The Impact of Prehospital Point of Care Ultrasounds on Emergency Patients Length of Stay in Thailand

Ienghong, Kamonwon; Cheung, Lap Woon; Tiamkao, Somsak; Bhudhisawasdi, Vajarabhongsa; Apiratwarakul, Korakot

doi:10.2147/jmdh.s396986

Cited by 2 publications

(1 citation statement)

References 38 publications

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“…[1][2][3][4] Its implementation has demonstrated a beneficial influence on clinical decision-making, leading to reduced emergency department (ED) and hospital stays. [5][6][7][8] However, challenges such as inadequate user training, difficulties in maintaining ultrasound proficiency, limitations in equipment availability for optimal imaging, and constraints on quality control impede broader application. These challenges are particularly pronounced in healthcare settings characterized by limited resources and underserved populations.…”

Section: Introductionmentioning

confidence: 99%

An in-Depth Examination of the Characteristics of Pre-Hospital Point-of-Care Ultrasound Training Among Emergency Medicine Residents in Laos as Part of an Overseas Elective Rotation

Ienghong,

Gaysonsiri,

Cheung

et al. 2023

AMEP

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Introduction Point of Care Ultrasound (POCUS) training has been offering invaluable guidance in the diagnostic process and treatment strategies, particularly in resource-limited settings. The purpose of this study was to determine participant satisfaction with the structure and scope of POCUS training in overseas elective rotation. Material and Methods A retrospective observational analytical study was undertaken. The study focused on EM residents from Laos who participated in the international elective rotation at the Khon Kaen University during the academic years 2020–2021 and 2022–2023. The research involved an exploration of training data related to this course, encompassing participant characteristics, the structure and scope of POCUS training, the training assessments, and post completion surveys of participants. Results The study involved 24 participants. The course was characterized by its status as an international elective program prehospital POCUS training for post graduate year 3 students. The duration of the rotation ranged from 2 to 4 weeks. Interestingly, in the academic year 2022–2023, the duration of POCUS training was notably extended to 8 hours, accounting for 4.76% of the total time. The training encompassed peer-to-peer didactic lectures, bedside teaching, and observational case studies at the Emergency Department (ED). The results of our survey, boasting a 100% response rate, indicated participants’ contentment with the academic performance, the abundance of learning resources, and the knowledge gained from this rotation that would aid their future careers. The overall satisfaction with this course was highly rated, falling into the “satisfy” and “highly satisfy” categories. However, certain challenges were reported, including feelings of isolation due to the distance from relatives, concerns related to interpersonal relationships with colleagues, and a sense of being isolated. Conclusion The participants were highly satisfied to the structure and scope of this course. The overseas elective rotation significantly enhanced the knowledge of Laos EM residents’ in POCUS and underscored the crucial importance of this course in EM training.

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Section: Introductionmentioning

confidence: 99%

An in-Depth Examination of the Characteristics of Pre-Hospital Point-of-Care Ultrasound Training Among Emergency Medicine Residents in Laos as Part of an Overseas Elective Rotation

Ienghong,

Gaysonsiri,

Cheung

et al. 2023

AMEP

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Automatic B-lines: a tool for minimizing time to diuretic administration in pulmonary edema patients in the emergency department of a developing country

Ienghong,

Cheung,

Chanthawatthanarak

et al. 2024

Int J Emerg Med

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Background Effective management of pulmonary edema in the emergency department (ED) is crucial given its significant global impact on health. This study aimed to investigate the hypothesis: “Does the utilization of Automatic B-lines via ultrasonography in patients with pulmonary edema facilitate faster diuretic administration in a developing country?” Methods This retrospective observational study was conducted at a tertiary academic center in Thailand. Patients with pulmonary edema admitted to the ED between January 2023 and June 2024 were enrolled. Ultrasound documentation and electronic ED medical records were compared to assess the time of diuretic administration between patients who had lung ultrasounds utilizing automatic B-lines and those who had manual B-lines counted by physician eye inspection. Multivariate logistic regression was employed to examine the relationship between the use of automatic B-lines and early diuretic administration. Results The study included 134 patients with pulmonary edema. The time to diuretic administration was significantly shorter in the automatic B-lines group (median time [Q1-Q3], 55 min; range, 35–110 min) compared to the non-automatic B-lines group (median time, 100 min; range, 75–145 min). In the multivariable logistic regression analysis, early diuretic administration within 60 min of triage was significantly more likely in the automatic B-lines group (adjusted odds ratio, 1.45; 95% confidence interval, 1.10–2.45) than in the non-automatic B-lines group. Conclusions In a developing country, patients with pulmonary edema who had lung ultrasound evaluation with automated B lines experienced a fastest diuresis compared to those who utilized ultrasonography without automatic B lines. Implementing automatic B-lines as an early screening protocol could enhance clinical practice in the ED.

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The Impact of Prehospital Point of Care Ultrasounds on Emergency Patients Length of Stay in Thailand

Cited by 2 publications

References 38 publications

An in-Depth Examination of the Characteristics of Pre-Hospital Point-of-Care Ultrasound Training Among Emergency Medicine Residents in Laos as Part of an Overseas Elective Rotation

An in-Depth Examination of the Characteristics of Pre-Hospital Point-of-Care Ultrasound Training Among Emergency Medicine Residents in Laos as Part of an Overseas Elective Rotation

Automatic B-lines: a tool for minimizing time to diuretic administration in pulmonary edema patients in the emergency department of a developing country

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