Pilot study to determine the feasibility of training Army National Guard medics to perform focused cardiac ultrasonography

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

Abstract

To assess the ability of Army National Guard combat medics to perform a limited bedside echocardiography (BE) to determine cardiac activity after a brief training module. Twelve Army National Guard health care specialists trained to the level of emergency medical technician-basic (EMT-B) underwent an educational session consisting of a 5-minute lecture on BE followed by hands-on practical training. After the training session, each medic performed BEs, in either the subxiphoid (SX) or parasternal (PS) location at his or her discretion, on four healthy volunteers. The time required to complete the BE and the anatomic location of the examination (SX vs. PS) was documented. A 3-second video clip representing the best image was recorded for each BE. These clips were subsequently reviewed independently by two of the investigators with experience performing and interpreting BE; each BE was graded on a six-point scale designed for the study, the Cardiac Ultrasound Structural Assessment Scale (CUSAS). A score of 3 or greater was considered to be adequate to assess for the presence of cardiac activity. Where there was disagreement on the CUSAS score, the reviewers viewed the clip together and agreed on a consensus CUSAS score. We calcula...Continue Reading

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Citations

Nov 28, 2015·Air Medical Journal·Jessica McCallumHussein D Kanji
Mar 6, 2012·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Chu Hyun KimChang Bae Park
Sep 24, 2013·Resuscitation·Søren Steemann RudolphJacob Steinmetz
Nov 12, 2013·Anesthesiology·Fernando Clau-TerréNick Fletcher
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
Dec 24, 2018·Military Medical Research·Joseph BetcherNik Theyyunni
Feb 16, 2020·Military Medicine·Jonathan D Monti, Michael D Perreault
Jun 18, 2016·World Journal of Emergency Medicine·Kevin P RooneyJohn C Fox

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