Tension Pneumothorax in Prehospital Setting

Ay, Yagmur; Çanakçı, Mustafa Emin

doi:10.1017/s1049023x21000479

Cited by 1 publication

(1 citation statement)

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“…This study demonstrated prehospital patients who received POCUS examinations were all medical cases, which was in contrast to previous studies. 7,[17][18][19] This may be due to the nature of EMS operations in trauma patients in Thailand, which are usually performed as "Scoop and Run" in which treating physicians perform Focused Assessment with Sonography for Trauma (FAST) examination in a hospital setting after the primary survey according to Advanced Trauma Life Support (ATLS) protocol. 20 No ultrasound protocol was used in this study, which was in contrast to other studies.…”

Section: Discussionmentioning

confidence: 99%

The Utilization of Handheld Ultrasound Devices in a Prehospital Setting

Ienghong

Cheung

Tiamkao

et al. 2022

Prehosp. Disaster med.

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Introduction: Prehospital ultrasounds can be considered a new form of diagnostic tool when taking into account their small structure and due to the fact that nowadays, they are used in the care of emergency patients. However, at present, there is no study regarding the advantage of ultrasound usage in prehospital settings in Thailand. Study Objective: This study aims to determine the sonographic characteristics recorded by handheld ultrasounds used in prehospital care and the diagnostic accuracy of ultrasounds for prehospital patients. Methods: A cross-sectional study was conducted on prehospital patients who underwent point-of-care ultrasound (POCUS) examination on Emergency Medical Service (EMS) operations at Srinagarind Hospital, Thailand from January 2021 through December 2021. The ultrasound images, the electronic emergency department medical records, and the EMS database were recorded and reviewed by a team of emergency physicians. The quality of prehospital ultrasound examinations was assessed by comparing the diagnoses at the scene with those taken at the hospital. Results: One hundred sixty-nine prehospital patients who received POCUS examinations were examined over a one-year period. All (100.0%) of the scans were for medical cases. No ultrasound protocol was used in the prehospital care. Two hundred eight POCUS examinations were performed in this study. The most common POCUS indication was dyspnea (45.6%), followed by hypotension/shock (30.1%), and finally syncope (8.2%). The most common area where POCUS was performed was on the lung (37.0%), followed by the inferior vena cava (30.8%), and finally for cardiac cases (26.4%). This study found that 34.9% of sonographic findings could be considered abnormal. The diagnoses of prehospital patients were confirmed by using POCUS in 66 cases (39.1%) with the accuracy of prehospital diagnosis reaching a peak of 75.8%. Conclusion: This study shows POCUS examinations can be effectively used in prehospital care. The prehospital diagnosis given by physicians administering treatment who used POCUS examinations correlated with the in-hospital diagnosis.

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Section: Discussionmentioning

confidence: 99%