Point-of-Care Ultrasound in Austere Environments

Gharahbaghian, Laleh; Anderson, Kenton L.; Lobo, Viveta; Huang, Rwo-Wen; Poffenberger, Cori McClure; Nguyen, Phi D.

doi:10.1016/j.emc.2016.12.007

Cited by 26 publications

(23 citation statements)

References 95 publications

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“…In addition, many wilderness casualties can be assessed without the help of X-ray examination, but just by using CU. More in detail, CU allows to easily diagnosing chest wall injuries, including muscular lesions and hematomas and bony cage fractures and their complications [ 17 , 18 , 43 – 45 ].…”

Section: Discussionmentioning

confidence: 99%

“…Given those observations, the usages of CU reported here clearly show that this technology allows detecting even subclinical episodes of lung fluid accumulation, as the one reported in extreme sport participants. CU also proved high diagnostic accuracy for the diagnosis of pneumonia and chest wall infections in extreme low-resource settings [ 17 , 18 , 44 , 46 ]. The usage of CU allowed to identify and to promptly treat vulnerable subjects on the spot [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

“…Recently, the development of portable ultrasound for commercial use has delivered two main types of products [ 18 ]. The first one is represented by the portable devices, which also include power supply and case.…”

Section: Discussionmentioning

confidence: 99%

“…Secondly, the other types of devices are the total wireless ultrasound technologies, which are receiving the images directly on the connected smartphone. Some examples are Clarius (Burnaby, Canada) and Signostics (Bothell, WA) [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…CU can be used as the tool for quick and accurate diagnosis prior to reaching organized medical facilities or during transportation [ 14 – 17 ]. Moreover, CU can also assist in resource allocation, decisions, screening for conditions, and patient management [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Chest Ultrasonography in Modern Day Extreme Settings: From Military Setting and Natural Disasters to Space Flights and Extreme Sports

Feletti

Mucci

Aliverti

2018

Canadian Respiratory Journal

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Chest ultrasonography (CU) is a noninvasive imaging technique able to provide an immediate diagnosis of the underlying aetiology of acute respiratory failure and traumatic chest injuries. Given the great technologies, it is now possible to perform accurate CU in remote and adverse environments including the combat field, extreme sport settings, and environmental disasters, as well as during space missions. Today, the usage of CU in the extreme emergency setting is more likely to occur, as this technique proved to be a fast diagnostic tool to assist resuscitation manoeuvres and interventional procedures in many cases. A scientific literature review is presented here. This was based on a systematic search of published literature, on the following online databases: PubMed and Scopus. The following words were used: “chest sonography,” “ thoracic ultrasound,” and “lung sonography,” in different combinations with “extreme sport,” “extreme environment,” “wilderness,” “catastrophe,” and “extreme conditions.” This manuscript reports the most relevant usages of CU in the extreme setting as well as technological improvements and current limitations. CU application in the extreme setting is further encouraged here.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Chest Ultrasonography in Modern Day Extreme Settings: From Military Setting and Natural Disasters to Space Flights and Extreme Sports

Feletti

Mucci

Aliverti

2018

Canadian Respiratory Journal

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Diagnostic Ultrasound Safety Review for Point‐of‐Care Ultrasound Practitioners

Miller

Abo

Abramowicz

et al. 2019

J of Ultrasound Medicine

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Potential ultrasound exposure safety issues are reviewed, with guidance for prudent use of point-of-care ultrasound (POCUS). Safety assurance begins with the training of POCUS practitioners in the generation and interpretation of diagnostically valid and clinically relevant images. Sonographers themselves should minimize patient exposure in accordance with the as-low-as-reasonably-achievable principle, particularly for the safety of the eye, lung, and fetus. This practice entails the reduction of output indices or the exposure duration, consistent with the acquisition of diagnostically definitive images. Informed adoption of POCUS worldwide promises a reduction of ionizing radiation risks, enhanced cost-effectiveness, and prompt diagnoses for optimal patient care.

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Emergency and critical care applications for contrast-enhanced ultrasound

Kummer

Phelan

et al. 2018

The American Journal of Emergency Medicine

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Point-of-Care Ultrasound in Austere Environments

Cited by 26 publications

References 95 publications

Chest Ultrasonography in Modern Day Extreme Settings: From Military Setting and Natural Disasters to Space Flights and Extreme Sports

Chest Ultrasonography in Modern Day Extreme Settings: From Military Setting and Natural Disasters to Space Flights and Extreme Sports

Diagnostic Ultrasound Safety Review for Point‐of‐Care Ultrasound Practitioners

Emergency and critical care applications for contrast-enhanced ultrasound

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