keyword
https://read.qxmd.com/read/35593145/can-non-physician-providers-use-ultrasound-to-aid-in-establishing-peripheral-iv-access-in-patients-who-are-difficult-to-cannulate-a-scoping-review
#21
REVIEW
Samuel O Burton, Jake K Donovan, Samuel L Jones, Benjamin N Meadley
INTRODUCTION: Non-physician performed point-of-care ultrasound (POCUS) is emerging as a diagnostic adjunct with the potential to enhance current practice. The scope of POCUS utility is broad and well-established in-hospital, yet limited research has occurred in the out-of-hospital environment. Many physician-based studies expound the value of POCUS in the acute setting as a therapeutic and diagnostic tool. This study utilized a scoping review methodology to map the literature pertaining to non-physician use of POCUS to improve success of peripheral intravenous access (PIVA), especially in patients predicted to be difficult to cannulate...
August 2022: Prehospital and Disaster Medicine
https://read.qxmd.com/read/35506171/use-of-point-of-care-ultrasound-by-non-physicians-to-assess-respiratory-distress-in-the-out-of-hospital-environment-a-scoping-review
#22
REVIEW
Jake K Donovan, Samuel O Burton, Samuel L Jones, Benjamin N Meadley
BACKGROUND: The use of ultrasound in the out-of-hospital environment is increasingly feasible. The potential uses for point-of-care ultrasound (POCUS) by paramedics are many, but have historically been limited to traumatic indications. This study utilized a scoping review methodology to map the evidence for the use of POCUS by paramedics to assess respiratory distress and to gain a broader understanding of the topic. METHODS: Databases Ovid MEDLINE, EMBASE, CINAHL Plus, and PUBMED were searched from January 1, 1990 through April 14, 2021...
August 2022: Prehospital and Disaster Medicine
https://read.qxmd.com/read/34994342/point-of-care-ultrasound-use-by-ems-providers-in-out-of-hospital-cardiac-arrest
#23
JOURNAL ARTICLE
Michael A Kreiser, Brieanna Hill, Dikchhya Karki, Elke Wood, Ryan Shelton, Jodi Peterson, John Riccio, Isain Zapata, Paul A Khalil, Dean Gubler, Anthony J LaPorta, Genie E Roosevelt, Amanda G Toney
AIM: Paramedics received training in point-of-care ultrasound (POCUS) to assess for cardiac contractility during management of medical out-of-hospital cardiac arrest (OHCA). The primary outcome was the percentage of adequate POCUS video acquisition and accurate video interpretation during OHCA resuscitations. Secondary outcomes included POCUS impact on patient management and resuscitation protocol adherence. METHODS: A prospective, observational cohort study of paramedics was performed following a four-hour training session, which included a didactic lecture and hands-on POCUS instruction...
February 2022: Prehospital and Disaster Medicine
https://read.qxmd.com/read/34990301/paramedic-performed-carotid-artery-ultrasound-heralds-return-of-spontaneous-circulation-in-out-of-hospital-cardiac-arrest-a-case-report
#24
JOURNAL ARTICLE
Amanda L Humphries, Jenna M B White, R Elliott Guinn, Darren A Braude
Point-of-Care Ultrasound (POCUS) has been demonstrated to have multiple applications in the care of critically ill and injured patients, especially given its portability and ease of use. These characteristics of POCUS make it ideal for use in the prehospital environment as well. We present a case that highlights a novel application of ultrasound in the prehospital management of out-of-hospital cardiac arrest (OHCA).
2023: Prehospital Emergency Care
https://read.qxmd.com/read/34801070/helicopter-emergency-medical-services-use-of-thoracic-point-of-care-ultrasound-for-pneumothorax-a-systematic-review-and-meta-analysis
#25
REVIEW
Edward Griffiths
BACKGROUND: Auscultating for breath sounds to assess for pneumothorax in the helicopter emergency medical services (HEMS) settings can be extremely challenging. Thoracic point of care ultrasound (POCUS) offers a seemingly more useful visual (rather than audible) alternative. This review critically and quantitatively evaluates the use of thoracic POCUS for pneumothorax in the HEMS setting. METHODS: A systematic literature review with meta-analysis was conducted. Only papers reporting on patients undergoing POCUS for pneumothorax in the helicopter or pre-hospital setting were included...
November 20, 2021: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/34437047/acute-thromboembolism-from-trauma-in-a-patient-with-abdominal-aortic-aneurysm
#26
JOURNAL ARTICLE
Solomon Sebt, Chris Kim, Wirachin Hoonpongsimanont, Eric Leroux
CASE PRESENTATION: A 64-year-old man with a history of a 5.5-centimeter (cm) abdominal aortic aneurysm (AAA) presented to the emergency department (ED) complaining of severe back pain after climbing over a fence and falling a distance of eight feet. Prior to arrival, the prehospital paramedics reported that the patient did not have palpable pulses in either lower extremity. The initial physical examination in the ED was significant for absent dorsalis pedis pulses bilaterally as well as absent posterior tibialis pulses bilaterally and cold, insensate lower extremities...
August 2021: Clinical Practice and Cases in Emergency Medicine
https://read.qxmd.com/read/34188560/diagnostic-accuracy-of-extended-focused-assessment-with-sonography-for-trauma-performed-by-paramedic-students-a-simulation-based-pilot-study
#27
JOURNAL ARTICLE
Phudit Buaprasert, Jiraporn Sri-On, Jareeda Sukhuntee, Ranu Asawajaroenkul, Onchuda Buanhong, Trairat Khiaodee, Worrapat Keetawattananon, Gawin Tiyawat
BACKGROUND: Training on how to perform a prehospital extended focused assessment with sonography in trauma (EFAST) has resulted in improved outcomes for trauma patients in several countries. The result of previous studies showed good accuracy despite minimal training. However, data on the diagnostic accuracy among untrained paramedic students and the course length in middle-income countries is scarce. In Thailand, the current paramedic education does not include training on prehospital ultrasounds...
2021: Open Access Emergency Medicine: OAEM
https://read.qxmd.com/read/34125056/paramedic-performed-prehospital-point-of-care-ultrasound-for-patients-with-undifferentiated-dyspnea-a-pilot-study
#28
JOURNAL ARTICLE
Jacob H Schoeneck, Ryan F Coughlin, Cristiana Baloescu, David C Cone, Rachel B Liu, Sharmin Kalam, Amanda K Medoro, Ian Medoro, Daniel Joseph, Kevin Burns, Jesse I Bohrer-Clancy, Christopher L Moore
INTRODUCTION: Thoracic ultrasound is frequently used in the emergency department (ED) to determine the etiology of dyspnea, yet its use is not widespread in the prehospital setting. We sought to investigate the feasibility and diagnostic performance of paramedic acquisition and assessment of thoracic ultrasound images in the prehospital environment, specifically for the detection of B-lines in congestive heart failure (CHF). METHODS: This was a prospective observational study of a convenience sample of adult patients with a chief complaint of dyspnea...
March 24, 2021: Western Journal of Emergency Medicine
https://read.qxmd.com/read/34124508/use-of-hand-motion-analysis-to-assess-competence-and-skill-decay-for-cardiac-and-lung-point-of-care-ultrasound
#29
JOURNAL ARTICLE
Daniel J Ackil, Amanda Toney, Ryan Good, David Ross, Rocco Germano, Linda Sabbadini, Molly Thiessen, Colin Bell, John L Kendall
Objectives: Assessment of competence in technical skills, including point-of-care ultrasound (POCUS), is required before a novice can safely perform the skill independently. Ongoing assessment of competence is also required because technical skills degrade over time, especially when they are infrequently performed or complex. Hand-motion analysis (HMA) is an objective assessment tool that has been used to evaluate competency in many technical skills. The purpose of this study was to demonstrate the feasibility and validity of HMA as an assessment tool for competence in both simple and complex technical skills as well as skill degradation over time...
July 2021: AEM Education and Training
https://read.qxmd.com/read/34122713/-status-of-obstetrical-echography-at-the-imaging-service-of-the-university-hospital-center-of-bogodogo-from-january-1-st-2016-to-december-31-st-2018
#30
JOURNAL ARTICLE
Bénilde Marie Ange Tiemtoré-Kambou, Aischa Madina Napon, Tounougma Kaboré, Nina Astrid Ndé Ouédraogo, Lisa Kéré Nidjergou, Mohammed Tall, Issouf Franck N'dama Sieba, Abel Bamouni, Ousséini Diallo, Rabiou Cissé
Obstetric ultrasound performed according to standards from its prescription to the report is a guarantee of quality. The aim of our study was to take stock of obstetrical ultrasounds in order to make rational the ultrasound follow-ups of pregnancy. This was a descriptive cross-sectional study with retrospective data collection through the reports of obstetrical ultrasounds performed from the 1st January 2016 to 31st December 2018. Of the 13,487 ultrasounds in the study period, 2,355 were obstetric ultrasounds, constituting 1746% of the ultrasound activity...
2021: Pan African Medical Journal
https://read.qxmd.com/read/34066425/breast-cancer-screening-during-covid-19-emergency-patients-and-department-management-in-a-local-experience
#31
JOURNAL ARTICLE
Francesca Maio, Daniele Ugo Tari, Vincenza Granata, Roberta Fusco, Roberta Grassi, Antonella Petrillo, Fabio Pinto
BACKGROUND: During the COVID-19 public health emergency, our breast cancer screening activities have been interrupted. In June 2020, they resumed, calling for mandatory safe procedures to properly manage patients and staff. METHODS: A protocol supporting medical activities in breast cancer screening was created, based on six relevant articles published in the literature and in the following National and International guidelines for COVID-19 prevention. The patient population, consisting of both screening and breast ambulatory patients, was classified into one of four categories: 1...
May 6, 2021: Journal of Personalized Medicine
https://read.qxmd.com/read/33884603/role-of-ultrasound-simulators-in-the-training-for-focused-assessment-with-sonography-for-trauma-fast
#32
JOURNAL ARTICLE
Selim Değirmenci, Hasan Kara, Seyit Ali Kayış, Ahmet Ak
BACKGROUND: The present study aims to investigate the efficacy of ultrasound simulators in the training of the health staff working in the emergency department of a university hospital on Focused Assessment with Sonography for Trauma (FAST). METHODS: This study was conducted on emergency medicine residents, medical interns and paramedics of the emergency department of Selçuk University Medical Faculty, prospectively. The participants were given theoretical and practical training on FAST using the SonoSim® USG simulator...
May 2021: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/33789641/prehospital-emergency-medical-technicians-can-perform-ultrasonography-and-blood-analysis-in-prehospital-evaluation-of-patients-with-chronic-obstructive-pulmonary-disease-a-feasibility-study
#33
JOURNAL ARTICLE
Giti Nadim, Christian B Laursen, Pia I Pietersen, Daniel Wittrock, Michael K Sørensen, Lars B Nielsen, Claus-Henrik Rasmussen, Helle Marie Christensen, Simon Helmerik, Gitte Jørgensen, Ingrid L Titlestad, Annmarie T Lassen, Søren Mikkelsen
INTRODUCTION: Crowding of the emergency departments is an increasing problem. Many patients with an exacerbation of chronic obstructive pulmonary disease (COPD) are often treated in the emergency departments for a very short period before discharged to their homes. It is possible that this treatment could take place in the patients' homes with sufficient diagnostics supporting the treatment. In an effort to keep the diagnostics and treatment of some of these patients in their homes and thus to reduce the patient load at the emergency departments, we implemented a prehospital treat-and-release strategy based on ultrasonography and blood testing performed by emergency medical technicians (EMT) or paramedics (PM) in patients with acute exacerbation of COPD...
March 31, 2021: BMC Health Services Research
https://read.qxmd.com/read/33632276/quality-of-focused-thoracic-ultrasound-performed-by-emergency-medical-technicians-and-paramedics-in-a-prehospital-setting-a-feasibility-study
#34
JOURNAL ARTICLE
Pia Iben Pietersen, Søren Mikkelsen, Annmarie T Lassen, Simon Helmerik, Gitte Jørgensen, Giti Nadim, Helle Marie Christensen, Daniel Wittrock, Christian B Laursen
BACKGROUND: In a prehospital setting, the severity of respiratory symptoms in patients calling for an ambulance differ. The initial evaluation, diagnosing, and thereby management can be challenging because respiratory symptoms can be caused by disease in many organs. Ultrasound examinations can contribute with important information and support the clinical decision-making. However, ultrasound is user-dependent and requires sufficient knowledge and training. The aim of this study was to explore the quality of thoracic ultrasound examinations performed on patients by emergency medical technicians and paramedics in a prehospital, clinical setting...
February 25, 2021: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/33594015/clinical-estimation-of-fetal-weight-with-reference-to-johnson-s-formula-an-alternative-solution-adjacent-to-sonographic-estimation-of-fetal-weight
#35
JOURNAL ARTICLE
A Dongol, R Bastakoti, N Pradhan, N Sharma
Background Fetal weight estimation plays a significant role in the antenatal management of high risk pregnancies. It is also an important parameter for predicting the neonatal outcome and informs decision for the mode of intra-partum management of the pregnant women. Among the various methods of prenatal fetal weight estimation, the most commonly used are clinical estimation and sonography. Objective The objective of this study was to compare the accuracy of clinical estimation of fetal weight using Johnson's formula and sonographic estimation with actual birth weight...
April 2020: Kathmandu University Medical Journal (KUMJ)
https://read.qxmd.com/read/33591669/-the-increasing-of-role-of-paramedical-personnel-under-application-of-remote-ultrasound-studies
#36
JOURNAL ARTICLE
P S Zubeev, I A Pereslegina, V M Levanov, Ya A Koroleva, E N Pronina, M V Khripunov
The ultrasound studies are highly informative diagnostic methods. The modern ultrasound devices can be applied as component of mobile telemedicine systems that can significantly increase availability of medical care. However, application of ultrasound scanners requires inclusion of ultrasound diagnostics specialist in the medical team that is not always nor possible or appropriate. In the modern regulatory legal base, transfer of certain functions of ultrasound diagnostics specialist to average medical staff is not provided...
January 2021: Problemy Sot︠s︡ialʹnoĭ Gigieny, Zdravookhranenii︠a︡ i Istorii Medit︠s︡iny
https://read.qxmd.com/read/33510854/feasibility-of-using-ultrasound-in-ambulances-in-saudi-arabia
#37
JOURNAL ARTICLE
Ibrahem Abbas, Bassam Z Shakhreet, Aseel Alghamdi, Basmah Wali, Bashayer Alelyani, Teef Alshehri
BACKGROUND: In developed countries, the economic feasibility of using ultrasound in ambulances before arriving at the hospital has been achieved through comprehensive studies, and this of course does not apply to Arab countries, as there are no current studies to support this. Therefore, this study is a preliminary measure of the economic feasibility of using ultrasound in ambulances in Saudi Arabia. AIM: To measure the demand for ultrasound equipment in ambulances in Saudi Arabia...
December 28, 2020: World Journal of Radiology
https://read.qxmd.com/read/33228905/clamshell-in-a-heartbeat
#38
Sebastiaan J M Vreeswijk, Lars P W Mommers, Dennis C J J Bergmans, Bas van Wageningen
There is a restrained attitude toward the implementation and performance of resuscitative thoracotomy as a last resort procedure in patients with cardiac arrest after penetrating thoracic trauma. We present a case with a remarkable recovery and hope to boost morality in the use of this procedure in the prehospital setting. A disoriented 25-year-old woman stabbed multiple times was found next to the highway. Her clinical situation deteriorated swiftly upon arrival of the helicopter emergency medical services...
November 2020: Air Medical Journal
https://read.qxmd.com/read/33207178/emergency-medicine-challenges-in-ecuador
#39
JOURNAL ARTICLE
Andrés M Patiño, Santiago Cantillo-Campos, Alexis S Kearney, Sean M Kivlehan, Augusto Maldonado
INTRODUCTION: Emergency medicine (EM) was recognized as a specialty in Ecuador in 1993. Currently, there are two four-year EM residency programs and an estimated 300 residency-trained emergency physicians countrywide. This study describes the current challenges in EM in Ecuador. METHODS: We conducted 25 semi-structured, in-person interviews with residency-trained emergency physicians, general practitioners, public health specialists, prehospital personnel, and physicians from other specialties...
October 28, 2020: Western Journal of Emergency Medicine
https://read.qxmd.com/read/33198837/randomized-controlled-trial-of-point-of-care-ultrasound-education-for-the-recognition-of-tension-pneumothorax-by-paramedics-in-prehospital-simulation
#40
RANDOMIZED CONTROLLED TRIAL
Paul A Khalil, Andrew Merelman, John Riccio, Jodi Peterson, Ryan Shelton, Jeff Meyers, Tim Ketchmark, Emily Garneau, Stephanie Khalil, Genie Roosevelt, Amanda Toney
OBJECTIVE: The primary goal of this study was to determine if ultrasound (US) use after brief point-of-care ultrasound (POCUS) training on cardiac and lung exams would result in more paramedics correctly identifying a tension pneumothorax (TPTX) during a simulation scenario. METHODS: A randomized controlled, simulation-based trial of POCUS lung exam education investigating the ability of paramedics to correctly diagnose TPTX was performed. The US intervention group received a 30-minute cardiac and lung POCUS lecture followed by hands-on US training...
February 2021: Prehospital and Disaster Medicine
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