Portable Handheld Ultrasound in Austere Environments: Use in the Haiti Disaster

Shorter, Meghan; Macias, Darryl J.

doi:10.1017/s1049023x12000611

Cited by 66 publications

(33 citation statements)

References 14 publications

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“…Modern portable ultrasound equipment has many features that make it ideal for use in the MCI setting [80,[100][101][102]. However, the cumulative literature regarding its application during MCIs is still somewhat limited [1,36,80,[101][102][103].…”

Section: Ultrasound In Civilian Disaster Experiencementioning

confidence: 99%

“…The same set of advantages that make ultrasound valuable in the setting of MCI also make it attractive in non-disaster, pre-hospital civilian response [25,101]. Several applications of ultrasound technology have followed natural calamities, such as earthquakes and wind disasters [1,25,100]. Portable ultrasound was used in the triage of patients after the 2010 Haitian earthquake [100].…”

Section: Ultrasound In Civilian Disaster Experiencementioning

confidence: 99%

“…Several applications of ultrasound technology have followed natural calamities, such as earthquakes and wind disasters [1,25,100]. Portable ultrasound was used in the triage of patients after the 2010 Haitian earthquake [100]. The investigators noted that the results of their ultrasound examination influenced care in 70 % of cases [100].…”

Section: Ultrasound In Civilian Disaster Experiencementioning

confidence: 99%

“…Portable ultrasound was used in the triage of patients after the 2010 Haitian earthquake [100]. The investigators noted that the results of their ultrasound examination influenced care in 70 % of cases [100]. Sarkisian et al [1] demonstrated during the 1998 Armenian earthquake that the average time spent on a single patient with ultrasound was 4 min; there were no false-positive examinations with few (1 %) false negatives [1].…”

Section: Ultrasound In Civilian Disaster Experiencementioning

confidence: 99%

See 3 more Smart Citations

Portable ultrasound in disaster triage: a focused review

Wydo

Seamon

Melanson

et al. 2015

Eur J Trauma Emerg Surg

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Ultrasound technology has become ubiquitous in modern medicine. Its applications span the assessment of life-threatening trauma or hemodynamic conditions, to elective procedures such as image-guided peripheral nerve blocks. Sonographers have utilized ultrasound techniques in the pre-hospital setting, emergency departments, operating rooms, intensive care units, outpatient clinics, as well as during mass casualty and disaster management. Currently available ultrasound devices are more affordable, portable, and feature user-friendly interfaces, making them well suited for use in the demanding situation of a mass casualty incident (MCI) or disaster triage. We have reviewed the existing literature regarding the application of sonology in MCI and disaster scenarios, focusing on the most promising and practical ultrasound-based paradigms applicable in these settings.

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Section: Ultrasound In Civilian Disaster Experiencementioning

confidence: 99%

Section: Ultrasound In Civilian Disaster Experiencementioning

confidence: 99%

Section: Ultrasound In Civilian Disaster Experiencementioning

confidence: 99%

Section: Ultrasound In Civilian Disaster Experiencementioning

confidence: 99%

See 2 more Smart Citations

Portable ultrasound in disaster triage: a focused review

Wydo

Seamon

Melanson

et al. 2015

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

show abstract

“…[132,133] Disaster medicine has used ultrasound in the field and in hospitals when other resources are overwhelmed or unavailable. [134][135][136][137][138] These situations often employ ultrasound for the focused scans delineated in ACEP's Emergency Ultrasound Guidelines. [139] The use of ultrasound in conjunction with telemedicine is intriguing.…”

Section: Ultrasoundmentioning

confidence: 99%

Wilderness medicine

Sward

Bennett

2014

World Journal of Emergency Medicine

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Use of a Handheld Ultrasonographic Device to Identify Heart Failure and Pulmonary Disease in Rural Africa

Katende,

Oehri,

Urio

et al. 2024

JAMA Netw Open

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ImportanceAgreement in lung ultrasonography findings between clinicians using a handheld ultrasonographic device and expert sonographers using a high-end ultrasonographic machine has not been studied in sub-Saharan Africa.ObjectiveTo determine the agreement in ultrasonographic findings and diagnoses between primary care clinicians trained in lung ultrasonography, board-certified expert sonographers, and senior physicians.Design, Setting, and ParticipantsThis cross-sectional single-center study was conducted from February 1, 2022, to April 30, 2023 at a referral center in rural Tanzania. Individuals 5 years or older with respiratory symptoms and at least 2 distinct respiratory signs or symptoms were eligible. A total of 459 individuals were screened.ExposuresParticipants provided their medical history and underwent a clinical examination and lung ultrasonography performed by a clinician, followed by a lung ultrasonography performed by an expert sonographer, and finally chest radiography and a final evaluation performed by a senior physician. Other tests, such as echocardiography and Mycobacterium tuberculosis testing, were conducted on the decision of the physician. Clinicians received 2 hours of instruction and three 2-hour sessions of clinical training in the use of a handheld lung ultrasonographic device; expert sonographers were board-certified.Main Outcomes and MeasuresPercentage agreement and Cohen κ coefficient for sonographic findings and diagnoses compared between clinicians and expert sonographers, and between clinicians and senior physicians.ResultsThe median (IQR) age of 438 included participants was 54 (38-66) years, and 225 (51%) were male. The median (range) percentage agreement of ultrasonographic findings between clinicians and expert sonographers was 93% (71%-99%), with κ ranging from −0.003 to 0.83. Median (range) agreement of diagnoses between clinicians and expert sonographers was 90% (50%-99%), with κ ranging from −0.002 to 0.76. Between clinicians and senior physicians, median (range) agreement of diagnoses was 89% (55%-90%), with κ ranging from −0.008 to 0.76. Between clinicians and senior physicians, diagnosis agreements were 85% (κ, 0.69) for heart failure, 78% (κ, 0.57) for definite or probable tuberculosis, 50% (κ, 0.002) for viral pneumonia, and 56% (κ, 0.06) for bacterial pneumonia.Conclusions and RelevanceIn this cross-sectional study, the agreement of ultrasonographic findings between clinicians and sonographers was mostly substantial. Between clinicians and senior physicians, agreement was substantial in the diagnosis of heart failure, moderate in the diagnosis of tuberculosis, but slight in the diagnosis of pneumonia. These findings suggest that handheld ultrasonographic devices used in addition to clinical examination may support clinicians in diagnosing cardiac and pulmonary diseases in rural sub-Saharan Africa.

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Portable Handheld Ultrasound in Austere Environments: Use in the Haiti Disaster

Cited by 66 publications

References 14 publications

Portable ultrasound in disaster triage: a focused review

Portable ultrasound in disaster triage: a focused review

Wilderness medicine

Use of a Handheld Ultrasonographic Device to Identify Heart Failure and Pulmonary Disease in Rural Africa

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