ABCDE of prehospital ultrasonography: a narrative review

Ketelaars, Rein; Reijnders, Gabby; Geffen, Geert‐Jan van; Scheffer, Gert Jan; Hoogerwerf, Nico

doi:10.1186/s13089-018-0099-y

Cited by 54 publications

(29 citation statements)

References 151 publications

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“…There are some other published papers, which reported that EMS physicians and paramedics without prior ultrasonography training can be trained effectively after a short course (16)(17)(18)(19). Overall, it seems that ultrasound in Iran, like many developed countries, is going to be widely used in the prehospital emergency system (20). But the structure of this organization in our country is very different from that of the rest of the world, and naturally, different planning needs to be designed in order to make the best use of this tool in the pre-hospital setting.…”

Section: Discussionmentioning

confidence: 96%

A report on the experience of using ultrasound by emergency medical technicians in dealing with trauma patients in pre-hospital setting: a pilot study

Kolivand

Saberian

Sadeghi

et al. 2020

J Emerg Pract Trauma

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Objective: The current study was performed to provide real-time bedside ultrasonography for emergency medical technicians (EMTs) and assess the advantages and disadvantages of its application in dealing with trauma patients in pre-hospital setting from their viewpoints. Methods: This semi-experimental study was conducted in Tehran, Iran. Twenty EMTs were selected purposefully and underwent a training program. Thereafter, they were asked to perform extended focused assessment with sonography in trauma (eFAST) using a handheld ultrasound device on trauma patients, and also filled a questionnaire prepared (in four components including C1: coherence, C2: cognitive participation, C3: collective action, and C4: reflexive monitoring) based on the normalization process theory (NPT). Results: All 20 participants were men and their average age was 37.8 years (SD = 4.7). For C1, the median total score was 10.5 out of a score of 4-20; For C2, the median score was 6 out of 3-15; For C3, the median total score was 18 out of a score of 6-30; and for C4, the median total score was 11 out of a score of 5-25. Conclusion: Overall, it seems that EMTs welcomed using ultrasonography in dealing with trauma patients in pre-hospital setting. Although they thought that it might somewhat lead to an increase in their workload; but they believed that sufficient training was not provided for them yet. The EMTs were uncertain about the viewpoints of the patients and did not know how it could affect patients’ outcome.

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Section: Discussionmentioning

confidence: 96%

A report on the experience of using ultrasound by emergency medical technicians in dealing with trauma patients in pre-hospital setting: a pilot study

Kolivand

Saberian

Sadeghi

et al. 2020

J Emerg Pract Trauma

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“…[41][42][43][44][45] Many other applications have been described which can be of use in certain care environments or on a case-bycase basis. 10 Table 1 provides an overview of common PHUS exam types, indications, and clinical use examples.…”

Section: Clinical Applications and Outcomesmentioning

confidence: 99%

Prehospital point-of-care ultrasound: A transformative technology

2020

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Point-of-care ultrasound at the bedside has evolved into an essential component of emergency patient care. Current evidence supports its use across a wide spectrum of medical and traumatic diseases in a variety of settings. The prehospital use of ultrasound has evolved from a niche technology to impending widespread adoption across emergency medical services systems internationally. Recent technological advances and a growing evidence base support this trend. However, concerns regarding feasibility, education, and quality assurance must be addressed proactively. This topical review describes the history of prehospital ultrasound, initial training needs, ongoing skill maintenance, quality assurance and improvement requirements, available devices, and indications for prehospital ultrasound.

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“…POCUS performed in the pre-hospital and mass casualty incidents may affect the clinical decisions, noti cations, transport modes, and hospital destination [3]. Pre-hospital POCUS was established two decades ago in various pre-hospital emergency medical services (EMS) in Europe, Australia, and North America [6,7]. It was available in 9% of the French EMS units [8] and in 4.1% in the USA and Canada [9].…”

Section: Introductionmentioning

confidence: 99%

Point-of-Care Ultrasound (POCUS) Practices in the Helicopter Emergency Medical Services in Europe

Hilbert-Carius

Struck

Rudolph³

et al. 2021

Preprint

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Background: The extent to which Point-of-care of ultrasound (POCUS) is used in different European helicopter EMS (HEMS) is unknown. We aimed to study the availability, perception, and future aspects of POCUS in the European HEMS. Methods: A survey about the use of POCUS in HEMS was conducted by a multinational steering expert committee and was carried out from November 30, 2020 to December 30, 2020 via an online web portal. Invitations for participation were sent via email to the medical directors of the European HEMS organizations including two reminders. Results: During the study period, 69 participants from 25 countries and 41 different HEMS providers took part in the survey. 96% (n=66) completed the survey. POCUS was available in 75% of the responding HEMS organizations when needed (56% always, and 19% occasionally). 17% were planning to establish POCUS in the near future. Responders who provided POCUS used it in approximately 15% of the patients. Participants thought that POCUS is important in both trauma and non-trauma-patients (73%, n=46). The extended focused assessment sonography for trauma (eFAST) protocol (77%) was the most common used protocol. A POCUS credentialing process including documented examinations was requested in less than one third of the HEMS organizations.Conclusions: The majority of the HEMS organizations in Europe are able to provide different POCUS protocols in their services. The most used POCUS protocols were eFAST, FATE and RUSH. Despite the enthusiasm for POCUS, comprehensive training and clear credentialing processes are lacking in about two thirds of the European HEMS organizations.

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ABCDE of prehospital ultrasonography: a narrative review

Cited by 54 publications

References 151 publications

A report on the experience of using ultrasound by emergency medical technicians in dealing with trauma patients in pre-hospital setting: a pilot study

A report on the experience of using ultrasound by emergency medical technicians in dealing with trauma patients in pre-hospital setting: a pilot study

Prehospital point-of-care ultrasound: A transformative technology

Point-of-Care Ultrasound (POCUS) Practices in the Helicopter Emergency Medical Services in Europe

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