Skip to main content
Top
Published in: European Journal of Trauma and Emergency Surgery 2/2016

01-04-2016 | Review Article

Out of hospital point of care ultrasound: current use models and future directions

Authors: B. P. Nelson, A. Sanghvi

Published in: European Journal of Trauma and Emergency Surgery | Issue 2/2016

Login to get access

Abstract

Introduction

Ultrasound has evolved from a modality that was once exclusively reserved to certain specialities of its current state, in which its portability and durability lend to its broadly increasing applications.

Objectives

This review describes portable ultrasound in the hospital setting and its comparison to gold standard imaging modalities. Also, this review summarizes current literature describing portable ultrasound use in prehospital, austere and remote environments, highlighting successes and barriers to use in these environments.

Discussion

Prehospital ultrasound has the ability to increase diagnostic ability and allow for therapeutic intervention in the field. In austere environments, ultrasound may be the only available imaging modality and thus can guide diagnosis, therapeutics and determine which patients may need emergent transfer to a healthcare facility. The most cutting edge applications of portable ultrasound employ telemedicine to obtain and transmit ultrasound images. This technology and ability to transmit images via satellite and cellular transmission can allow for even novice users to obtain interpretable images in austere environments. Portable ultrasound uses have steadily grown and will continue to do so with the introduction of more portable and durable technologies. As applications continue to grow, certain technologic considerations and future directions are explored.
Literature
1.
go back to reference Goldberg BB, Gramiak R, Freimanis AK. Early history of diagnostic ultrasound: the role of American radiologists. AJR Am J Roentgenol. 1993;160(1):189–94.CrossRefPubMed Goldberg BB, Gramiak R, Freimanis AK. Early history of diagnostic ultrasound: the role of American radiologists. AJR Am J Roentgenol. 1993;160(1):189–94.CrossRefPubMed
2.
go back to reference Cohen HL, Moore WH. History of emergency ultrasound. J Ultrasound Med. 2004;23(4):451–8.PubMed Cohen HL, Moore WH. History of emergency ultrasound. J Ultrasound Med. 2004;23(4):451–8.PubMed
3.
go back to reference Hwang J-J, Quistgaard J, Souquet J, Crum LA. Portable ultrasound device for battlefield trauma. In: IEEE Proceedings. Ultrasonics symposium; 1998. Hwang J-J, Quistgaard J, Souquet J, Crum LA. Portable ultrasound device for battlefield trauma. In: IEEE Proceedings. Ultrasonics symposium; 1998.
4.
go back to reference Kirkpatrick AW, Sirois M, Laupland KB, Goldstein L, Brown DR, Simons RK, et al. Prospective evaluation of hand-held focused abdominal sonography for trauma (FAST) in blunt abdominal trauma. Can J Surg. 2005;48(6):453–60.PubMedPubMedCentral Kirkpatrick AW, Sirois M, Laupland KB, Goldstein L, Brown DR, Simons RK, et al. Prospective evaluation of hand-held focused abdominal sonography for trauma (FAST) in blunt abdominal trauma. Can J Surg. 2005;48(6):453–60.PubMedPubMedCentral
5.
go back to reference Kirkpatrick AW, Simons RK, Brown DR, Ng AK, Nicolaou S. Digital hand-held sonography utilised for the focused assessment with sonography for trauma: a pilot study. Ann Acad Med Singapore. 2001;30(6):577–81.PubMed Kirkpatrick AW, Simons RK, Brown DR, Ng AK, Nicolaou S. Digital hand-held sonography utilised for the focused assessment with sonography for trauma: a pilot study. Ann Acad Med Singapore. 2001;30(6):577–81.PubMed
6.
go back to reference Kirkpatrick AW, Simons RK, Brown R, Nicolaou S, Dulchavsky S. The hand-held FAST: experience with hand-held trauma sonography in a level-I urban trauma center. Injury. 2002;33(4):303–8.CrossRefPubMed Kirkpatrick AW, Simons RK, Brown R, Nicolaou S, Dulchavsky S. The hand-held FAST: experience with hand-held trauma sonography in a level-I urban trauma center. Injury. 2002;33(4):303–8.CrossRefPubMed
7.
go back to reference Brooks A, Davies B, Smethhurst M, Connolly J. Prospective evaluation of non-radiologist performed emergency abdominal ultrasound for haemoperitoneum. Emerg Med J. 2004;21(5):e5.CrossRefPubMedPubMedCentral Brooks A, Davies B, Smethhurst M, Connolly J. Prospective evaluation of non-radiologist performed emergency abdominal ultrasound for haemoperitoneum. Emerg Med J. 2004;21(5):e5.CrossRefPubMedPubMedCentral
8.
go back to reference Brooks A, Davies B, Connolly J. Prospective evaluation of handheld ultrasound in the diagnosis of blunt abdominal trauma. J R Army Med Corps. 2002;148(1):19–21.CrossRefPubMed Brooks A, Davies B, Connolly J. Prospective evaluation of handheld ultrasound in the diagnosis of blunt abdominal trauma. J R Army Med Corps. 2002;148(1):19–21.CrossRefPubMed
9.
go back to reference Croft LB, Duvall WL, Goldman ME. A pilot study of the clinical impact of hand-carried cardiac ultrasound in the medical clinic. Echocardiography. 2006;23(6):439–46.CrossRefPubMed Croft LB, Duvall WL, Goldman ME. A pilot study of the clinical impact of hand-carried cardiac ultrasound in the medical clinic. Echocardiography. 2006;23(6):439–46.CrossRefPubMed
10.
go back to reference Prinz C, Voigt JU. Diagnostic accuracy of a hand-held ultrasound scanner in routine patients referred for echocardiography. J Am Soc Echocardiogr. 2011;24(2):111–6.CrossRefPubMed Prinz C, Voigt JU. Diagnostic accuracy of a hand-held ultrasound scanner in routine patients referred for echocardiography. J Am Soc Echocardiogr. 2011;24(2):111–6.CrossRefPubMed
11.
go back to reference Martin LD, Howell EE, Ziegelstein RC, Martire C, Whiting-O’Keefe QE, Shapiro EP, Hellmann DB. Hand-carried ultrasound performed by hospitalists: does it improve the cardiac physical examination? Am J Med. 2009;122(1):35–41.CrossRefPubMed Martin LD, Howell EE, Ziegelstein RC, Martire C, Whiting-O’Keefe QE, Shapiro EP, Hellmann DB. Hand-carried ultrasound performed by hospitalists: does it improve the cardiac physical examination? Am J Med. 2009;122(1):35–41.CrossRefPubMed
12.
go back to reference Rugolotto M, Hu BS, Liang DH, Schnittger I. Rapid assessment of cardiac anatomy and function with a new hand-carried ultrasound device (optigo): a comparison with standard echocardiography. Eur J Echocardiogr. 2001;2(4):262–9.CrossRefPubMed Rugolotto M, Hu BS, Liang DH, Schnittger I. Rapid assessment of cardiac anatomy and function with a new hand-carried ultrasound device (optigo): a comparison with standard echocardiography. Eur J Echocardiogr. 2001;2(4):262–9.CrossRefPubMed
13.
go back to reference Vourvouri EC, Poldermans D, De Sutter J, Sozzi FB, Izzo P, Roelandt JR. Experience with an ultrasound stethoscope. J Am Soc Echocardiogr. 2002;15(1):80–5.CrossRefPubMed Vourvouri EC, Poldermans D, De Sutter J, Sozzi FB, Izzo P, Roelandt JR. Experience with an ultrasound stethoscope. J Am Soc Echocardiogr. 2002;15(1):80–5.CrossRefPubMed
14.
go back to reference Bruce CJ, Spittell PC, Montgomery SC, Bailey KR, Tajik AJ, Seward JB. Personal ultrasound imager: abdominal aortic aneurysm screening. J Am Soc Echocardiogr. 2000;13(7):674–9.CrossRefPubMed Bruce CJ, Spittell PC, Montgomery SC, Bailey KR, Tajik AJ, Seward JB. Personal ultrasound imager: abdominal aortic aneurysm screening. J Am Soc Echocardiogr. 2000;13(7):674–9.CrossRefPubMed
15.
go back to reference Vourvouri EC, Poldermans D, Schinkel AF, Sozzi FB, Bax JJ, van Urk H, Roelandt JR. Abdominal aortic aneurysm screening using a hand-held ultrasound device. “A pilot study”. Eur J Vasc Endovasc Surg. 2001;22(4):352–4.CrossRefPubMed Vourvouri EC, Poldermans D, Schinkel AF, Sozzi FB, Bax JJ, van Urk H, Roelandt JR. Abdominal aortic aneurysm screening using a hand-held ultrasound device. “A pilot study”. Eur J Vasc Endovasc Surg. 2001;22(4):352–4.CrossRefPubMed
16.
go back to reference Lin PH, Bush RL, McCoy SA, Felkai D, Pasnelli TK, Nelson JC, et al. A prospective study of a hand-held ultrasound device in abdominal aortic aneurysm evaluation. Am J Surg. 2003;186(5):455–9.CrossRefPubMed Lin PH, Bush RL, McCoy SA, Felkai D, Pasnelli TK, Nelson JC, et al. A prospective study of a hand-held ultrasound device in abdominal aortic aneurysm evaluation. Am J Surg. 2003;186(5):455–9.CrossRefPubMed
17.
go back to reference Blaivas M, Lyon M, Duggal S. A prospective comparison of supine chest radiography and bedside ultrasound for the diagnosis of traumatic pneumothorax. Acad Emerg Med. 2005;12(9):844–9.CrossRefPubMed Blaivas M, Lyon M, Duggal S. A prospective comparison of supine chest radiography and bedside ultrasound for the diagnosis of traumatic pneumothorax. Acad Emerg Med. 2005;12(9):844–9.CrossRefPubMed
18.
go back to reference Kirkpatrick AW, Sirois M, Laupland KB, Liu D, Rowan K, Ball CG, et al. Hand-held thoracic sonography for detecting post-traumatic pneumothoraces: the extended focused assessment with sonography for trauma (EFAST). J Trauma. 2004;57(2):288–95.CrossRefPubMed Kirkpatrick AW, Sirois M, Laupland KB, Liu D, Rowan K, Ball CG, et al. Hand-held thoracic sonography for detecting post-traumatic pneumothoraces: the extended focused assessment with sonography for trauma (EFAST). J Trauma. 2004;57(2):288–95.CrossRefPubMed
19.
go back to reference Robbin ML, Lockhart ME, Weber TM, Tessler FN, Clements MW, Hester FA, Berland LL. Ultrasound quality and efficiency how to make your practice flourish. J Ultrasound Med. 2011;30(6):739–43.PubMed Robbin ML, Lockhart ME, Weber TM, Tessler FN, Clements MW, Hester FA, Berland LL. Ultrasound quality and efficiency how to make your practice flourish. J Ultrasound Med. 2011;30(6):739–43.PubMed
20.
go back to reference Lapostolle F, Petrovic T, Lenoir G, Catineau J, Galinski M, Metzger J, et al. Usefulness of hand-held ultrasound devices in out-of-hospital diagnosis performed by emergency physicians. Am J Emerg Med. 2006;24(2):237–42.CrossRefPubMed Lapostolle F, Petrovic T, Lenoir G, Catineau J, Galinski M, Metzger J, et al. Usefulness of hand-held ultrasound devices in out-of-hospital diagnosis performed by emergency physicians. Am J Emerg Med. 2006;24(2):237–42.CrossRefPubMed
21.
go back to reference Garrone M. Prehospital ultrasound as the evolution of the franco-german model of prehospital EMS. Crit Ultrasound J. 2011;3(3):141–7.CrossRef Garrone M. Prehospital ultrasound as the evolution of the franco-german model of prehospital EMS. Crit Ultrasound J. 2011;3(3):141–7.CrossRef
22.
go back to reference Brun PM, Bessereau J, Chenaitia H, Pradel AL, Deniel C, Garbaye G, et al. Stay and play efast or scoop and run efast? That is the question! Am J Emerg Med. 2014;32(2):166–70.CrossRefPubMed Brun PM, Bessereau J, Chenaitia H, Pradel AL, Deniel C, Garbaye G, et al. Stay and play efast or scoop and run efast? That is the question! Am J Emerg Med. 2014;32(2):166–70.CrossRefPubMed
23.
go back to reference Heegaard W, Hildebrandt D, Spear D, Chason K, Nelson B, Ho J. Prehospital ultrasound by paramedics: results of field trial. Acad Emerg Med. 2010;17(6):624–30.CrossRefPubMed Heegaard W, Hildebrandt D, Spear D, Chason K, Nelson B, Ho J. Prehospital ultrasound by paramedics: results of field trial. Acad Emerg Med. 2010;17(6):624–30.CrossRefPubMed
24.
go back to reference Chin EJ, Chan CH, Mortazavi R, Anderson CL, Kahn CA, Summers S, Fox JC. A pilot study examining the viability of a prehospital assessment with ultrasound for emergencies (PAUSE) protocol. J Emerg Med. 2013;44(1):142–9.CrossRefPubMed Chin EJ, Chan CH, Mortazavi R, Anderson CL, Kahn CA, Summers S, Fox JC. A pilot study examining the viability of a prehospital assessment with ultrasound for emergencies (PAUSE) protocol. J Emerg Med. 2013;44(1):142–9.CrossRefPubMed
25.
go back to reference Busch M. Portable ultrasound in pre-hospital emergencies: a feasibility study. Acta Anaesthesiol Scand. 2006;50(6):754–8.CrossRefPubMed Busch M. Portable ultrasound in pre-hospital emergencies: a feasibility study. Acta Anaesthesiol Scand. 2006;50(6):754–8.CrossRefPubMed
26.
go back to reference Melanson SW, McCarthy J, Stromski CJ, Kostenbader J, Heller M. Aeromedical trauma sonography by flight crews with a miniature ultrasound unit. Prehosp Emerg Care. 2001;5(4):399–402.CrossRefPubMed Melanson SW, McCarthy J, Stromski CJ, Kostenbader J, Heller M. Aeromedical trauma sonography by flight crews with a miniature ultrasound unit. Prehosp Emerg Care. 2001;5(4):399–402.CrossRefPubMed
27.
go back to reference Heegaard W, Plummer D, Dries D, Frascone RJ, Pippert G, Steel D, Clinton J. Ultrasound for the air medical clinician. Air Med J. 2004;23(2):20–3.CrossRefPubMed Heegaard W, Plummer D, Dries D, Frascone RJ, Pippert G, Steel D, Clinton J. Ultrasound for the air medical clinician. Air Med J. 2004;23(2):20–3.CrossRefPubMed
28.
go back to reference Walcher F, Weinlich M, Conrad G, Schweigkofler U, Breitkreutz R, Kirschning T, Marzi I. Prehospital ultrasound imaging improves management of abdominal trauma. Br J Surg. 2006;93(2):238–42.CrossRefPubMed Walcher F, Weinlich M, Conrad G, Schweigkofler U, Breitkreutz R, Kirschning T, Marzi I. Prehospital ultrasound imaging improves management of abdominal trauma. Br J Surg. 2006;93(2):238–42.CrossRefPubMed
29.
go back to reference Breitkreutz R, Price S, Steiger HV, Seeger FH, Ilper H, Ackermann H, et al. Focused echocardiographic evaluation in life support and peri-resuscitation of emergency patients: a prospective trial. Resuscitation. 2010;81(11):1527–33.CrossRefPubMed Breitkreutz R, Price S, Steiger HV, Seeger FH, Ilper H, Ackermann H, et al. Focused echocardiographic evaluation in life support and peri-resuscitation of emergency patients: a prospective trial. Resuscitation. 2010;81(11):1527–33.CrossRefPubMed
30.
go back to reference Roline CE, Heegaard WG, Moore JC, Joing SA, Hildebrandt DA, Biros MH, et al. Feasibility of bedside thoracic ultrasound in the helicopter emergency medical services setting. Air Med J. 2013;32(3):153–7.CrossRefPubMed Roline CE, Heegaard WG, Moore JC, Joing SA, Hildebrandt DA, Biros MH, et al. Feasibility of bedside thoracic ultrasound in the helicopter emergency medical services setting. Air Med J. 2013;32(3):153–7.CrossRefPubMed
31.
go back to reference Kimura A, Otsuka T. Emergency center ultrasonography in the evaluation of hemoperitoneum: a prospective study. J Trauma Injury Infect Crit Care. 1991;31(1):20–3.CrossRef Kimura A, Otsuka T. Emergency center ultrasonography in the evaluation of hemoperitoneum: a prospective study. J Trauma Injury Infect Crit Care. 1991;31(1):20–3.CrossRef
32.
go back to reference Melniker LA, Leibner E, McKenney MG, Lopez P, Briggs WM, Mancuso CA. Randomized controlled clinical trial of point-of-care, limited ultrasonography for trauma in the emergency department: the first sonography outcomes assessment program trial. Ann Emerg Med. 2006;48(3):227–35.CrossRefPubMed Melniker LA, Leibner E, McKenney MG, Lopez P, Briggs WM, Mancuso CA. Randomized controlled clinical trial of point-of-care, limited ultrasonography for trauma in the emergency department: the first sonography outcomes assessment program trial. Ann Emerg Med. 2006;48(3):227–35.CrossRefPubMed
33.
go back to reference Polk JD, Merlino JI, Kovach BL, Mancuso C, Fallon WF. Fetal evaluation for transport by ultrasound performed by air medical teams: a case series. Air Med J. 2004;23(4):32–4.CrossRefPubMed Polk JD, Merlino JI, Kovach BL, Mancuso C, Fallon WF. Fetal evaluation for transport by ultrasound performed by air medical teams: a case series. Air Med J. 2004;23(4):32–4.CrossRefPubMed
34.
go back to reference Heegaard W, Hildebrandt D, Reardon R, Plummer D, Clinton J, Ho J. Prehospital ultrasound diagnosis of traumatic pericardial effusion. Acad Emerg Med. 2009;16(4):364.CrossRefPubMed Heegaard W, Hildebrandt D, Reardon R, Plummer D, Clinton J, Ho J. Prehospital ultrasound diagnosis of traumatic pericardial effusion. Acad Emerg Med. 2009;16(4):364.CrossRefPubMed
35.
go back to reference Snaith B, Hardy M, Walker A. Emergency ultrasound in the prehospital setting: the impact of environment on examination outcomes. Emerg Med J. 2011;28(12):1063–5.CrossRefPubMed Snaith B, Hardy M, Walker A. Emergency ultrasound in the prehospital setting: the impact of environment on examination outcomes. Emerg Med J. 2011;28(12):1063–5.CrossRefPubMed
36.
go back to reference Taylor J, McLaughlin K, McRae A, Lang E, Anton A. Use of prehospital ultrasound in north america: a survey of emergency medical services medical directors. BMC Emerg Med. 2014;14:6.CrossRefPubMedPubMedCentral Taylor J, McLaughlin K, McRae A, Lang E, Anton A. Use of prehospital ultrasound in north america: a survey of emergency medical services medical directors. BMC Emerg Med. 2014;14:6.CrossRefPubMedPubMedCentral
37.
go back to reference Dean AJ, Zeserson EM, Ku BS. 356: the utility of handheld ultrasound evaluation in an austere medical setting after a natural disaster. Ann Emerg Med. 2006;48(4):106.CrossRef Dean AJ, Zeserson EM, Ku BS. 356: the utility of handheld ultrasound evaluation in an austere medical setting after a natural disaster. Ann Emerg Med. 2006;48(4):106.CrossRef
38.
go back to reference Miletić D, Fuckar Z, Mraović B, Dimec D, Mozetic V. Ultrasonography in the evaluation of hemoperitoneum in war casualties. Mil Med. 1999;164(8):600–2.PubMed Miletić D, Fuckar Z, Mraović B, Dimec D, Mozetic V. Ultrasonography in the evaluation of hemoperitoneum in war casualties. Mil Med. 1999;164(8):600–2.PubMed
39.
go back to reference Sargsyan AE, Hamilton DR, Jones JA, Melton S, Whitson PA, Kirkpatrick AW, et al. FAST at MACH 20: clinical ultrasound aboard the international space station. J Trauma. 2005;58(1):35–9.CrossRefPubMed Sargsyan AE, Hamilton DR, Jones JA, Melton S, Whitson PA, Kirkpatrick AW, et al. FAST at MACH 20: clinical ultrasound aboard the international space station. J Trauma. 2005;58(1):35–9.CrossRefPubMed
40.
go back to reference Chiao L, Sharipov S, Sargsyan AE, Melton S, Hamilton DR, McFarlin K, Dulchavsky SA. Ocular examination for trauma; clinical ultrasound aboard the international space station. J Trauma Injury Infect Crit Care. 2005;58(5):885–9.CrossRef Chiao L, Sharipov S, Sargsyan AE, Melton S, Hamilton DR, McFarlin K, Dulchavsky SA. Ocular examination for trauma; clinical ultrasound aboard the international space station. J Trauma Injury Infect Crit Care. 2005;58(5):885–9.CrossRef
41.
go back to reference Fincke EM, Padalka G, Lee D, van Holsbeeck M, Sargsyan AE, Hamilton DR, et al. Evaluation of shoulder integrity in space: first report of musculoskeletal US on the international space station. Radiology. 2005;234(2):319–22.CrossRefPubMed Fincke EM, Padalka G, Lee D, van Holsbeeck M, Sargsyan AE, Hamilton DR, et al. Evaluation of shoulder integrity in space: first report of musculoskeletal US on the international space station. Radiology. 2005;234(2):319–22.CrossRefPubMed
42.
go back to reference Fagenholz PJ, Gutman JA, Murray AF, Noble VE, Thomas SH, Harris NS. Chest ultrasonography for the diagnosis and monitoring of high-altitude pulmonary edema. Chest. 2007;131(4):1013–8.CrossRefPubMed Fagenholz PJ, Gutman JA, Murray AF, Noble VE, Thomas SH, Harris NS. Chest ultrasonography for the diagnosis and monitoring of high-altitude pulmonary edema. Chest. 2007;131(4):1013–8.CrossRefPubMed
43.
go back to reference Fagenholz PJ, Gutman JA, Murray AF, Noble VE, Camargo CA, Harris NS. Optic nerve sheath diameter correlates with the presence and severity of acute mountain sickness: evidence for increased intracranial pressure. J Appl Physiol (1985). 2009;106(4):1207–11.CrossRef Fagenholz PJ, Gutman JA, Murray AF, Noble VE, Camargo CA, Harris NS. Optic nerve sheath diameter correlates with the presence and severity of acute mountain sickness: evidence for increased intracranial pressure. J Appl Physiol (1985). 2009;106(4):1207–11.CrossRef
44.
go back to reference Shorter M, Macias DJ. Portable handheld ultrasound in austere environments: use in the Haiti disaster. Prehosp Disaster Med. 2012;27(2):172–7.CrossRefPubMed Shorter M, Macias DJ. Portable handheld ultrasound in austere environments: use in the Haiti disaster. Prehosp Disaster Med. 2012;27(2):172–7.CrossRefPubMed
45.
go back to reference OConnell K, Bouffard AJ, Vollman A, Mercado-Young R, Sargsyan AE, Rubinfeld I, Dulchavsky SA. Extreme musculo-skeletal ultrasound: training of non-physicians in the Arctic Circle. Crit Ultrasound J. 2011;3(1):19–24.CrossRef OConnell K, Bouffard AJ, Vollman A, Mercado-Young R, Sargsyan AE, Rubinfeld I, Dulchavsky SA. Extreme musculo-skeletal ultrasound: training of non-physicians in the Arctic Circle. Crit Ultrasound J. 2011;3(1):19–24.CrossRef
46.
go back to reference Rozanski TA, Edmondson JM, Jones SB. Ultrasonography in a forward-deployed military hospital. Mil Med. 2005;170(2):99–102.PubMed Rozanski TA, Edmondson JM, Jones SB. Ultrasonography in a forward-deployed military hospital. Mil Med. 2005;170(2):99–102.PubMed
47.
go back to reference Stamilio DM, McReynolds T, Endrizzi J, Lyons RC. Diagnosis and treatment of a ruptured ectopic pregnancy in a combat support hospital during operation iraqi freedom: case report and critique of a field-ready sonographic device. Mil Med. 2004;169(9):681–3.CrossRefPubMed Stamilio DM, McReynolds T, Endrizzi J, Lyons RC. Diagnosis and treatment of a ruptured ectopic pregnancy in a combat support hospital during operation iraqi freedom: case report and critique of a field-ready sonographic device. Mil Med. 2004;169(9):681–3.CrossRefPubMed
48.
go back to reference Harcke HT, Statler JD, Montilla J. Radiology in a hostile environment: experience in afghanistan. Mil Med. 2006;171(3):194.CrossRefPubMed Harcke HT, Statler JD, Montilla J. Radiology in a hostile environment: experience in afghanistan. Mil Med. 2006;171(3):194.CrossRefPubMed
49.
go back to reference Otto C, Hamilton DR, Levine BD, Hare C, Sargsyan AE, Altshuler P, Dulchavsky SA. Into thin air: extreme ultrasound on Mt Everest. Wilderness Environ Med. 2009;20(3):283–9.CrossRefPubMed Otto C, Hamilton DR, Levine BD, Hare C, Sargsyan AE, Altshuler P, Dulchavsky SA. Into thin air: extreme ultrasound on Mt Everest. Wilderness Environ Med. 2009;20(3):283–9.CrossRefPubMed
50.
go back to reference Marshburn TH, Hadfield CA, Sargsyan AE, Garcia K, Ebert D, Dulchavsky SA. New heights in ultrasound: first report of spinal ultrasound from the international space station. J Emerg Med. 2014;46(1):61–70.CrossRefPubMed Marshburn TH, Hadfield CA, Sargsyan AE, Garcia K, Ebert D, Dulchavsky SA. New heights in ultrasound: first report of spinal ultrasound from the international space station. J Emerg Med. 2014;46(1):61–70.CrossRefPubMed
51.
go back to reference Tayal V, Blaivas M, Mandavia D, Blankenship R, Boniface K, Ferre R. Emergency ultrasound guidelines. Ann Emerg Med. 2009;53(4):550–70.CrossRef Tayal V, Blaivas M, Mandavia D, Blankenship R, Boniface K, Ferre R. Emergency ultrasound guidelines. Ann Emerg Med. 2009;53(4):550–70.CrossRef
52.
go back to reference Effective choices for diagnostic imaging in clinical practice. Report of a WHO scientific group. World Health Organ Tech Rep Ser. 1990;795:1–131. Effective choices for diagnostic imaging in clinical practice. Report of a WHO scientific group. World Health Organ Tech Rep Ser. 1990;795:1–131.
53.
go back to reference Organization WH. Training in diagnostic ultrasound: essentials, principles and standards: report of a WHO study group. 1998. Organization WH. Training in diagnostic ultrasound: essentials, principles and standards: report of a WHO study group. 1998.
54.
go back to reference Palmer PE. Manual of diagnostic ultrasound. World Health Organization; 1995. Palmer PE. Manual of diagnostic ultrasound. World Health Organization; 1995.
55.
go back to reference Steinmetz JP, Berger JP. Ultrasonography as an aid to diagnosis and treatment in a rural african hospital: a prospective study of 1,119 cases. Am J Trop Med Hyg. 1999;60(1):119–23.PubMed Steinmetz JP, Berger JP. Ultrasonography as an aid to diagnosis and treatment in a rural african hospital: a prospective study of 1,119 cases. Am J Trop Med Hyg. 1999;60(1):119–23.PubMed
56.
go back to reference Adler D, Mgalula K, Price D, Taylor O. Introduction of a portable ultrasound unit into the health services of the lugufu refugee camp, kigoma district, tanzania. Int J Emerg Med. 2008;1(4):261–6.CrossRefPubMedPubMedCentral Adler D, Mgalula K, Price D, Taylor O. Introduction of a portable ultrasound unit into the health services of the lugufu refugee camp, kigoma district, tanzania. Int J Emerg Med. 2008;1(4):261–6.CrossRefPubMedPubMedCentral
57.
go back to reference Shah S, Noble VE, Umulisa I, Dushimiyimana JMV, Bukhman G, Mukherjee J, et al. Development of an ultrasound training curriculum in a limited resource international setting: successes and challenges of ultrasound training in rural rwanda. Int J Emerg Med. 2008;1(3):193–6.CrossRefPubMedPubMedCentral Shah S, Noble VE, Umulisa I, Dushimiyimana JMV, Bukhman G, Mukherjee J, et al. Development of an ultrasound training curriculum in a limited resource international setting: successes and challenges of ultrasound training in rural rwanda. Int J Emerg Med. 2008;1(3):193–6.CrossRefPubMedPubMedCentral
58.
go back to reference Shah SP, Epino H, Bukhman G, Umulisa I, Dushimiyimana JMV, Reichman A, Noble VE. Impact of the introduction of ultrasound services in a limited resource setting: rural rwanda 2008. BMC Int Health Hum Rights. 2009;9(1):4.CrossRefPubMedPubMedCentral Shah SP, Epino H, Bukhman G, Umulisa I, Dushimiyimana JMV, Reichman A, Noble VE. Impact of the introduction of ultrasound services in a limited resource setting: rural rwanda 2008. BMC Int Health Hum Rights. 2009;9(1):4.CrossRefPubMedPubMedCentral
59.
go back to reference Spencer JK, Adler RS. Utility of portable ultrasound in a community in ghana. J Ultrasound Med. 2008;27(12):1735–43.PubMed Spencer JK, Adler RS. Utility of portable ultrasound in a community in ghana. J Ultrasound Med. 2008;27(12):1735–43.PubMed
60.
go back to reference Henwood PC, Mackenzie DC, Rempell JS, Murray AF, Leo MM, Dean AJ, et al. A practical guide to self-sustaining point-of-care ultrasound education programs in resource-limited settings. Ann Emerg Med. 2014;64(3):277–285.e2.CrossRefPubMed Henwood PC, Mackenzie DC, Rempell JS, Murray AF, Leo MM, Dean AJ, et al. A practical guide to self-sustaining point-of-care ultrasound education programs in resource-limited settings. Ann Emerg Med. 2014;64(3):277–285.e2.CrossRefPubMed
63.
go back to reference Mosier J, Joseph B, Sakles JC. Telebation: next-generation telemedicine in remote airway management using current wireless technologies. Telemed J E Health. 2013;19(2):95–8.CrossRefPubMed Mosier J, Joseph B, Sakles JC. Telebation: next-generation telemedicine in remote airway management using current wireless technologies. Telemed J E Health. 2013;19(2):95–8.CrossRefPubMed
64.
go back to reference Trippi JA, Lee KS, Kopp G, Nelson D, Kovacs R. Emergency echocardiography telemedicine: an efficient method to provide 24-h consultative echocardiography. J Am Coll Cardiol. 1996;27(7):1748–52.CrossRefPubMed Trippi JA, Lee KS, Kopp G, Nelson D, Kovacs R. Emergency echocardiography telemedicine: an efficient method to provide 24-h consultative echocardiography. J Am Coll Cardiol. 1996;27(7):1748–52.CrossRefPubMed
65.
go back to reference Strode CA, Rubal BJ, Gerhardt RT, Christopher FL, Bulgrin JR, Kinkler ES, et al. Satellite and mobile wireless transmission of focused assessment with sonography in trauma. Acad Emerg Med. 2003;10(12):1411–4.CrossRefPubMed Strode CA, Rubal BJ, Gerhardt RT, Christopher FL, Bulgrin JR, Kinkler ES, et al. Satellite and mobile wireless transmission of focused assessment with sonography in trauma. Acad Emerg Med. 2003;10(12):1411–4.CrossRefPubMed
66.
go back to reference Huffer LL, Bauch TD, Furgerson JL, Bulgrin J, Boyd SY. Feasibility of remote echocardiography with satellite transmission and real-time interpretation to support medical activities in the austere medical environment. J Am Soc Echocardiogr. 2004;17(6):670–4.CrossRefPubMed Huffer LL, Bauch TD, Furgerson JL, Bulgrin J, Boyd SY. Feasibility of remote echocardiography with satellite transmission and real-time interpretation to support medical activities in the austere medical environment. J Am Soc Echocardiogr. 2004;17(6):670–4.CrossRefPubMed
67.
go back to reference Singh S, Bansal M, Maheshwari P, Adams D, Sengupta SP, Price R, et al. American society of echocardiography: remote echocardiography with web-based assessments for referrals at a distance (ASE-REWARD) study. J Am Soc Echocardiogr. 2013;26(3):221–33.CrossRefPubMed Singh S, Bansal M, Maheshwari P, Adams D, Sengupta SP, Price R, et al. American society of echocardiography: remote echocardiography with web-based assessments for referrals at a distance (ASE-REWARD) study. J Am Soc Echocardiogr. 2013;26(3):221–33.CrossRefPubMed
68.
go back to reference Su MJ, Ma HM, Ko CI, Chiang WC, Yang CW, Chen SJ, et al. Application of tele-ultrasound in emergency medical services. Telemed J E Health. 2008;14(8):816–24.CrossRefPubMed Su MJ, Ma HM, Ko CI, Chiang WC, Yang CW, Chen SJ, et al. Application of tele-ultrasound in emergency medical services. Telemed J E Health. 2008;14(8):816–24.CrossRefPubMed
69.
go back to reference Mai TV, Ahn DT, Phillips CT, Agan DL, Kimura BJ. Feasibility of remote real-time guidance of a cardiac examination performed by novices using a pocket-sized ultrasound device. Emerg Med Int. 2013;2013:627230.CrossRefPubMedPubMedCentral Mai TV, Ahn DT, Phillips CT, Agan DL, Kimura BJ. Feasibility of remote real-time guidance of a cardiac examination performed by novices using a pocket-sized ultrasound device. Emerg Med Int. 2013;2013:627230.CrossRefPubMedPubMedCentral
70.
go back to reference McBeth PB, Crawford I, Blaivas M, Hamilton T, Musselwhite K, Panebianco N, et al. Simple, almost anywhere, with almost anyone: remote low-cost telementored resuscitative lung ultrasound. J Trauma. 2011;71(6):1528–35.CrossRefPubMed McBeth PB, Crawford I, Blaivas M, Hamilton T, Musselwhite K, Panebianco N, et al. Simple, almost anywhere, with almost anyone: remote low-cost telementored resuscitative lung ultrasound. J Trauma. 2011;71(6):1528–35.CrossRefPubMed
71.
go back to reference Adhikari S, Blaivas M, Lyon M, Shiver S. Transfer of real-time ultrasound video of FAST examinations from a simulated disaster scene via a mobile phone. Prehosp Disaster Med. 2014;29(3):290–3. Adhikari S, Blaivas M, Lyon M, Shiver S. Transfer of real-time ultrasound video of FAST examinations from a simulated disaster scene via a mobile phone. Prehosp Disaster Med. 2014;29(3):290–3.
73.
go back to reference Stanberry B. The legal and ethical aspects of telemedicine. 2: data protection, security and European law. J Telemed Telecare. 1998;4(1):18–24.CrossRefPubMed Stanberry B. The legal and ethical aspects of telemedicine. 2: data protection, security and European law. J Telemed Telecare. 1998;4(1):18–24.CrossRefPubMed
74.
go back to reference Luxton DD, Kayl RA, Mishkind MC. MHealth data security: the need for HIPAA-compliant standardization. Telemed J E Health. 2012;18(4):284–8.CrossRefPubMed Luxton DD, Kayl RA, Mishkind MC. MHealth data security: the need for HIPAA-compliant standardization. Telemed J E Health. 2012;18(4):284–8.CrossRefPubMed
75.
go back to reference Rudolph SS, Sørensen MK, Svane C, Hesselfeldt R, Steinmetz J. Effect of prehospital ultrasound on clinical outcomes of non-trauma patients–a systematic review. Resuscitation. 2014;85(1):21–30.CrossRefPubMed Rudolph SS, Sørensen MK, Svane C, Hesselfeldt R, Steinmetz J. Effect of prehospital ultrasound on clinical outcomes of non-trauma patients–a systematic review. Resuscitation. 2014;85(1):21–30.CrossRefPubMed
Metadata
Title
Out of hospital point of care ultrasound: current use models and future directions
Authors
B. P. Nelson
A. Sanghvi
Publication date
01-04-2016
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Trauma and Emergency Surgery / Issue 2/2016
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-015-0494-z

Other articles of this Issue 2/2016

European Journal of Trauma and Emergency Surgery 2/2016 Go to the issue