Simple, Almost Anywhere, With Almost Anyone: Remote Low-Cost Telementored Resuscitative Lung Ultrasound

McBeth, Paul B.; Crawford, Innes; Blaivas, Michael; Hamilton, Trevor D.; Musselwhite, Kimberly; Panebianco, Nova L.; Melniker, Lawrence; Ball, Chad G.; Gargani, Luna; Gherdovich, Carlotta; Kirkpatrick, Andrew W.

doi:10.1097/ta.0b013e318232cca7

Cited by 51 publications

(63 citation statements)

References 33 publications

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“…Previous studies have evaluated the use of robotic US technicians, the use of remote instructors through freeware applications, and the use of telementored instruction in real-time US evaluation. [2][3][4] The recent development of the Google Glass platform promises to restructure this process with hands-free two-way video conferencing. This platform gives remotely located instructors the ability to see everything that the learner is seeing from the learner's perspective.…”

Section: Discussionmentioning

confidence: 99%

First “Glass” Education: Telementored Cardiac Ultrasonography Using Google Glass‐ A Pilot Study

Russell

Mallin

Youngquist

et al. 2014

Academic Emergency Medicine

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Objectives: The objective of this study was to determine the feasibility of telementored instruction in bedside ultrasonography (US) using Google Glass. The authors sought to examine whether first-time US users could obtain adequate parasternal long axis (PSLA) views to approximate ejection fraction (EF) using Google Glass telementoring.Methods: This was a prospective, randomized, single-blinded study. Eighteen second-year medical students were randomized into three groups and tasked with obtaining PSLA cardiac imaging. Group A received real-time telementored education through Google Glass via Google Hangout from a remotely located expert. Group B received bedside education from the same expert. Group C represented the control and received no instruction. Each subject was given 3 minutes to obtain a best PSLA cardiac imaging using a portable GE Vscan. Image clips obtained by each subject were stored. A second expert, blinded to instructional mode, evaluated images for adequacy and assigned an image quality rating on a 0 to 10 scale.Results: Group A was able to obtain adequate images six out of six times (100%) with a median image quality rating of 7.5 (interquartile range [IQR] = 6 to 10) out of 10. Group B was also able to obtain adequate views six out of six times (100%), with a median image quality rating of 8 (IQR = 7 to 9). Group C was able to obtain adequate views one out of six times (17%), with a median image quality of 0 (IQR = 0 to 2). There were no statistically significant differences between Group A and Group B in the achievement of adequate images for E-point septal separation measurement or in image quality. Conclusions:In this pilot/feasibility study, novice US users were able to obtain adequate imaging to determine a healthy patient's EF through telementored education using Google Glass. These preliminary data suggest telementoring as an adequate means of medical education in bedside US. This conclusion will need to be validated with larger, more powerful studies including evaluation of pathologic findings and varying body habitus among models.

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Section: Discussionmentioning

confidence: 99%

First “Glass” Education: Telementored Cardiac Ultrasonography Using Google Glass‐ A Pilot Study

Russell

Mallin

Youngquist

et al. 2014

Academic Emergency Medicine

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“…Lung sliding could easily be seen in all subjects. This was using novice examiners, one as young as 7 years old who was able to perform a FAST exam successfully [70]. Another study of ultrasound used remotely with the assistance of mobile phone technology was at a simulated disaster scene.…”

Section: Technology Considerations and Telemedicinementioning

confidence: 99%

Out of hospital point of care ultrasound: current use models and future directions

Nelson

Sanghvi

2015

Eur J Trauma Emerg Surg

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Prehospital ultrasound has the ability to increase diagnostic ability and allow for therapeutic intervention in the field. In austere environments, ultrasound may be the only available imaging modality and thus can guide diagnosis, therapeutics and determine which patients may need emergent transfer to a healthcare facility. The most cutting edge applications of portable ultrasound employ telemedicine to obtain and transmit ultrasound images. This technology and ability to transmit images via satellite and cellular transmission can allow for even novice users to obtain interpretable images in austere environments. Portable ultrasound uses have steadily grown and will continue to do so with the introduction of more portable and durable technologies. As applications continue to grow, certain technologic considerations and future directions are explored.

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“…12 Consumer cellphones and tablets are increasingly being used for transmitting medical information, and standard video conferencing and file-transfer services that are free to use, such as Skype, are being explored for real-time transmission of surgical wound images and diagnostic imaging, such as lung ultrasound. 4,13 Innovative cellphone-based clinical microscopy capable of transmitting bright-field and…”

Section: What Is the Evidence So Far?mentioning

confidence: 99%

Mobile remote-presence devices for point-of-care health care delivery

Mendez

Hof

2013

CMAJ

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Simple, Almost Anywhere, With Almost Anyone: Remote Low-Cost Telementored Resuscitative Lung Ultrasound

Abstract: The emergent exclusion of APN-PTX can be immediately accomplished by a remote expert economically linked to almost any responder over cellular networks. Further work should explore the range of other physiologic functions and anatomy that could be so remotely assessed.

Cited by 51 publications

References 33 publications

First “Glass” Education: Telementored Cardiac Ultrasonography Using Google Glass‐ A Pilot Study

First “Glass” Education: Telementored Cardiac Ultrasonography Using Google Glass‐ A Pilot Study

Out of hospital point of care ultrasound: current use models and future directions

Mobile remote-presence devices for point-of-care health care delivery

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