pertaining to ultrasound curricula for paramedics specifically, including content, duration, setting, design, evaluation, and application. METHODS: Electronic searches of MEDLINE, Embase, CINAHL, and the Cochrane Center Register of Controlled Trials were conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines...
November 2015: Air Medical Journal
https://www.readbyqxmd.com/read/26474446/prehospital-thoracostomy-in-patients-with-traumatic-circulatory-arrest-results-from-a-physician-staffed-helicopter-emergency-medical-service
#11
Joost Peters, Rein Ketelaars, Bas van Wageningen, Jan Biert, Nico Hoogerwerf
OBJECTIVE: Until recently, traumatic cardiac arrest (tCA) was believed to be associated with high mortality and low survival rates. New data suggest better outcomes. The most common error in tCA management is failing to treat a tension pneumothorax (TP). In the prehospital setting, we prefer thoracostomies for decompressing a potential TP in tCA cases; however, interventions can only be recommended with adequate information on their results. Therefore, we reviewed the results of thoracostomies performed by our Helicopter Emergency Medical Service...
April 2017: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/26407979/in-flight-ultrasound-identification-of-pneumothorax
#12
Jacob A Quick, Rindi M Uhlich, Salman Ahmad, Stephen L Barnes, Jeffrey P Coughenour
Ultrasound is a standard adjunct to the initial evaluation of injured patients in the emergency department. We sought to evaluate the ability of prehospital, in-flight thoracic ultrasound to identify pneumothorax. Non-physician aeromedical providers were trained to perform and interpret thoracic ultrasound. All adult trauma patients and adult medical patients requiring endotracheal intubation underwent both in-flight and emergency department ultrasound evaluations. Findings were documented independently and reviewed to ensure quality and accuracy...
February 2016: Emergency Radiology
https://www.readbyqxmd.com/read/26308602/imaging-of-prehospital-stroke-therapeutics
#13
REVIEW
Michelle P Lin, Nerses Sanossian, David S Liebeskind
Despite significant quality improvement efforts to streamline in-hospital acute stroke care in the conventional model, there remain inherent layers of treatment delays, which could be eliminated with prehospital diagnostics and therapeutics administered in a mobile stroke unit. Early diagnosis using telestroke and neuroimaging while in the ambulance may enable targeted routing to hospitals with specialized care, which will likely improve patient outcomes. Key clinical trials in telestroke, mobile stroke units with prehospital neuroimaging capability, prehospital ultrasound and co-administration of various classes of neuroprotectives, antiplatelets and antithrombin agents with intravenous thrombolysis are discussed in this article...
2015: Expert Review of Cardiovascular Therapy
https://www.readbyqxmd.com/read/26265961/prehospital-evaluation-of-effusion-pneumothorax-and-standstill-peeps-point-of-care-ultrasound-in-emergency-medical-services
#14
Sundeep R Bhat, David A Johnson, Jessica E Pierog, Brita E Zaia, Sarah R Williams, Laleh Gharahbaghian
INTRODUCTION: In the United States, there are limited studies regarding use of prehospital ultrasound (US) by emergency medical service (EMS) providers. Field diagnosis of life-threatening conditions using US could be of great utility. This study assesses the ability of EMS providers and students to accurately interpret heart and lung US images. METHODS: We tested certified emergency medical technicians (EMT-B) and paramedics (EMT-P) as well as EMT-B and EMT-P students enrolled in prehospital training programs within two California counties...
July 2015: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26264879/prehospital-ultrasound-of-the-abdomen-and-thorax-changes-trauma-patient-management-a-systematic-review
#15
REVIEW
D O'Dochartaigh, M Douma
BACKGROUND: Ultrasound examination of trauma patients is increasingly performed in prehospital services. It is unclear if prehospital sonographic assessments change patient management: providing prehospital diagnosis and treatment, determining choice of destination hospital, or treatment at the receiving hospital. OBJECTIVE: This review aims to assess and grade the evidence that specifically examines whether prehospital ultrasound (PHUS) of the thorax and/or abdomen changes management of the trauma patient...
November 2015: Injury
https://www.readbyqxmd.com/read/26242738/imaging-of-prehospital-stroke-therapeutics
#16
Michelle P Lin, Nerses Sanossian, David S Liebeskind
Despite significant quality improvement efforts to streamline in-hospital acute stroke care in the conventional model, there remain inherent layers of treatment delays, which could be eliminated with prehospital diagnostics and therapeutics administered in a mobile stroke unit. Early diagnosis using telestroke and neuroimaging while in the ambulance may enable targeted routing to hospitals with specialized care, which will likely improve patient outcomes. Key clinical trials in telestroke, mobile stroke units with prehospital neuroimaging capability, prehospital ultrasound and co-administration of various classes of neuroprotectives, antiplatelets and antithrombin agents with intravenous thrombolysis are discussed in this article...
August 4, 2015: Expert Review of Cardiovascular Therapy
https://www.readbyqxmd.com/read/26149445/does-physician-experience-influence-the-interpretability-of-focused-echocardiography-images-performed-by-a-pocket-device
#17
Xavier Bobbia, Christophe Pradeilles, Pierre Géraud Claret, Camille Soullier, Patricia Wagner, Yann Bodin, Claire Roger, Guillaume Cayla, Laurent Muller, Jean Emmanuel de La Coussaye
INTRODUCTION: The use of focused cardiac ultrasound (FoCUS) in a prehospital setting is recommended. Pocket ultrasound devices (PUDs) appear to be well suited to prehospital FoCUS. The main aim of our study was to evaluate the interpretability of echocardiography performed in a prehospital setting using a PUD based on the experience of the emergency physician (EP). METHODS: This was a monocentric prospective observational study. We defined experienced emergency physicians (EEPs) and novice emergency physicians (NEPs) as echocardiographers if they had performed 50 echocardiographies since their initial university training (theoretical training and at least 25 echocardiographies performed with a mentor)...
July 7, 2015: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/26137840/using-prehospital-ultrasound-for-cardiac-resuscitation
#18
Ed Mund
No abstract text is available yet for this article.
June 2015: EMS World
https://www.readbyqxmd.com/read/26038015/out-of-hospital-point-of-care-ultrasound-current-use-models-and-future-directions
#19
REVIEW
B P Nelson, A Sanghvi
INTRODUCTION: Ultrasound has evolved from a modality that was once exclusively reserved to certain specialities of its current state, in which its portability and durability lend to its broadly increasing applications. OBJECTIVES: This review describes portable ultrasound in the hospital setting and its comparison to gold standard imaging modalities. Also, this review summarizes current literature describing portable ultrasound use in prehospital, austere and remote environments, highlighting successes and barriers to use in these environments...
April 2016: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/25791520/when-you-hear-hoofbeats-think-of-horses-but-do-not-forget-the-zebras
#20
Anders Stochholm, Brian Bridal Løgstrup
We report a case of a 68-year-old man who was admitted to the department of cardiology with increasing abdominal and chest pain during the day. The prehospital ECG showed clear ST segment elevation in inferior leads. The patient was routed directly to the catheterisation laboratory with acute myocardial infarction as a tentative diagnosis. The coronary angiography showed an occluded right coronary artery that was reopened with a plain old balloon angioplasty procedure. After the procedure, the patient was expected to feel better, but the abdominal pain worsened...
March 18, 2015: BMJ Case Reports
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