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Published in: The Ultrasound Journal 3/2011

Open Access 01-12-2011 | Review Article

Prehospital ultrasound as the evolution of the Franco-German model of prehospital EMS

Author: Marco Garrone

Published in: The Ultrasound Journal | Issue 3/2011

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Abstract

Purpose

To evaluate, throughout model analysis and evaluation of existing literature and personal experience, which can be the benefits of routine performance of prehospital ultrasound in the different models of prehospital emergency medical service.

Methods

The existing literature was reviewed.

Conclusions

The ultrasound can be a very valuable asset in both the Anglo-American and the Franco-German models. In the latter, however, its role is further emphasized since US-enhanced on-spot early diagnosis performed by the physician can be beneficial to the whole system and not just the single patient.
Literature
1.
go back to reference Moore L (1999) Measuring quality and effectiveness of prehospital EMS. Prehospital Emerg Care 3(4):325–331CrossRef Moore L (1999) Measuring quality and effectiveness of prehospital EMS. Prehospital Emerg Care 3(4):325–331CrossRef
2.
go back to reference Roudsari B, Nathens A, Cameron P, Civil I, Gruen R, Koepsell T et al (2007) International comparison of prehospital trauma care systems. Injury 38(9):993–1000PubMedCrossRef Roudsari B, Nathens A, Cameron P, Civil I, Gruen R, Koepsell T et al (2007) International comparison of prehospital trauma care systems. Injury 38(9):993–1000PubMedCrossRef
3.
go back to reference Roudsari BS, Nathens AB, Arreola-Risa C, Cameron P, Civil I, Grigoriou G et al (2007) Emergency Medical Service (EMS) systems in developed and developing countries. Injury 38(9):1001–1013PubMedCrossRef Roudsari BS, Nathens AB, Arreola-Risa C, Cameron P, Civil I, Grigoriou G et al (2007) Emergency Medical Service (EMS) systems in developed and developing countries. Injury 38(9):1001–1013PubMedCrossRef
4.
5.
go back to reference Pozner CN, Zane R, Nelson SJ, Levine M, Pozner CN, Zane R et al (2004) International EMS systems: The United States: past, present, and future. Resuscitation 60(3):239–244PubMedCrossRef Pozner CN, Zane R, Nelson SJ, Levine M, Pozner CN, Zane R et al (2004) International EMS systems: The United States: past, present, and future. Resuscitation 60(3):239–244PubMedCrossRef
6.
7.
go back to reference Tanigawa K, Tanaka K (2006) Emergency medical service systems in Japan: Past, present, and future Resuscitation 69(3):365–370 Tanigawa K, Tanaka K (2006) Emergency medical service systems in Japan: Past, present, and future Resuscitation 69(3):365–370
8.
go back to reference MacFarlane C, Van Loggerenberg C, Kloeck W (2005) International EMS systems in South Africa–past, present, and future. Resuscitation 64(2):145–148PubMedCrossRef MacFarlane C, Van Loggerenberg C, Kloeck W (2005) International EMS systems in South Africa–past, present, and future. Resuscitation 64(2):145–148PubMedCrossRef
9.
go back to reference Cooke MW, Bridge P, Wilson S (2001) Variation in emergency ambulance dispatch in Western Europe. Scand J Trauma Emerg Med 9(2):57–66 Cooke MW, Bridge P, Wilson S (2001) Variation in emergency ambulance dispatch in Western Europe. Scand J Trauma Emerg Med 9(2):57–66
10.
go back to reference Dick W (2003) Anglo-American vs. Franco-German emergency medical services system. Prehospital Disaster Med 18(1):29–35PubMedCrossRef Dick W (2003) Anglo-American vs. Franco-German emergency medical services system. Prehospital Disaster Med 18(1):29–35PubMedCrossRef
12.
13.
go back to reference Papaspyrou E, Setzis D, Grosomanidis V, Manikis D, Boutlis D, Ressos C et al (2004) International EMS systems: Greece. Resuscitation 63(3):255–259PubMedCrossRef Papaspyrou E, Setzis D, Grosomanidis V, Manikis D, Boutlis D, Ressos C et al (2004) International EMS systems: Greece. Resuscitation 63(3):255–259PubMedCrossRef
15.
16.
go back to reference Langhelle A, Lossius HM, Silfvast T et al (2004) International EMS Systems: the Nordic countries. Resuscitation 61:9–21PubMedCrossRef Langhelle A, Lossius HM, Silfvast T et al (2004) International EMS Systems: the Nordic countries. Resuscitation 61:9–21PubMedCrossRef
17.
go back to reference Lichtenstein D (2004) Comparative diagnostic peformance of auscultation, chest radiography and lung ultrasonography in acute respiratory distress syndrome Anaesthesiology 108:1009–1015 Lichtenstein D (2004) Comparative diagnostic peformance of auscultation, chest radiography and lung ultrasonography in acute respiratory distress syndrome Anaesthesiology 108:1009–1015
18.
go back to reference Stevenson LW, Perloff JK (1989) The limited reliability of physical signs for estimating hemodynamics in chronic heart failure. J Am Med 10 261(6):884–888 Stevenson LW, Perloff JK (1989) The limited reliability of physical signs for estimating hemodynamics in chronic heart failure. J Am Med 10 261(6):884–888
19.
go back to reference Chakko S, Woska D, Martinez H et al (1991) Clinical, radiographic, and hemodynamic correlations in chronic congestive heart failure: conflicting results may lead to inappropriate care. Am J Med 90(3):353–359PubMedCrossRef Chakko S, Woska D, Martinez H et al (1991) Clinical, radiographic, and hemodynamic correlations in chronic congestive heart failure: conflicting results may lead to inappropriate care. Am J Med 90(3):353–359PubMedCrossRef
20.
go back to reference Melanson SW, McCarthy J, Stromski CJ et al (2001) Aeromedical trauma sonography by flight crews with a miniature ultrasound unit. Prehosp Emerg Care 5(4):399–402PubMedCrossRef Melanson SW, McCarthy J, Stromski CJ et al (2001) Aeromedical trauma sonography by flight crews with a miniature ultrasound unit. Prehosp Emerg Care 5(4):399–402PubMedCrossRef
21.
go back to reference Price D, Wilson SR, Murphy TG (2000) Trauma ultrasound feasibility during helicopter transport. Air Med J 19:144–146PubMedCrossRef Price D, Wilson SR, Murphy TG (2000) Trauma ultrasound feasibility during helicopter transport. Air Med J 19:144–146PubMedCrossRef
22.
go back to reference Plummer D et al (2003) Ultrasound in HEMS: its role in differentiating shock states. Air Med J 22(2):33–36PubMedCrossRef Plummer D et al (2003) Ultrasound in HEMS: its role in differentiating shock states. Air Med J 22(2):33–36PubMedCrossRef
23.
go back to reference Polk JD, Martino JI, Kovach BL et al (2004) Foetal evaluation for transport by ultrasound performed by air medical teams. A case series. Air Med J 23(4):32–34PubMedCrossRef Polk JD, Martino JI, Kovach BL et al (2004) Foetal evaluation for transport by ultrasound performed by air medical teams. A case series. Air Med J 23(4):32–34PubMedCrossRef
24.
go back to reference Busch M (2006) Portable ultrasound in pre-hospital emergencies: a feasibility study. Acta Anaesthesiol Scand 50:754–758PubMedCrossRef Busch M (2006) Portable ultrasound in pre-hospital emergencies: a feasibility study. Acta Anaesthesiol Scand 50:754–758PubMedCrossRef
25.
go back to reference Mazur SM, Sharley P (2007) Use of point-of-care ultrasound by a critical care retrieval team. Emerg Med Aust 19:547–552CrossRef Mazur SM, Sharley P (2007) Use of point-of-care ultrasound by a critical care retrieval team. Emerg Med Aust 19:547–552CrossRef
26.
go back to reference Mazur SM, Pearce A, Alfred S (2008) The F.A.S.T.E.R. trial. Focused assessment by sonography in trauma during emergency retrieval: a feasibility study. Injury 39(5):512–518PubMedCrossRef Mazur SM, Pearce A, Alfred S (2008) The F.A.S.T.E.R. trial. Focused assessment by sonography in trauma during emergency retrieval: a feasibility study. Injury 39(5):512–518PubMedCrossRef
27.
go back to reference Heegard W, Plummer D, Dries D et al (2004) Ultrasound for the air medical clinician. Air Med J 23(2):20–23CrossRef Heegard W, Plummer D, Dries D et al (2004) Ultrasound for the air medical clinician. Air Med J 23(2):20–23CrossRef
28.
go back to reference Blaivas M, Kuhn W, Reynolds B et al (2005) Change in differential diagnosis and patient management with the use of portable ultrasound in a remote setting. Wilderness Environ Med 16:38–41PubMedCrossRef Blaivas M, Kuhn W, Reynolds B et al (2005) Change in differential diagnosis and patient management with the use of portable ultrasound in a remote setting. Wilderness Environ Med 16:38–41PubMedCrossRef
29.
go back to reference Kirkpatrick AW, Breeck K, Wong J et al (2005) The potential of handheld trauma sonography in the air medical transport of the trauma victim. Air Med J 24(1):34–39PubMedCrossRef Kirkpatrick AW, Breeck K, Wong J et al (2005) The potential of handheld trauma sonography in the air medical transport of the trauma victim. Air Med J 24(1):34–39PubMedCrossRef
30.
go back to reference Ma J, Mateer J, Blaivas M (2008) Emergency ultrasound, 2nd edn. McGraw-Hill, New York Ma J, Mateer J, Blaivas M (2008) Emergency ultrasound, 2nd edn. McGraw-Hill, New York
32.
go back to reference Niendorff DF, Rassias AJ, Palac R et al (2005) Rapid cardiac ultrasound of inpatients suffering PEA arrest performed by nonexpert sonographers. Resuscitation 67:81–87PubMedCrossRef Niendorff DF, Rassias AJ, Palac R et al (2005) Rapid cardiac ultrasound of inpatients suffering PEA arrest performed by nonexpert sonographers. Resuscitation 67:81–87PubMedCrossRef
33.
go back to reference Breitkreutz R, Walcher F, Seeger FH (2007) Focused echocardiographic evaluation in resuscitation management: concept of an advanced life support-conformed algorithm. Crit Care Med 35(5 (Suppl)):150–161CrossRef Breitkreutz R, Walcher F, Seeger FH (2007) Focused echocardiographic evaluation in resuscitation management: concept of an advanced life support-conformed algorithm. Crit Care Med 35(5 (Suppl)):150–161CrossRef
34.
go back to reference Lichtenstein D, Menu Y (1995) A bedside ultrasound sign ruling out pneumothorax in the critically ill: lung sliding. Chest 108:1345–1348PubMedCrossRef Lichtenstein D, Menu Y (1995) A bedside ultrasound sign ruling out pneumothorax in the critically ill: lung sliding. Chest 108:1345–1348PubMedCrossRef
35.
go back to reference Rozycki GS, Ochsner MG, Frankel HL et al (1994) A prospective study of surgeon-performed ultrasound as the initial diagnostic modality for injured patient assessment. J Trauma 37(1):160CrossRef Rozycki GS, Ochsner MG, Frankel HL et al (1994) A prospective study of surgeon-performed ultrasound as the initial diagnostic modality for injured patient assessment. J Trauma 37(1):160CrossRef
36.
go back to reference Kirkpatrick AW, Sirois M, Laupland KB et al (2004) Hand-held thoracic sonography for detecting traumatic pneumothoraces: the extended focused assessment with sonography for trauma (EFAST). J Trauma 57(2):288–295PubMedCrossRef Kirkpatrick AW, Sirois M, Laupland KB et al (2004) Hand-held thoracic sonography for detecting traumatic pneumothoraces: the extended focused assessment with sonography for trauma (EFAST). J Trauma 57(2):288–295PubMedCrossRef
37.
go back to reference Lichtenstein D (2007) Ultrasound in the management of thoracic disease. Crit Care Med 35(5 Suppl):S250–S261PubMedCrossRef Lichtenstein D (2007) Ultrasound in the management of thoracic disease. Crit Care Med 35(5 Suppl):S250–S261PubMedCrossRef
38.
go back to reference Shahgaldi K, Gudmundsson P, Manouras A et al (2009) Visually estimated ejection fraction by two dimensional and triplane echocardiography is closely correlated with quantitative ejection fraction by real-time three dimensional echocardiography. Cardiovas Ultrasound 7:41CrossRef Shahgaldi K, Gudmundsson P, Manouras A et al (2009) Visually estimated ejection fraction by two dimensional and triplane echocardiography is closely correlated with quantitative ejection fraction by real-time three dimensional echocardiography. Cardiovas Ultrasound 7:41CrossRef
39.
go back to reference Petrovic T, Gamand P, Tazarourte K et al (2010) Feasibility of transcranial Doppler ultrasound examination out-of-hospital 81(1):126–127 Petrovic T, Gamand P, Tazarourte K et al (2010) Feasibility of transcranial Doppler ultrasound examination out-of-hospital 81(1):126–127
40.
go back to reference Holscher T, Schlachetzki F, Zimmermann M et al (2008) Transcranial ultrasound from diagnosis to early stroke treatment 1. Feasibility of prehospital cerebrovascular assessment. Cerebrovasc Dis 26(6):659–663PubMedCrossRef Holscher T, Schlachetzki F, Zimmermann M et al (2008) Transcranial ultrasound from diagnosis to early stroke treatment 1. Feasibility of prehospital cerebrovascular assessment. Cerebrovasc Dis 26(6):659–663PubMedCrossRef
41.
go back to reference Lapostolle F, Petrovic T, Lenoir G et al (2006) Usefulness of hand-held ultrasound devices in out-of-hospital diagnosis performed by emergency physicians. Am J Emerg Med 24:237–242PubMedCrossRef Lapostolle F, Petrovic T, Lenoir G et al (2006) Usefulness of hand-held ultrasound devices in out-of-hospital diagnosis performed by emergency physicians. Am J Emerg Med 24:237–242PubMedCrossRef
42.
go back to reference Byhahn C, Bingold TB, Zwisser B et al (2008) Prehospital ultrasound detects pericardial tamponade in a pregnant victim of stabbing assault. Resuscitation 76(1):146–148PubMedCrossRef Byhahn C, Bingold TB, Zwisser B et al (2008) Prehospital ultrasound detects pericardial tamponade in a pregnant victim of stabbing assault. Resuscitation 76(1):146–148PubMedCrossRef
43.
go back to reference Heegard W, Hildebrandt D, Reardon R et al (2009) Prehospital ultrasound diagnosis of traumatic pericardial effusion. Acad Emerg Med 16(4):364CrossRef Heegard W, Hildebrandt D, Reardon R et al (2009) Prehospital ultrasound diagnosis of traumatic pericardial effusion. Acad Emerg Med 16(4):364CrossRef
44.
go back to reference Lapostolle F, Petrovic T, Catineau J et al (2004) Out-of-hospital ultrasonographic diagnosis of a left ventricular wound after penetrating thoracic trauma. Ann Emerg Med 43(3):422–423PubMedCrossRef Lapostolle F, Petrovic T, Catineau J et al (2004) Out-of-hospital ultrasonographic diagnosis of a left ventricular wound after penetrating thoracic trauma. Ann Emerg Med 43(3):422–423PubMedCrossRef
45.
go back to reference Byhahn C, Muller E, Walcher F et al (2007) Prehospital echocardiography in pulseless electrical activity victims using portable, handheld ultrasound. Crit Care 11(Suppl 2):279CrossRef Byhahn C, Muller E, Walcher F et al (2007) Prehospital echocardiography in pulseless electrical activity victims using portable, handheld ultrasound. Crit Care 11(Suppl 2):279CrossRef
46.
go back to reference European Resuscitation Council Guidelines for Resuscitation (2010) Resuscitation 81:1219–1276 European Resuscitation Council Guidelines for Resuscitation (2010) Resuscitation 81:1219–1276
47.
go back to reference Neumar RW, Otto CW, Link MS et al (2010) Part 8: adult advanced cardiovascular life support: 2010 American Heart Association Guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 122:S729–S767PubMedCrossRef Neumar RW, Otto CW, Link MS et al (2010) Part 8: adult advanced cardiovascular life support: 2010 American Heart Association Guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 122:S729–S767PubMedCrossRef
48.
go back to reference Blaivas M, Fox JC (2001) Outcome in cardiac arrest patients found to have cardiac standstill on the bedside emergency department echocardiogram. Acad Emerg Med 8(6):616–621PubMedCrossRef Blaivas M, Fox JC (2001) Outcome in cardiac arrest patients found to have cardiac standstill on the bedside emergency department echocardiogram. Acad Emerg Med 8(6):616–621PubMedCrossRef
49.
go back to reference Prosen G, Grmec Š, Kupnik D, Križmarišnik J, Gazmuri RJ (2009) Focused echocardiography and capnography during resuscitation from pulseless electrical activity after out-of-hospital cardiac arrest. Crit Care 13(Suppl 1):S25–S26CrossRef Prosen G, Grmec Š, Kupnik D, Križmarišnik J, Gazmuri RJ (2009) Focused echocardiography and capnography during resuscitation from pulseless electrical activity after out-of-hospital cardiac arrest. Crit Care 13(Suppl 1):S25–S26CrossRef
50.
go back to reference Salen P, O’Connor R, Sierzenski P et al (2001) Can cardiac sonography and capnography be used independently and in combination to predict resuscitation outcomes? Acad Emerg Med 8(6):610–615PubMedCrossRef Salen P, O’Connor R, Sierzenski P et al (2001) Can cardiac sonography and capnography be used independently and in combination to predict resuscitation outcomes? Acad Emerg Med 8(6):610–615PubMedCrossRef
51.
go back to reference Advanced Life Support Course, Provider Manual, 5th edn, European Resuscitation Council Advanced Life Support Course, Provider Manual, 5th edn, European Resuscitation Council
52.
go back to reference Chun R, Kirkpatrick AW, Sirois M et al (2004) Where’s the tube? Evaluation of hand-held ultrasound in confirming endotracheal tube placement. Prehospital Disast Med 19(4):365–369 Chun R, Kirkpatrick AW, Sirois M et al (2004) Where’s the tube? Evaluation of hand-held ultrasound in confirming endotracheal tube placement. Prehospital Disast Med 19(4):365–369
53.
go back to reference Lyon M, Walton P, Bhalla V et al (2011) Ultrasound detection of the sliding lung sign by prehospital care providers. Am J Emerg Med (in press) Lyon M, Walton P, Bhalla V et al (2011) Ultrasound detection of the sliding lung sign by prehospital care providers. Am J Emerg Med (in press)
54.
go back to reference Walcher F, Weinlich M, Conrad G et al (2006) Prehospital ultrasound imaging improves management of abdominal trauma. Br J Surg 93:238–242PubMedCrossRef Walcher F, Weinlich M, Conrad G et al (2006) Prehospital ultrasound imaging improves management of abdominal trauma. Br J Surg 93:238–242PubMedCrossRef
55.
go back to reference Frankema SPG, Ringburg AH, Steyerberg EW et al (2004) Beneficial effect of helicopter emergency services on survival of severely injured patients. Br J Surg 91:1520–1526PubMedCrossRef Frankema SPG, Ringburg AH, Steyerberg EW et al (2004) Beneficial effect of helicopter emergency services on survival of severely injured patients. Br J Surg 91:1520–1526PubMedCrossRef
56.
go back to reference Bledsoe BE, Wesley AK, Eckstein M et al (2006) Helicopter scene transport of trauma patients with nonlife-threatening injuries: a meta-analysis. J Trauma 60:1257–1266PubMedCrossRef Bledsoe BE, Wesley AK, Eckstein M et al (2006) Helicopter scene transport of trauma patients with nonlife-threatening injuries: a meta-analysis. J Trauma 60:1257–1266PubMedCrossRef
57.
go back to reference Tsang TS, Enriquez-Sarano M, Freeman WK et al (2002) Consecutive 1127 therapeutic echocardiographically guided pericardiocentesis: clinical profile, practice patterns and outcome spanning 21 years. Mayo Clin Proc 77:429–436PubMedCrossRef Tsang TS, Enriquez-Sarano M, Freeman WK et al (2002) Consecutive 1127 therapeutic echocardiographically guided pericardiocentesis: clinical profile, practice patterns and outcome spanning 21 years. Mayo Clin Proc 77:429–436PubMedCrossRef
58.
go back to reference Tsang TS, Freeman WK, Sinak LJ, Seward JB (1998) Echocardiographically guided pericardiocentesis: evolution and state-of-the-art technique. Mayo Clin Proc 73:647–652PubMedCrossRef Tsang TS, Freeman WK, Sinak LJ, Seward JB (1998) Echocardiographically guided pericardiocentesis: evolution and state-of-the-art technique. Mayo Clin Proc 73:647–652PubMedCrossRef
59.
go back to reference Costantino TP, Parikh A (2005) Ultrasonography-guided peripehral intravenous access versus traditional approaches in patients with difficult intravenous access. Ann Emerg Med 46:456–461PubMedCrossRef Costantino TP, Parikh A (2005) Ultrasonography-guided peripehral intravenous access versus traditional approaches in patients with difficult intravenous access. Ann Emerg Med 46:456–461PubMedCrossRef
60.
go back to reference Brannam I (2004) Emergency nurses utilization of ultrasound guidance for placement of peripheral intravenous lines in difficult-access patients. Acad Emerg Med 11:1361–1363PubMedCrossRef Brannam I (2004) Emergency nurses utilization of ultrasound guidance for placement of peripheral intravenous lines in difficult-access patients. Acad Emerg Med 11:1361–1363PubMedCrossRef
Metadata
Title
Prehospital ultrasound as the evolution of the Franco-German model of prehospital EMS
Author
Marco Garrone
Publication date
01-12-2011
Publisher
Springer Milan
Published in
The Ultrasound Journal / Issue 3/2011
Electronic ISSN: 2524-8987
DOI
https://doi.org/10.1007/s13089-011-0077-0

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