Évacuations aéromédicales médicales militaires en Afrique entre 2001 et 2012 ; place du médecin urgentiste

Vitalis, V.; Robert, Jimmy; Coste, Sébastien; Madec, S.; Hersan, O.; Bompard, J.; Colleu, F.; Bourrilhon, C.

doi:10.1016/j.annfar.2014.07.629

Cited by 3 publications

(1 citation statement)

References 2 publications

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“…The job of military physicians on deployment is to provide medical support to all engaged personnel. Their activity is therefore not limited to the care of war-wounded,1 but is also dedicated to the treatment of more classical medical emergencies and trauma2 that are seen in civilian practice. Clinical assessment is limited by a potentially remote or austere environment.…”

Section: Introductionmentioning

confidence: 99%

Usefulness of point-of-care ultrasound in military medical emergencies performed by young military medicine residents

Perrier¹,

Leyral

Thabouillot

et al. 2019

BMJ Mil Health

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IntroductionTo evaluate the usefulness of point-of-care ultrasound (POCUS) performed by young military medicine residents after short training in the diagnosis of medical emergencies.MethodsA prospective study was performed in the emergency department of a French army teaching hospital. Two young military medicine residents received ultrasound training focused on gall bladder, kidneys and lower limb veins. After clinical examination, they assigned a ‘clinicaldiagnostic probability’ (CP) on a visual analogue scale from 0 (definitely not diagnosis) to 10 (definitive diagnosis). The same student performed ultrasound examination and assigned an ‘ultrasounddiagnostic probability’ (UP) in the same way. The absolute difference between CP and UP was calculated. This result corresponded to the Ultrasound Diagnostic Index (UDI), which was positive if UP was closer to the final diagnosis than CP (POCUS improved the diagnostic accuracy), and negative conversely (POCUS decreased the diagnostic accuracy).ResultsForty-eight patients were included and 48 ultrasound examinations were performed. The present pathologies were found in 14 patients (29%). The mean UDI value was +3 (0–5). UDI was positive in 35 exams (73%), zero in 12 exams (25%) and negative in only one exam (2%).ConclusionPOCUS performed after clinical examination increases the diagnostic accuracy of young military medicine residents.

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Section: Introductionmentioning

confidence: 99%