Point-of-Care Teleultrasound: A Systematic Review

Salerno, Alexis; Tupchong, Keegan; Verceles, Avelino C.; McCurdy, Michael T.

doi:10.1089/tmj.2019.0177

Cited by 28 publications

(25 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Most HHU models leverage app-based smartphone technology, generally Android or iOS [ 2 ] making boot times negligible and reducing complicated knobology to familiar finger swipes and taps [ 14 ], thereby reducing the barrier to entry for the novice users. Many HHU models offer HIPAA-compliant cloud-based storage with a user interface that promotes collaboration and immediate feedback from remote reviewers without the need for a middleware solution [ 3 ••, 5 , 15 ]. Cloud-based storage is often proprietary and may be incapable of agnostic integration with existing US and/or hospital Picture Archiving and Communication System (PACS) systems, but most HHU systems can be configured for DICOM PACS [ 2 ].…”

Section: Devicesmentioning

confidence: 99%

“…Their high portability and ability to provide real-time diagnostics make these devices ideal for such circumstances [ 4 ]. Similarly, HHU is proving invaluable to practitioners in austere environments that otherwise have no reliable imaging source [ 3 , 4 , 15 , 49 ]. Burleson et al retrospectively reported the experience of ultrasound-trained physicians using the Butterfly iQ HHU in an austere East African ED [ 8 ].…”

Section: Current Use Of Hhus In the Edmentioning

confidence: 99%

“…Remotely guided US, or “tele-ultrasound,” improves image quality and scanning confidence among novice users and will be critical for improving safety as HHU becomes more widespread [ 5 , 15 , 53 , 54 ]. AI algorithms have been developed that automatically show users the movements necessary to obtain high quality images [ 5 , 55 ].…”

Section: Future Of Handhelds In the Edmentioning

confidence: 99%

See 2 more Smart Citations

The Use of Handheld Ultrasound Devices in Emergency Medicine

Malik

Rowland

Haber

et al. 2021

Curr Emerg Hosp Med Rep

View full text Add to dashboard Cite

Purpose of Review Ultraportable handheld ultrasound (HHU) devices are being rapidly adopted by emergency medicine (EM) physicians. Though knowledge of the breadth of their utility and functionality is still limited compared to cart-based systems, these machines are becoming more common due to ease-of-use, extreme affordability, and improving technology. Recent Findings Images obtained with HHU are comparable to those obtained with traditional machines but create unique issues regarding billing and data management. HHU devices are increasingly used successfully to augment the education of practitioners-in-training, by emergency physicians in austere environments, and in the burgeoning fields of “tele-ultrasound” and augmented reality scanning. Summary This review seeks to describe the current state of use of HHU devices in the emergency department (ED) including device overview, institutional concerns, unique areas of use, recent literature since their adoption into clinical EM, and their future potential.

show abstract

Section: Devicesmentioning

confidence: 99%

Section: Current Use Of Hhus In the Edmentioning

confidence: 99%

Section: Future Of Handhelds In the Edmentioning

confidence: 99%

See 1 more Smart Citation

The Use of Handheld Ultrasound Devices in Emergency Medicine

Malik

Rowland

Haber

et al. 2021

Curr Emerg Hosp Med Rep

View full text Add to dashboard Cite

show abstract

“…Many traditional lecture-based CME courses were converted to virtual courses relatively easily during the pandemic, but a major challenge in creating a virtual POCUS CME course is the need for hands-on training with live and simulation models, which is the primary reason many learners attend an in-person POCUS course. Tele-ultrasound technology has been used to perform remote scanning of patients [ 3 , 4 ], especially in resource-limited settings [ 5 , 6 ], but few studies have described its use for virtual hands-on training of clinicians [ 7 – 11 ]. Furthermore, no prior studies have described use of tele-ultrasound technology for hands-on POCUS training as part of an accredited CME course for practicing clinicians.…”

Section: Introductionmentioning

confidence: 99%

Comparison of in-person versus tele-ultrasound point-of-care ultrasound training during the COVID-19 pandemic

et al. 2021

View full text Add to dashboard Cite

Background Lack of training is currently the most common barrier to implementation of point-of-care ultrasound (POCUS) use in clinical practice, and in-person POCUS continuing medical education (CME) courses have been paramount in improving this training gap. Due to travel restrictions and physical distancing requirements during the COVID-19 pandemic, most in-person POCUS training courses were cancelled. Though tele-ultrasound technology has existed for several years, use of tele-ultrasound technology to deliver hands-on training during a POCUS CME course has not been previously described. Methods We conducted a retrospective observational study comparing educational outcomes, course evaluations, and learner and faculty feedback from in-person versus tele-ultrasound POCUS courses. The same POCUS educational curriculum was delivered to learners by the two course formats. Data from the most recent pre-pandemic in-person course were compared to tele-ultrasound courses during the COVID-19 pandemic. Results Pre- and post-course knowledge test scores of learners from the in-person (n = 88) and tele-ultrasound course (n = 52) were compared. Though mean pre-course knowledge test scores were higher among learners of the tele-ultrasound versus in-person course (78% vs. 71%; p = 0.001), there was no significant difference in the post-course test scores between learners of the two course formats (89% vs. 87%; p = 0.069). Both learners and faculty rated the tele-ultrasound course highly (4.6–5.0 on a 5-point scale) for effectiveness of virtual lectures, tele-ultrasound hands-on scanning sessions, and course administration. Faculty generally expressed less satisfaction with their ability to engage with learners, troubleshoot image acquisition, and provide feedback during the tele-ultrasound course but felt learners completed the tele-ultrasound course with a better basic POCUS skillset. Conclusions Compared to a traditional in-person course, tele-ultrasound POCUS CME courses appeared to be as effective for improving POCUS knowledge post-course and fulfilling learning objectives. Our findings can serve as a roadmap for educators seeking guidance on development of a tele-ultrasound POCUS training course whose demand will likely persist beyond the COVID-19 pandemic.

show abstract

“…One solution to overcome this deficit would be employment of point-of-care telemedicine. Telemedicine has been successfully used in a variety of settings for many types of ultrasound images, including cardiac [66]. However, such a system requires consistent telecommunication.…”

Section: Future Directionsmentioning

confidence: 99%

Point-of-Care Ultrasound

Lee

DeCara

2020

Curr Cardiol Rep

View full text Add to dashboard Cite

Purpose of the Review Point-of-care ultrasound using small ultrasound devices has expanded beyond emergency and critical care medicine to many other subspecialties. Awareness of the strengths and limitations of the technology and knowledge of the appropriate settings and common indications for point-of-care ultrasound is important. Recent Findings Point-of-care ultrasound is widely embraced as an extension of the physical exam and is employed in acute care and medical education settings. Echocardiography laboratories involved in education must individualize training to the intended scope of practice of the user. Advances in artificial intelligence may assist in image acquisition and interpretation by novice users. Summary Point-of-care ultrasound is widely available in a variety of clinical settings. The field has advanced substantially in the past 2 decades and will likely continue to expand with advancement in technology, reduced cost, and improved opportunities to assist new users.

show abstract

Point-of-Care Teleultrasound: A Systematic Review

Cited by 28 publications

References 44 publications

The Use of Handheld Ultrasound Devices in Emergency Medicine

The Use of Handheld Ultrasound Devices in Emergency Medicine

Comparison of in-person versus tele-ultrasound point-of-care ultrasound training during the COVID-19 pandemic

Point-of-Care Ultrasound

Contact Info

Product

Resources

About