FAST at MACH 20: Clinical Ultrasound Aboard the International Space Station

Sargsyan, Ashot E.; Hamilton, Douglas R.; Jones, Jeffrey A.; Melton, Shannon; Whitson, Peggy A.; Kirkpatrick, Andrew W.; Martin, David S.; Dulchavsky, Scott A.

doi:10.1097/01.ta.0000145083.47032.78

Cited by 161 publications

(110 citation statements)

References 13 publications

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“…30 In addition, ultrasound may be useful for triage in mass casualty disasters 31 or in austere environments. 32 Last, ultrasound may be used in pediatricians'offices or in urgent care centers for patients with suspected isolated skull fracture without ready access to CT scan.…”

Section: Figurementioning

confidence: 99%

Accuracy of Point-of-Care Ultrasound for Diagnosis of Skull Fractures in Children

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT: Head injuries and concern for skull fracture are common in pediatrics. Point-of-care ultrasound is an imaging tool that can be used to diagnose fractures. However, there are scant data regarding the accuracy of point-ofcare ultrasound in skull fracture diagnosis. WHAT THIS STUDY ADDS:Clinicians with focused point-of-care ultrasound training are able to diagnose skull fractures in children with high specificity. Ultrasound may be valuable to diagnose skull fractures in children at the point of care. abstract OBJECTIVE: To determine the test performance characteristics for point-of-care ultrasound performed by clinicians compared with computed tomography (CT) diagnosis of skull fractures. METHODS:We conducted a prospective study in a convenience sample of patients #21 years of age who presented to the emergency department with head injuries or suspected skull fractures that required CT scan evaluation. After a 1-hour, focused ultrasound training session, clinicians performed ultrasound examinations to evaluate patients for skull fractures. CT scan interpretations by attending radiologists were the reference standard for this study. Pointof-care ultrasound scans were reviewed by an experienced sonologist to evaluate interobserver agreement.RESULTS: Point-of-care ultrasound was performed by 17 clinicians in 69 subjects with suspected skull fractures. The patients' mean age was 6.4 years (SD: 6.2 years), and 65% of patients were male. The prevalence of fracture was 12% (n = 8). Point-of-care ultrasound for skull fracture had a sensitivity of 88% (95% confidence interval [CI]: 53%-98%), a specificity of 97% (95% CI: 89%-99%), a positive likelihood ratio of 27 (95% CI: 7-107), and a negative likelihood ratio of 0.13 (95% CI: 0.02-0.81). The only false-negative ultrasound scan was due to a skull fracture not directly under a scalp hematoma, but rather adjacent to it. The k for interobserver agreement was 0.86 (95% CI: 0.67-1.0). CONCLUSIONS:Clinicians with focused ultrasound training were able to diagnose skull fractures in children with high specificity. Pediatrics

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Section: Figurementioning

confidence: 99%

Accuracy of Point-of-Care Ultrasound for Diagnosis of Skull Fractures in Children

et al. 2013

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“…Real-time ultrasound images have even been transmitted from the International Space Station. [140,141] …”

Section: Ultrasoundmentioning

confidence: 99%

Wilderness medicine

Sward

Bennett

2014

World Journal of Emergency Medicine

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“…Ultrasound instruments should also provide a hard disk and USB, for saving and unloading images and clips, as well as a paper recorder [15][16][17] . Since ultrasound machines are used for many patients, it should be kept in mind that probes can be a carrier for resistant germs that could be present in the ICU.…”

Section: Ultrasound Machine Requirementsmentioning

confidence: 99%

Incremental value of thoracic ultrasound in intensive care units: Indications, uses, and applications

Liccardo

Martone

Trambaiolo

et al. 2016

WJR

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Emergency physicians are required to care for unstable patients with life-threatening conditions, and thus must make decisions that are both quick and precise about unclear clinical situations. There is increasing consensus in favor of using ultrasound as a real-time bedside clinical tool for clinicians in emergency settings alongside the irreplaceable use of historical and physical examinations. B-mode sonography is an old technology that was first proposed for medical applications more than 50 years ago. Its application in the diagnosis of thoracic diseases has always been considered limited, due to the presence of air in the lung and the presence of the bones of the thoracic cage, which prevent the progression of the ultrasound beam. However, the close relationship between air and water in the lungs causes a variety of artifacts on ultrasounds. At the bedside, thoracic ultrasound is based primarily on the analysis of these artifacts, with the aim of improving accuracy and safety in the diagnosis and therapy of the various varieties of pulmonary pathologic diseases which are predominantly "water-rich" or "air-rich". The indications, contraindications, advantages, disadvantages, and techniques of thoracic ultrasound and its related procedures are analyzed in the present review. Core tip: The close relationship between air and water in the lungs causes a variety of artifacts on ultrasounds. At the bedside, thoracic ultrasound is based primarily on the analysis of these artifacts, with the aim of improving accuracy and safety in the diagnosis and therapy of Liccardo B et al . Thoracic ultrasound in ICU the various varieties of pulmonary pathologic diseases which are predominantly "water-rich" or "air-rich". The indications, contraindications, advantages, disadvantages, and techniques of thoracic ultrasound and its related procedures are analyzed in the present review.

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FAST at MACH 20: Clinical Ultrasound Aboard the International Space Station

Cited by 161 publications

References 13 publications

Accuracy of Point-of-Care Ultrasound for Diagnosis of Skull Fractures in Children

Accuracy of Point-of-Care Ultrasound for Diagnosis of Skull Fractures in Children

Wilderness medicine

Incremental value of thoracic ultrasound in intensive care units: Indications, uses, and applications

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