Point-of-Care Ultrasound Utility and Potential for High Altitude Crew Recovery Missions

Galdamez, Laura A.; Clark, Jonathan B.; Antonsen, Erik L.

doi:10.3357/amhp.4640.2017

Cited by 3 publications

(18 citation statements)

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“…Ultrasound guidance is most useful in patients with difficult IV access, such as obese, young, IV drug abusing or prior chemotherapy patients. In patients with difficult to obtain IV access, ultrasound-guided IV placement was demonstrated to be consistently twice as fast and decrease the total number of punctures needed by an average of two, but still had variable success (80-90%) [9]. Physicians with greater ultrasound experience have more than 60% increased success rates between ultrasound and landmark guidance compared to novice practitioners with no ultrasound background [9,56,59].…”

Section: Venous Cannulationmentioning

confidence: 98%

“…The linear transducer emits higher frequencies of 7-13 MHz, providing much higher resolution for superficial structures. The phased array probe lies between these two, emitting a frequency of 2.5-5 MHz and providing moderate resolution for superficial structures and good penetration for deep structures [9,11].…”

Section: Ultrasound Machine Basicsmentioning

confidence: 99%

“…Patient history and physical examination have poor accuracy in determining the presence of a fracture in trauma. Ultrasound has up to 90-95% sensitivity in fracture detection, making it useful to rule out a fracture, but has lower specificity and usually cannot reliably rule in a fracture [9,11,55]. Ultrasound is less accurate if a fracture occurs close to a joint, but additional evidence such as soft tissue swelling or a hypoechoic hematoma adjacent to the bone provide clues that a fracture may be present [9,11].…”

Section: Soft Tissue and Bone Ultrasoundmentioning

confidence: 99%

“…Ultrasound can then be used to verify the placement of the wire within the lumen of the vein and not the adjacent artery. The use of ultrasound in central line placement has led to reduction in complications by 78%, reduction in attempts needed by 40% and reduction in unsuccessful cannulation by 64% [9,12].…”

Section: Venous Cannulationmentioning

confidence: 99%

“…In prehospital medicine, it is being investigated for its utility in expediting care prior to arrival and has demonstrated the ability to accurately assess trauma patients, allowing early communication of necessary resources to hospitals [5,6]. It has also demonstrated significant utility in aeromedical evacuation and field assessment of remote-access trauma [7][8][9][10]. However, the remainder of this chapter will focus on the utility of POCUS in the hospital and its developing role in emergency department evaluation.…”

Section: An Introduction To Ultrasoundmentioning

confidence: 99%

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The Evolving Role of Ultrasound in Emergency Medicine

Galdamez¹

2019

Essentials of Accident and Emergency Medicine

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Ultrasound has dramatically influenced the practice of emergency medicine in the twenty-first century. From its introduction to the medical landscape in the 1950s, it has been studied and utilized in various diagnostic exams and procedural guidance. Bedside ultrasound allowed emergency physicians easy access to immediate imaging, giving them the means to make management decisions quicker and improve quality of care. Ultrasound has demonstrated utility in examination of the heart, lungs, kidneys, liver, biliary system, uterus, ovaries, testicles, eyes and many other structures in the body. It decreases unsuccessful attempts and post-procedural complications in peripheral and central venous cannulation, pericardiocentesis, thoracentesis and other procedures. It has become a vital component of emergency medicine education and physicians now graduating with increased skills in ultrasound will continue to refine and develop its role in the emergent care of critically ill patients.

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Section: Venous Cannulationmentioning

confidence: 98%

Section: Ultrasound Machine Basicsmentioning

confidence: 99%

Section: Soft Tissue and Bone Ultrasoundmentioning

confidence: 99%

Section: Venous Cannulationmentioning

confidence: 99%

Section: An Introduction To Ultrasoundmentioning

confidence: 99%

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The Evolving Role of Ultrasound in Emergency Medicine

Galdamez¹

2019

Essentials of Accident and Emergency Medicine

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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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Exploring the Stratosphere: What We Missed by Shooting for the Moon

Galdamez¹

2018

Into Space - A Journey of How Humans Adapt and Live in Microgravity

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Similar to outer space, the stratosphere experiences freezing temperatures, with atmospheric pressures and oxygen levels far below the level required for human survival. Exposure to this environment causes unique injuries to the human body that can be deadly if the correct management is not promptly initiated. The preceding decades are filled with stories of deadly failures from such exposures and marked achievement as we began to explore this section of our outer atmosphere. Through advances in technology, we have developed pressure suits and vehicles used for high altitude and outer space that provide protection and allow us to not only survive, but also explore these dangerous environments. The recent high altitude missions are examples of the remarkable capability of human innovation and ingenuity. These missions have fostered an explosion of interest and wonder, creating new demand for a commercial space industry that was virtually nonexistent in the previous century. Though recent tragedies have temporarily delayed the travel of eager citizens into space, the boom of the commercial space industry is pushing forward with new promises of space exploration available to the next paying customer, anticipated in the next few years.

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Point-of-Care Ultrasound Utility and Potential for High Altitude Crew Recovery Missions

Cited by 3 publications

References 0 publications

The Evolving Role of Ultrasound in Emergency Medicine

The Evolving Role of Ultrasound in Emergency Medicine

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

Exploring the Stratosphere: What We Missed by Shooting for the Moon

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