History of emergency and critical care ultrasound: The evolution of a new imaging paradigm

Kendall, John L.; Hoffenberg, Stephen; Smith, R. Stephen

doi:10.1097/01.ccm.0000260623.38982.83

Cited by 172 publications

(129 citation statements)

References 60 publications

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“…The American College of Surgeons (ACS) formed the ultrasound users group in the mid 1990s, which established the concept of surgeon-performed ultrasound on a national platform [43]. In 1995, the ACS Committee on Emerging Surgical Technology and Education created the ACS National Ultrasound Faculty, whose objective was to develop of surgical ultrasound courses and educational material.…”

Section: History Of Ultrasound In Graduate Medical Educationmentioning

confidence: 99%

Ultrasound in medical education: listening to the echoes of the past to shape a vision for the future

Lane

Lahham

Joseph

et al. 2015

Eur J Trauma Emerg Surg

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learners prefer blended learning where material can be reviewed online and personalize the education on their own time frame. This material combined with hands-on experience and mentorship can be used to develop learners' aptitude in ultrasound. Conclusions As educators embrace this ultrasound technology and integrate it throughout the medical education journey, collaboration across specialties will synthesize a clear path forward when needs and resources are paired with vision and a strategic plan.

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Section: History Of Ultrasound In Graduate Medical Educationmentioning

confidence: 99%

Ultrasound in medical education: listening to the echoes of the past to shape a vision for the future

Lane

Lahham

Joseph

et al. 2015

Eur J Trauma Emerg Surg

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“…Further characteristics of POCUS, including a focused and goal-directed evaluation, an easily learned, quickly performed, and reproducible exam make it an ideal diagnostic tool to teach medical personnel in underserved areas of the world [16].…”

Section: Introductionmentioning

confidence: 99%

Point of care ultrasound (POCUS) telemedicine project in rural Nicaragua and its impact on patient management

et al. 2014

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Background Point of care ultrasound (POCUS) is a useful diagnostic tool in medicine. POCUS provides an easy and reproducible method of diagnosis where conventional radiologic studies are unavailable. Telemedicine is also a great means of communication between educators and students throughout the world. Hypothesis Implementing POCUS with didactics and hands-on training, using portable ultrasound devices followed by telecommunication training, will impact the differential diagnosis and patient management in a rural community outside the United States. Materials and methods This is an observational prospective study implementing POCUS in Las Salinas, a small village in rural western Nicaragua. Ultrasound was used to confirm a diagnosis based on clinical exam, or uncover a new, previously unknown diagnosis. The primary endpoint was a change in patient management. International sonographic instructors conducted didactic and practical training of local practitioners in POCUS, subsequently followed by remote guidance and telecommunication for 3 months. Results A total of 132 patients underwent ultrasound examination. The most common presentation was for a prenatal exam (23.5 %), followed by abdominal pain (17 %). Of the 132 patients, 69 (52 %) were found to have a new diagnosis. Excluding pregnancy, 67 patients of 101 (66 %) were found to have a new diagnosis. A change in management occurred in a total of 64 (48 %) patients, and 62 (61 %) after excluding pregnancy. Conclusion Implementing POCUS in rural Nicaragua led to a change in management in about half of the patients examined. With the appropriate training of clinicians, POCUS combined with telemedicine can positively impact patient care.Keywords Point of care ultrasound Á Rural medicine Á Telemedicine Sommario Background La diagnostica ecografica (POCUS) é un utile strumento diagnostico in medicina. Fornisce un metodo semplice e riproducibile di diagnosi, dove studi radiologici convenzionali non siano disponibili. Anche la telemedicina é un grande mezzo di comunicazione tra docenti e studenti di tutto il mondo. Ipotesi L'implementazione della POCUS con formazione didattica diretta, utilizzando ecografi portatili, seguita da una formazione attraverso la telecomunicazione, avrà un impatto nella diagnosi differenziale e nella gestione del paziente in una comunità rurale fuori degli Stati Uniti. Materiali e Metodi Presentiamo uno studio prospettico sull'implementazione della POCUS a Las Salinas, un piccolo villaggio rurale del Nicaragua occidentale. L'ecografia è stata utilizzata per confermare la diagnosi clinica, o per nuove diagnosi. Il punto primario era un cambiamento nella gestione del paziente. Istruttori internazionali hanno condotto una formazione didattica pratica locale, poi seguita da una guida a distanza con telecomunicazione, per tre mesi. Risultati Un totale di 132 pazienti sono stati sottoposti ad esame ecografico. L'esame più comune era per la diagnostica prenatale (23,5 %), seguito dal dolore addominale (17 %). Dei 132 pazienti, 69 (52 %) h...

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“…Point-of-care ultrasound is an imaging modality used by a variety of medical specialties, [8][9][10] and it is widely accepted as a diagnostic tool for use in the ED. 11 Multiple studies show that ultrasound for fracture diagnosis has good accuracy when used by clinicians [12][13][14][15] as well as when used by radiologists.…”

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confidence: 99%

Accuracy of Point-of-Care Ultrasound for Diagnosis of Skull Fractures in Children

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT: Head injuries and concern for skull fracture are common in pediatrics. Point-of-care ultrasound is an imaging tool that can be used to diagnose fractures. However, there are scant data regarding the accuracy of point-ofcare ultrasound in skull fracture diagnosis. WHAT THIS STUDY ADDS:Clinicians with focused point-of-care ultrasound training are able to diagnose skull fractures in children with high specificity. Ultrasound may be valuable to diagnose skull fractures in children at the point of care. abstract OBJECTIVE: To determine the test performance characteristics for point-of-care ultrasound performed by clinicians compared with computed tomography (CT) diagnosis of skull fractures. METHODS:We conducted a prospective study in a convenience sample of patients #21 years of age who presented to the emergency department with head injuries or suspected skull fractures that required CT scan evaluation. After a 1-hour, focused ultrasound training session, clinicians performed ultrasound examinations to evaluate patients for skull fractures. CT scan interpretations by attending radiologists were the reference standard for this study. Pointof-care ultrasound scans were reviewed by an experienced sonologist to evaluate interobserver agreement.RESULTS: Point-of-care ultrasound was performed by 17 clinicians in 69 subjects with suspected skull fractures. The patients' mean age was 6.4 years (SD: 6.2 years), and 65% of patients were male. The prevalence of fracture was 12% (n = 8). Point-of-care ultrasound for skull fracture had a sensitivity of 88% (95% confidence interval [CI]: 53%-98%), a specificity of 97% (95% CI: 89%-99%), a positive likelihood ratio of 27 (95% CI: 7-107), and a negative likelihood ratio of 0.13 (95% CI: 0.02-0.81). The only false-negative ultrasound scan was due to a skull fracture not directly under a scalp hematoma, but rather adjacent to it. The k for interobserver agreement was 0.86 (95% CI: 0.67-1.0). CONCLUSIONS:Clinicians with focused ultrasound training were able to diagnose skull fractures in children with high specificity. Pediatrics

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History of emergency and critical care ultrasound: The evolution of a new imaging paradigm

Cited by 172 publications

References 60 publications

Ultrasound in medical education: listening to the echoes of the past to shape a vision for the future

Ultrasound in medical education: listening to the echoes of the past to shape a vision for the future

Point of care ultrasound (POCUS) telemedicine project in rural Nicaragua and its impact on patient management

Accuracy of Point-of-Care Ultrasound for Diagnosis of Skull Fractures in Children

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