A narrative review on the use of ultrasonography in critical care transport: is POCUS hocus?

Shekhar, Aditya C.; Blumen, Ira J.

doi:10.1016/j.tacc.2021.07.001

Cited by 2 publications

(1 citation statement)

References 47 publications

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“…As an example, HEMS crews may bring blood products, ultrasound, invasive hemodynamic monitoring/cannulation, thoracostomy, thoracotomy, and resuscitative endovascular balloon occlusion of the aorta (REBOA). [9] , [10] , [11] , [12] , [13] It may also be possible that HEMS units were “auto-launched” or requested for major trauma accidents that ultimately ended up involving patients who had entered traumatic cardiac arrest by the time HEMS arrived. Third, HEMS arrests were almost twice as likely to be witnessed and have a shockable first monitored arrest rhythm – predictors of improved outcomes.…”

Section: Discussionmentioning

confidence: 99%

Helicopter emergency medical services (HEMS) response to out-of-hospital cardiac arrest (OHCA) in the United States

Shekhar,

Auten,

Abbott

et al. 2024

Resuscitation Plus

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Section: Discussionmentioning

confidence: 99%

Helicopter emergency medical services (HEMS) response to out-of-hospital cardiac arrest (OHCA) in the United States

Shekhar,

Auten,

Abbott

et al. 2024

Resuscitation Plus

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Rural family physician use of point-of-care ultrasonography: experiences of primary care providers in British Columbia, Canada

Kornelsen,

Ho,

Robinson

et al. 2023

BMC Prim. Care

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Background In British Columbia (BC), rural and remote areas lack proximal access to radiographic services. Poor access to radiographic services in rural settings presents a challenge to timely diagnosis and screening across many disease states and healthy pregnancies. As a solution to the lack of access to radiographic services in rural settings, the Rural Coordination Centre of BC (RCCbc) supported rural Family Physicians (FPs) wishing to use PoCUS through the Intelligent Network for PoCUS (IN PoCUS) program. This study evaluates FPs’ experience and use of PoCUS in their clinical practice. Methods This qualitative study conducted in-depth virtual interviews with 21 FPs across rural BC. The interview asked participants’ motivation to participate in the RCCbc program, the type of training they received, their current use of PoCUS, their experience with the technology, and their experience interacting with specialists in regional centres. Thematic analysis of findings was undertaken. Results This study used Rogers’ framework on the five elements of diffusion of innovation to understand the factors that impede and enable the adoption of PoCUS in rural practice. Rural FPs in this study differentiated PoCUS from formal imaging done by specialists. The adoption of PoCUS was viewed as an extension of physical exams and was compatible with their values of providing generalist care. This study found that the use of PoCUS provided additional information that led to better clinical decision-making for triage and allowed FPs to determine the urgency for patient referral and transport to tertiary hospitals. FPs also reported an increase in job satisfaction with PoCUS use. Some barriers to using PoCUS included the time needed to be acquainted with the technology and learning how to integrate it into their clinical flow in a seamless manner. Conclusion This study has demonstrated the importance of PoCUS in improving patient care and facilitating timely diagnosis and treatment. As the use of PoCUS among FPs is relatively new in Canada, larger infrastructure support such as improving billing structures, long-term subsidies, educational opportunities, and a quality improvement framework is needed to support the use of PoCUS among rural FPs.

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A narrative review on the use of ultrasonography in critical care transport: is POCUS hocus?

Cited by 2 publications

References 47 publications

Helicopter emergency medical services (HEMS) response to out-of-hospital cardiac arrest (OHCA) in the United States

Helicopter emergency medical services (HEMS) response to out-of-hospital cardiac arrest (OHCA) in the United States

Rural family physician use of point-of-care ultrasonography: experiences of primary care providers in British Columbia, Canada

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