A pilot study examining the viability of a Prehospital Assessment with UltraSound for Emergencies (PAUSE) protocol

The Journal of Emergency Medicine
Eric J ChinJ Christian Fox

Abstract

Prehospital ultrasound has been shown to aid in the diagnosis of multiple conditions that do not generally change prehospital management. On the other hand, the diagnoses of cardiac tamponade, tension pneumothorax, or cardiac standstill may directly impact patient resuscitation in the field. To determine if prehospital care providers can learn to acquire and recognize ultrasound images for several life-threatening conditions using the Prehospital Assessment with UltraSound for Emergencies (PAUSE) protocol. This is a prospective, educational intervention pilot study at an urban fire department with integrated emergency medical services (EMS). We enrolled 20 emergency medical technicians--paramedic with no prior ultrasonography training. Subjects underwent a 2-h training session on basic ultrasonography of the lungs and heart to evaluate for pneumothorax, pericardial effusion, and cardiac activity. Subjects were tested on image interpretation as well as image acquisition skills. Two bedside ultrasound-trained emergency physicians scored images for adequacy. Image interpretation testing was performed using pre-obtained ultrasound clips containing normal and abnormal images. All subjects appropriately identified the pleural line, a...Continue Reading

References

Jan 1, 1997·The Journal of Trauma·S C ChenC W Schwab
Jun 5, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·M Blaivas, J C Fox
Dec 6, 2005·The British Journal of Surgery·F WalcherI Marzi
Apr 21, 2007·Critical Care Medicine·Yanick Beaulieu
Jan 16, 2009·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Christopher R McNeilSumeru Mehta
Mar 24, 2009·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·William HeegaardJeffrey Ho
Dec 2, 2009·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Brandon H BacklundJohn L Kendall
May 6, 2010·Internal and Emergency Medicine·Alfredo Barillari, Massimo Fioretti
May 25, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·William HeegaardJeffrey Ho
Jul 1, 2010·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Michel GalinskiFrederic Lapostolle

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Citations

Jun 22, 2014·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Gabriele ViaUNKNOWN International Conference on Focused Cardiac UltraSound (IC-FoCUS)
Nov 28, 2015·Air Medical Journal·Jessica McCallumHussein D Kanji
May 21, 2013·The Journal of Emergency Medicine·Nils Petter OvelandLars Knudsen
Sep 24, 2013·Resuscitation·Søren Steemann RudolphJacob Steinmetz
Jun 4, 2015·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·B P Nelson, A Sanghvi
Jul 21, 2016·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Domhnall O'DochartaighMark MacKenzie
Oct 31, 2013·Emergency Medicine International·Mazen J El Sayed, Elie Zaghrini
Sep 8, 2018·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·James B FitzgibbonChristian Martin-Gill
Sep 15, 2017·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Torben K BeckerChristopher Schott
Apr 26, 2019·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Varsha SwamyElke Platz
May 23, 2020·BMJ Military Health·Patrick G A Duncan, J Mackey
Jun 27, 2018·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Morten Thingemann BøtkerLars Knudsen
May 22, 2019·High Altitude Medicine & Biology·Carlo Andre Canepa, N Stuart Harris
Jun 1, 2019·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Rachel B LiuDavid C Cone
Feb 16, 2020·Military Medicine·Jonathan D Monti, Michael D Perreault
Jun 19, 2017·BMC Emergency Medicine·Ben MeadleyBrett Williams
Jun 18, 2016·World Journal of Emergency Medicine·Kevin P RooneyJohn C Fox
Feb 27, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Pia Iben PietersenChristian B Laursen

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