Document Detail


Feasibility of bedside thoracic ultrasound in the helicopter emergency medical services setting.
MedLine Citation:
PMID:  23632224     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
INTRODUCTION: Bedside thoracic ultrasound has been shown to be a valuable diagnostic tool in the emergency department. The purpose of this study was to evaluate the feasibility of bedside thoracic ultrasound in the prehospital HEMS setting.
SETTING: Air ambulance helicopters during patient transportation.
METHODS: This was a prospective pilot study. 71 consecutive, nonpregnant patients over 18 years old were enrolled. While in flight, providers completed limited bedside thoracic ultrasounds with the patient supine and recorded their interpretation of the presence or absence of the ultrasonographic sliding lung sign on a closed data-set instrument.
RESULTS: 41 (58%) of the eligible patients had a recorded thoracic ultrasound acquired in flight. The level of agreement in image interpretation between the flight crew and expert reviewer was substantial (Kappa 0.67, CI 0.44-0.90). The reviewer rated 54% of all images as "good" in quality. The most common reason cited for not completing the ultrasound was lack of enough provider time or space limitations within the aircraft cabin.
CONCLUSION: The results of this study suggest that, with limited training, bedside thoracic ultrasound image acquisition and interpretation for the sliding lung sign in the HEMS setting is feasible.
Authors:
Chad E Roline; William G Heegaard; Johanna C Moore; Scott A Joing; David A Hildebrandt; Michelle H Biros; Liberty V Caroon; David W Plummer; Robert F Reardon
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Air medical journal     Volume:  32     ISSN:  1532-6497     ISO Abbreviation:  Air Med. J.     Publication Date:    2013 May-Jun
Date Detail:
Created Date:  2013-05-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9312325     Medline TA:  Air Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  153-7     Citation Subset:  H    
Copyright Information:
Copyright © 2013 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN. Electronic address: chadroline@yahoo.com.
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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