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Original Research

Prehospital Ultrasound: A Narrative Review

, &
Pages 1-13 | Received 11 Jun 2022, Accepted 30 Sep 2022, Published online: 24 Oct 2022

References

  • Bobbia X, Hansel N, Muller L, Claret P-G, Moreau A, Genre Grandpierre R, Chenaitia H, Lefrant J-Y, de La Coussaye J-E. Availability and practice of bedside ultrasonography in emergency rooms and prehospital setting: a French survey. Ann Fr Anesth Reanim. 2014;33(3):e29-33–e33. doi:10.1016/j.annfar.2013.12.010.
  • Nelson BP, Sanghvi A. Out of hospital point of care ultrasound: current use models and future directions. Eur J Trauma Emerg Surg. 2016;42(2):139–50. doi:10.1007/s00068-015-0494-z.
  • Mercer CB, Ball M, Cash RE, Rivard MK, Chrzan K, Panchal AR. Ultrasound use in the prehospital setting for trauma: a systematic review. Prehosp Emerg Care. 2021;25(4):566–82. doi:10.1080/10903127.2020.1811815.
  • O'Dochartaigh D, Douma M, MacKenzie M. Five-year retrospective review of physician and non-physician performed ultrasound in a Canadian critical care helicopter emergency medical service. Prehosp Emerg Care. 2017;21(1):24–31. doi:10.1080/10903127.2016.1204036.
  • Oliver P, Bannister P, Bootland D, Lyon RM. Diagnostic performance of prehospital ultrasound diagnosis for traumatic pneumothorax by a UK Helicopter Emergency Medical Service. Eur J Emerg Med. 2020;27(3):202–6. doi:10.1097/MEJ.0000000000000641.
  • Charron C, Templier F, Goddet NS, Baer M, Vieillard-Baron A. The Group of Investigators of SAMU 92. Difficulties encountered by physicians in interpreting focused echocardiography using a pocket ultrasound machine in prehospital emergencies. Eur J Emerg Med. 2015;22(1):17–22.
  • Amaral CB, Ralston DC, Becker TK. Prehospital point-of-care ultrasound: a transformative technology. SAGE Open Med. 2020;8:2050312120932706. doi:10.1177/2050312120932706.
  • Ketelaars R, Reijnders G, van Geffen GJ, Scheffer GJ, Hoogerwerf N. ABCDE of prehospital ultrasonography: a narrative review. Crit Ultrasound J. 2018;10(1):17. doi:10.1186/s13089-018-0099-y.
  • Burgess S, Smith E, Piper S, Archer F. The development of an updated prehospital search filter for the Cochrane Library: Prehospital Search Filter Version 2.0. Australas J Paramedicine. 2010;8(4):1–5. doi:10.33151/ajp.8.4.82.
  • Olaussen A, Semple W, Oteir A, Todd P, Williams B. Paramedic literature search filters: optimised for clinicians and academics. BMC Med Inform Decis Mak. 2017;17(1):146. doi:10.1186/s12911-017-0544-z.
  • O’Dochartaigh D, Douma M, Alexiu C, Ryan S, MacKenzie M. Utilization criteria for prehospital ultrasound in a canadian critical care helicopter emergency medical service: Determining who might benefit. Prehosp Disaster Med. 2017;32(5):536–40. doi:10.1017/S1049023X1700646X.
  • Hilbert-Carius P, Struck MF, Rudolph M, Knapp J, Rognås L, Adler J, Slagt C, Jacobsen L, Pich H, Christian MD, POCUS in HEMS orators, et al. Point-of-care ultrasound (POCUS) practices in the helicopter emergency medical services in Europe: results of an online survey. Scand J Trauma Resusc Emerg Med. 2021;29(1):124–8.
  • Press GM, Miller SK, Hassan IA, Alade KH, Camp E, Junco DD, Holcomb JB. Prospective evaluation of prehospital trauma ultrasound during aeromedical transport. J Emerg Med. 2014;47(6):638–45. doi:10.1016/j.jemermed.2014.07.056.
  • Yates JG, Baylous D. Aeromedical ultrasound: the evaluation of point-of-care ultrasound during helicopter transport. Air Med J. 2017;36(3):110–5. doi:10.1016/j.amj.2017.02.001.
  • Cover M, Tafoya C, Long B, Cranford J, Burkhardt J, Huang R, Theyyunni N, Bassin B, Lowell M, Kessler R, et al. Creation of a flight nurse critical care ultrasound program. Air Med J. 2019;38(4):266–72. doi:10.1016/j.amj.2019.03.010.
  • Strony R, Slimmer K, Slimmer S, Corros P, Davis R, Zhu B, Niedzwiecki K, Cho D, Lapczynski J, Jia S, et al. Helicopter emergency medical services performed extended focused assessment with sonography: training, workflow, and sustainable quality. Air Med J. 2022;41(2):209–16. doi:10.1016/j.amj.2021.11.005.
  • 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):1–5. doi:10.1186/1471-227X-14-6.
  • Ultrasound in the Air Medical Environment. Air Med J. 2018;37(6):351.
  • Sedlakova A, Olszynski P, Davis P, Froh J. Prehospital ultrasound use among Canadian aeromedical service providers – a cross-sectional survey. CJEM. 2020; 22(3):338–41. doi:10.1017/cem.2019.451.
  • Alstrup K, Møller TP, Knudsen L, Hansen TM, Petersen JAK, Rognås L, Barfod C. Characteristics of patients treated by the Danish Helicopter Emergency Medical Service from 2014-2018: a nationwide population-based study. Scand J Trauma Resusc Emerg Med. 2019;27(1):102–11. doi:10.1186/s13049-019-0672-9.
  • Scharonow M, Weilbach C. Prehospital point-of-care emergency ultrasound: a cohort study. Scand J Trauma Resusc Emerg Med. 2018;26(1):49 doi:10.1186/s13049-018-0519-9.
  • Polk JD, Fallon WF, Kovach B, Mancuso C, Stephens M, Malangoni MA. The “Airmedical F.A.S.T.” for trauma patients–the initial report of a novel application for sonography. Aviat Space Environ Med. 2001; 72(5):432–6.
  • Ketelaars R, Holtslag JJM, Hoogerwerf N. Abdominal prehospital ultrasound impacts treatment decisions in a Dutch Helicopter Emergency Medical Service. Eur J Emerg Med. 2019;26(4):277–82. doi:10.1097/MEJ.0000000000000540.
  • Ketelaars R, Beekers C, Van Geffen GJ, Scheffer GJ, Hoogerwerf N. Prehospital echocardiography during resuscitation impacts treatment in a physician-staffed helicopter emergency medical service: an observational study. Prehosp Emerg Care. 2018;22(4):406–13. doi:10.1080/10903127.2017.1416208.
  • Ketelaars R, Hoogerwerf N, Scheffer GJ. Prehospital chest ultrasound by a dutch helicopter emergency medical service. J Emerg Med. 2013;44(4):811–7. doi:10.1016/j.jemermed.2012.07.085.
  • Krogh CL, Steinmetz J, Rudolph SS, Hesselfeldt R, Lippert FK, Berlac PA, et al. Effect of ultrasound training of physicians working in the prehospital setting. Scand J Trauma Resusc Emerg Med. 2016;24(99):1–7.
  • Jakobsen LK, Botker MT, Lawrence LP, Sloth E, Knudsen L. Systematic training in focused cardiopulmonary ultrasound affects decision-making in the prehospital setting – two case reports. Scand J Trauma Resusc Emerg Med. 2014;22(29):1–4.
  • Darocha T, Gałązkowski R, Sobczyk D, Żyła Z, Drwiła R. Point-of-care ultrasonography during rescue operations on board a Polish Medical Air Rescue helicopter. J Ultrason. 2014;14(59):414–20. doi:10.15557/JoU.2014.0043.
  • 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. doi:10.1016/j.amj.2004.04.005.
  • Browning Carmo K, Lutz T, Greenhalgh M, Berry A, Kluckow M, Evans N. Feasibility and utility of portable ultrasound during retrieval of sick preterm infants. Acta Paediatr. 2017;106(8):1296–301. doi:10.1111/apa.13881.
  • Burns BJ, Aguirrebarrena G. Occult traumatic loculated tension pneumothorax–a sonographic diagnostic dilemma. Prehosp Emerg Care. 2013;17(1):92–4. doi:10.3109/10903127.2012.710720.
  • Quick JA, Uhlich RM, Ahmad S, Barnes SL, Coughenour JP. In-flight ultrasound identification of pneumothorax. Emerg Radiol. 2016;23(1):3–7. doi:10.1007/s10140-015-1348-z.
  • Griffiths E. Helicopter emergency medical services use of thoracic point of care ultrasound for pneumothorax: a systematic review and meta-analysis. Scand J Trauma Resusc Emerg Med. 2021;29(1):163. doi:10.1186/s13049-021-00977-0.
  • Roline CE, Heegaard WG, Moore JC, Joing SA, Hildebrandt DA, Biros MH, Caroon LV, Plummer DW, Reardon RF. Feasibility of bedside thoracic ultrasound in the helicopter emergency medical services setting. Air Med J. 2013;32(3):153–7. doi:10.1016/j.amj.2012.10.013.
  • Fitzgibbon JB, Lovallo E, Escajeda J, Radomski MA, Martin-Gill C. Feasibility of out-of-hospital cardiac arrest ultrasound by EMS physicians. Prehosp Emerg Care. 2019;23(3):297–303. doi:10.1080/10903127.2018.1518505.
  • Aichinger G, Zechner PM, Prause G, Sacherer F, Wildner G, Anderson CL, Pocivalnik M, Wiesspeiner U, Fox JC. Cardiac movement identified on prehospital echocardiography predicts outcome in cardiac arrest patients. Prehosp Emerg Care. 2012;16(2):251–5. doi:10.3109/10903127.2011.640414.
  • Lapostolle F, Petrovic T, Lenoir G, Catineau J, Galinski M, Metzger J, Chanzy E, Adnet F. Usefulness of hand-held ultrasound devices in out-of-hospital diagnosis performed by emergency physicians. Am J Emerg Med. 2006;24(2):237–42. doi:10.1016/j.ajem.2005.07.010.
  • Bobbia X, Pradeilles C, Claret PG, Soullier C, Wagner P, Bodin Y, Roger C, Cayla G, Muller L, de La Coussaye JE, et al. Does physician experience influence the interpretability of focused echocardiography images performed by a pocket device? Scand J Trauma Resusc Emerg Med. 2015;23(1):7. doi:10.1186/s13049-015-0122-2.
  • van der Weide L, Popal Z, Terra M, Schwarte LA, Ket JCF, Kooij FO, Exadaktylos AK, Zuidema WP, Giannakopoulos GF. Prehospital ultrasound in the management of trauma patients: systematic review of the literature. Injury. 2019;50(12):2167–75. doi:10.1016/j.injury.2019.09.034.
  • Bhat SR, Johnson DA, Pierog JE, Zaia BE, Williams SR, Gharahbaghian L. Prehospital evaluation of effusion, pneumothorax, and standstill (PEEPS): point-of-care ultrasound in. WestJEM. 2015;16(4):503–9. doi:10.5811/westjem.2015.5.25414.
  • Becker TK, Martin-Gill C, Callaway CW, Guyette FX, Schott C. Feasibility of paramedic performed prehospital lung ultrasound in medical patients with respiratory distress. Prehosp Emerg Care. 2018;22(2):175–9. doi:10.1080/10903127.2017.1358783.
  • Unlüer EE, Yavaşi O, Kara PH, Kılıç TY, Vandenberk N, Kayayurt K, Kıyançiçek S, Akoğlu H, Yılmaz C. Paramedic-performed focused assessment with sonography in trauma (FAST) in the emergency department. Ulus Travma Acil Cerrahi Derg. 2011;17(2):113–6. doi:10.5505/tjtes.2011.88557.
  • 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. doi:10.1016/j.jemermed.2012.02.032.
  • Raio CC, Modayil V, Cassara M, Dubon M, Patel J, Shah T, Chun P, Nelson M, Chiricolo G, Sama AE, et al. Can emergency medical services personnel identify pneumothorax on focused ultrasound examinations? Crit Ultrasound J. 2009;1(2):65–8. doi:10.1007/s13089-009-0016-5.
  • Boniface KS, Shokoohi H, Smith ER, Scantlebury K. Tele-ultrasound and paramedics: real-time remote physician guidance of the Focused Assessment With Sonography for Trauma examination. Am J Emerg Med. 2011;29(5):477–81. doi:10.1016/j.ajem.2009.12.001.
  • Booth KL, Reed MJ, Brady S, Cranfield KR, Kishen R, Letham K, et al. Training paramedics in focussed echo in life support. Eur J Emerg Med. 2015;22(6):430–5.
  • Brooke M, Walton J, Scutt D, Connolly J, Jarman B. Acquisition and interpretation of focused diagnostic ultrasound images by ultrasound-naive advanced paramedics: trialling a PHUS education programme. Emerg Med J. 2012;29(4):322–6. doi:10.1136/emj.2010.106484.
  • Brooke M, Walton J, Scutt D. Paramedic application of ultrasound in the management of patients in the prehospital setting: a review of the literature. Emerg Med J. 2010;27(9):702–7. doi:10.1136/emj.2010.094219.
  • 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. doi:10.1111/j.1553-2712.2010.00755.x.
  • Rooney KP, Lahham S, Lahham S, Anderson CL, Bledsoe B, Sloane B, Joseph L, Osborn MB, Fox JC. Pre-hospital assessment with ultrasound in emergencies: implementation in the field. World J Emerg Med. 2016;7(2):117–23. doi:10.5847/wjem.j.1920-8642.2016.02.006.
  • Schoeneck JH, Coughlin RF, Baloescu C, Cone DC, Liu RB, Kalam S, Medoro AK, Medoro I, Joseph D, Burns K, et al. Paramedic-performed prehospital point-of-care ultrasound for patients with undifferentiated dyspnea: a pilot study. West J Emerg Med. 2021;22(3):750–5. doi:10.5811/westjem.2020.12.49254.
  • National Association of State EMS Officials. National EMS Scope of Practice Model 2019 (Report No. DOT HS 812-666). Washington, DC: National Highway Traffic Safety Administration. 2019.
  • Marsh-Feiley G, Eadie L, Wilson P. Paramedic and physician perspectives on the potential use of remotely supported prehospital ultrasound. Rural Remote Health. 2018;18(3):4574.
  • Baron A, Beirne G, Wald A. Paramedic point of care ultrasound at Australian mass gatherings. Australas J Ultrasound Med. 2019;22(1):56–60. doi:10.1002/ajum.12132.
  • Boniface KS, Sikka N, Page N, Peretz A, Shokoohi H. A cruise ship emergency medical evacuation triggered by handheld ultrasound findings and directed by tele-ultrasound. Int Marit Health. 2020;71(1):42–5. doi:10.5603/IMH.2020.0010.
  • Johansen BD, Blue RS, Castleberry TL, Antonsen EL, Vanderploeg JM. Point-of-care ultrasound for pulmonary concerns in remote spaceflight triage environments. Aerosp Med Hum Perform. 2018;89(2):122–9. doi:10.3357/AMHP.4808.2018.
  • Nations JA, Browning RF. Battlefield applications for handheld ultrasound. Ultrasound Q. 2011;27(3):171–6. doi:10.1097/RUQ.0b013e31822b7c14.
  • Savell SC, Baldwin DS, Blessing A, Medelllin KL, Savell CB, Maddry JK. Military use of point of care ultrasound (POCUS). J Spec Oper Med. 2021;21(2):35–42. doi:10.55460/AJTO-LW17.
  • Roberts J, McManus J, Harrison B. Use of ultrasonography to avoid an unnecessary procedure in the prehospital combat environment: a case report. Prehosp Emerg Care. 2006;10(4):502–6. doi:10.1080/10903120600887023.
  • Madill JJ. In-flight thoracic ultrasound detection of pneumothorax in combat. J Emerg Med. 2010;39(2):194–7. doi:10.1016/j.jemermed.2009.08.026.
  • Dubecq C, Dubourg O, Morand G, Montagnon R, Travers S, Mahe P. Point-of-care ultrasound for treatment and triage in austere military environments. J Trauma Acute Care Surg. 2021;91(2S Suppl 2):S124–S129. doi:10.1097/TA.0000000000003308.
  • Hile DC, Morgan AR, Laselle BT, Bothwell JD. Is point-of-care ultrasound accurate and useful in the hands of military medical technicians? A review of the literature. Mil Med. 2012;177(8):983–7. doi:10.7205/milmed-d-12-00020.
  • Heiner JD, Baker BL, McArthur TJ. The ultrasound detection of simulated long bone fractures by U.S. Army Special Forces Medics. J Spec Oper Med. 2010;10(2):7–10. doi:10.55460/K7EU-35TF.
  • Morgan AR, Vasios WN, Hubler DA, Benson PJ. Special operator level clinical ultrasound: an experience in application and training. J Spec Oper Med. 2010;10(2):16–24. doi:10.55460/BNPY-WWQ8.
  • McNeil CR, McManus J, Mehta S. The accuracy of portable ultrasonography to diagnose fractures in an austere environment. Prehosp Emerg Care. 2009;13(1):50–2. doi:10.1080/10903120802474513.
  • Ahern BJ, Monti JD, Naylor JF, Cronin AJ, Perreault MD. U.S. Army combat medic eFAST performance with a novel versus conventional transducers: a randomized, crossover trial. Mil Med. 2020;185(Supplement_1):19–24. doi:10.1093/milmed/usz277.
  • West B, Cusser A, Etengoff S, Landsgaard H, LaBond V. The use of FAST scan by paramedics in mass-casualty incidents: a simulation study. Prehosp Disaster Med. 2014;29(6):576–9. doi:10.1017/S1049023X14001204.
  • Shorter M, Macias DJ. Portable handheld ultrasound in austere environments: use in the Haiti disaster. Prehosp Disaster Med. 2012;27(2):172–7. doi:10.1017/S1049023X12000611.
  • Kalkwarf KJ, Goodman MD, Press GM, Wade CE, Cotton BA. Prehospital ABC score accurately forecasts patients who will require immediate resource utilization. South Med J. 2021;114(4):193–8. doi:10.14423/SMJ.0000000000001236.
  • El Zahran T, El Sayed MJ. Prehospital ultrasound in trauma: a review of current and potential future clinical applications. j Emerg Trauma Shock. 2018;11(1):4–9. doi:10.4103/JETS.JETS_117_17.
  • Brun PM, Bessereau J, Levy D, Billeres X, Fournier N, Kerbaul F. Prehospital ultrasound thoracic examination to improve decision making, triage, and care in blunt trauma. Am J Emerg Med. 2014;32(7):817.e1–e2.
  • Press GM, Miller SK, Hassan IA, Blankenship R, Junco D d, Camp E, Holcomb JB. Evaluation of a training curriculum for prehospital trauma ultrasound. J Emerg Med. 2013;45(6):856–64. doi:10.1016/j.jemermed.2013.05.001.
  • Everett JJ, Laselle B, Kendall J. Splenic injury sustained during body hardening drills and the utility of ultrasound in a prehospital combat medical environment. Mil Med. 2010;175(3):182–4. doi:10.7205/milmed-d-09-00043.
  • Lucas B, Hempel D, Otto R, Brenner F, Stier M, Marzi I, Breitkreutz R, Walcher F. Prehospital FAST reduces time to admission and operative treatment: a prospective, randomized, multicenter trial. Eur J Trauma Emerg Surg. 2022;48(4):2701–8. doi:10.1007/s00068-021-01806-w.
  • Kim CH, Shin SD, Song KJ, Park CB. Diagnostic accuracy of focused assessment with sonography for trauma (FAST) examinations performed by emergency medical technicians. Prehosp Emerg Care. 2012;16(3):400–6. doi:10.3109/10903127.2012.664242.
  • Walcher F, Kirschning T, Müller MP, Byhahn C, Stier M, Rüsseler M, Brenner F, Braun J, Marzi I, Breitkreutz R. Accuracy of prehospital focused abdominal sonography for trauma after a 1-day hands-on training course. Emerg Med J. 2010; 27(5):345–9. doi:10.1136/emj.2008.059626.
  • Waterman B, Van Aarsen K, Lewell M, Tien H, Myslik F, Peddle M, Doran S. Abdominal ultrasound image acquisition and interpretation by novice practitioners after minimal training on a simulated patient model. CJEM Can J Emerg Med Care. 2020;22(S2):S62–S66. doi:10.1017/cem.2019.495.
  • Ruesseler M, Kirschning T, Breitkreutz R, Marzi I, Walcher F. Prehospital and emergency department ultrasound in blunt abdominal trauma. Eur J Trauma Emerg Surg. 2009;35(4):341–6. doi:10.1007/s00068-009-9082-4.
  • Partyka C, Coggins A, Bliss J, Burns B, Fiorentino M, Goorkiz P, Miller M. A multicenter evaluation of the accuracy of prehospital eFAST by a physician-staffed helicopter emergency medical service. Emerg Radiol. 2022;29(2):299–306. doi:10.1007/s10140-021-02002-4.
  • O'Dochartaigh D, Douma M. Prehospital ultrasound of the abdomen and thorax changes trauma patient management: A systematic review. Injury. 2015;46(11):2093–102. doi:10.1016/j.injury.2015.07.007.
  • Hoyer HX, Vogl S, Schiemann U, Haug A, Stolpe E, Michalski T. Prehospital ultrasound in emergency medicine: incidence, feasibility, indications and diagnoses. Eur J Emerg Med. 2010;17(5):254–9.
  • Busch M. Portable ultrasound in pre-hospital emergencies: a feasibility study. Acta Anaesthesiol Scand. 2006;50(6):754–8. doi:10.1111/j.1399-6576.2006.01030.x.
  • 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. doi:10.1002/bjs.5213.
  • Gamberini L, Tartaglione M, Giugni A, Alban L, Allegri D, Coniglio C, Lupi C, Chiarini V, Mazzoli CA, Heusch-Lazzeri E, et al. The role of prehospital ultrasound in reducing time to definitive care in abdominal trauma patients with moderate to severe liver and spleen injuries. Injury. 2022; 53(5):1587–95. doi:10.1016/j.injury.2021.12.008.
  • Bouzat P, Valdenaire G, Gauss T, Charbit J, Arvieux C, Balandraud P, Bobbia X, David J-S, Frandon J, Garrigue D, et al. Early management of severe abdominal trauma. Anaesth Crit Care Pain Med. 2020;39(2):269–77. doi:10.1016/j.accpm.2019.12.001.
  • Barthélémy R, Bounes V, Minville V, Houze-Cerfon CH, Ducassé JL. Prehospital mechanical ventilation of a critical cardiac tamponade. Am J Emerg Med. 2009;27(8):1020.e1-3–1020.e3. doi:10.1016/j.ajem.2008.12.024.
  • 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. doi:10.1111/j.1553-2712.2009.00379.x.
  • Otsuka H, Sato T, Morita S, Nakagawa Y, Inokuchi S. A case of blunt traumatic cardiac tamponade successfully treated by out-of-hospital pericardial drainage in a “doctor-helicopter” ambulance staffed by skilled emergency physicians. Tokai J Exp Clin Med. 2016; 41(1):1–3.
  • Byhahn C, Bingold TM, Zwissler B, Maier M, Walcher F. Prehospital ultrasound detects pericardial tamponade in a pregnant victim of stabbing assault. Resuscitation. 2008;76(1):146–8. doi:10.1016/j.resuscitation.2007.07.020.
  • Campo dell’ Orto M, Kratz T, Wild C, Horstmann C, Walcher F, Seibel A, Hamm C, Breitkreutz R. Pre-hospital ultrasound detects pericardial tamponade in young patients with occult blunt trauma: time for preparation? Case report and review of literature. Clin Res Cardiol. 2014;3(5):409–11. doi:10.1007/s00392-014-0661-y.
  • Dewar ZE, Ko S, Rogers C, Oropallo A, Augustine A, Pamula A, Berry CL. Prehospital portable ultrasound for safe and accurate prehospital needle thoracostomy: a pilot educational study. Ultrasound J. 2022;14(1):23. doi:10.1186/s13089-022-00270-w.
  • Houze-Cerfon CH, Bounes V, Guemon J, Le Gourrierec T, Geeraerts T. Quality and feasibility of sonographic measurement of the optic nerve sheath diameter to estimate the risk of raised intracranial pressure after traumatic brain injury in prehospital setting. Prehosp Emerg Care. 2019;23(2):277–83. doi:10.1080/10903127.2018.1501444.
  • Tazarourte K, Atchabahian A, Tourtier J-P, David J-S, Ract C, Savary D, Monchi M, Vigué B. Pre-hospital transcranial Doppler in severe traumatic brain injury: a pilot study. Acta Anaesthesiol Scand. 2011;55(4):422–8. doi:10.1111/j.1399-6576.2010.02372.x.
  • Jorgensen H, Jensen CH, Dirks J. Does prehospital ultrasound improve treatment of the trauma patient? A systematic review. Eur J Emerg Med. 2010;17(5):249–53.
  • Brun PM, Chenaitia H, Gonzva J, Bessereau J, Bobbia X, Peyrol M, et al. The value of prehospital echocardiography in shock management. Am J Emerg Med. 2013;31(2): e5–7.
  • Kuttab HI, Flanagan E, Damewood SC, Cathers AD, Steuerwald MT. Prehospital echocardiogram use in identifying massive pulmonary embolism in unidentified respiratory failure. Air Med J. 2021;40(1):73–5. doi:10.1016/j.amj.2020.10.004.
  • Rudolph SS, Sorensen 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. doi:10.1016/j.resuscitation.2013.09.012.
  • Prosen G, Klemen P, Strnad M, Grmec S. Combination of lung ultrasound (a comet-tail sign) and N-terminal pro-brain natriuretic peptide in differentiating acute heart failure from chronic obstructive pulmonary disease and asthma as cause of acute dyspnea in prehospital emergency setting. Crit Care. 2011;15(6):450–9. doi:10.1186/cc10140.
  • Neesse A, Jerrentrup A, Hoffmann S, Sattler A, Görg C, Kill C, Mathias Gress T, Kunsch S. Prehospital chest emergency sonography trial in Germany: a prospective study. Eur J Emerg Med. 2012;19(3):161–6. doi:10.1097/MEJ.0b013e328349edcc.
  • Donovan JK, Burton SO, Jones SL, Meadley BN. Use of point-of-care ultrasound by non-physicians to assess respiratory distress in the out-of-hospital environment: a scoping review. Prehosp Disaster Med. 2022;37(4):520–8. doi:10.1017/S1049023X22000711.
  • Ronaldson J, Moultrie CEJ, Corfield AR, McElhinney E. Can non-physician advanced retrieval practitioners (ARP) acquire and interpret diagnostic views of the lungs with sufficient quality to aid in the diagnosis of pneumothorax in the pre-hospital and retrieval environment? Scand J Trauma Resusc Emerg Med. 2020;28(1):102. doi:10.1186/s13049-020-00797-8.
  • Williams TA, Finn J, Celenza A, Teng TH, Jacobs IG. Paramedic identification of acute pulmonary edema in a metropolitan ambulance service. Prehosp Emerg Care. 2013;17(3):339–47. doi:10.3109/10903127.2013.773114.
  • Zanatta M, Benato P, De Battisti S, Pirozzi C, Ippolito R, Cianci V. Pre-hospital lung ultrasound for cardiac heart failure and COPD: is it worthwhile? Crit Ultrasound J. 2018;10(1):22. doi:10.1186/s13089-018-0104-5.
  • Ienghong K, Cheung LW, Tiamkao S, Bhudhisawasdi V, Apiratwarakul K. The utilization of handheld ultrasound devices in a prehospital setting. Prehosp Disaster Med. 2022;37(3):355–9. doi:10.1017/S1049023X22000644.
  • Zechner PM, Aichinger G, Rigaud M, Wildner G, Prause G. Prehospital lung ultrasound in the distinction between pulmonary edema and exacerbation of chronic obstructive pulmonary disease. Am J Emerg Med. 2010;28(3):389.e1-389–e2. doi:10.1016/j.ajem.2009.07.021.
  • Pietersen PI, Mikkelsen S, Lassen AT, Helmerik S, Jørgensen G, Nadim G, Christensen HM, Wittrock D, Laursen CB. Quality of focused thoracic ultrasound performed by emergency medical technicians and paramedics in a prehospital setting: a feasibility study. Scand J Trauma Resusc Emerg Med. 2021;29(1):40–9. doi:10.1186/s13049-021-00856-8.
  • Laursen CB, Hanselmann A, Posth S, Mikkelsen S, Videbaek L, Berg H. Prehospital lung ultrasound for the diagnosis of cardiogenic pulmonary oedema: a pilot study. Scand J Trauma Resusc Emerg Med. 2016;24(96):1–8.
  • Abd Wahab M, Eddie EA, Ibrahim Ahmad UQA, Shafie H, Shaikh Abd Karim SB, Abdull Wahab SF. Lung ultrasonography for COVID-19 patients in out of hospital settings. J Ultrasound. 2022;25(3):475–82. doi:10.1007/s40477-021-00609-4.
  • Antunez-Montes OY, Buonsenso D, Paz-Ortega SO. Feasibility of lung point-of-care ultrasound for patients with COVID-19 in air medical transport: triage of 2 initially suspected cases on Mexico’s Front Line. J Ultrasound Med. 2021;40(2):419–27. doi:10.1002/jum.15414.
  • Burns BJ, Healy G. Coronary artery dissection: an unusual cause of hypoxia in blunt trauma. Prehosp Emerg Care. 2011;15(3):414–7. doi:10.3109/10903127.2011.561416.
  • Nadim G, Laursen CB, Pietersen PI, Wittrock D, Sørensen MK, Nielsen LB, Rasmussen C-H, Christensen HM, Helmerik S, Jørgensen G, et al. Prehospital emergency medical technicians can perform ultrasonography and blood analysis in prehospital evaluation of patients with chronic obstructive pulmonary disease: a feasibility study. BMC Health Serv Res. 2021;21(1):290–12. doi:10.1186/s12913-021-06305-7.
  • Strnad M, Prosen G, Borovnik Lesjak V. Bedside lung ultrasound for monitoring the effectiveness of prehospital treatment with continuous positive airway pressure in acute decompensated heart failure. Eur J Emerg Med. 2016;23(1):50–5.
  • Einvik S, Kruger AJ, Gisvold SE. Pediatric hypothermic submersion incident – should we do chest compressions on a beating heart? Scand J Trauma Resusc Emerg Med. 2020;28(1):85–4. doi:10.1186/s13049-020-00779-w.
  • Breitkreutz R, Price S, Steiger HV, Seeger FH, Ilper H, Ackermann H, Rudolph M, Uddin S, Weigand MA, Müller E, Emergency Ultrasound Working Group of the Johann Wolfgang Goethe-University Hospital, Frankfurt am Main, et al. Focused echocardiographic evaluation in life support and peri-resuscitation of emergency patients: a prospective trial. Resuscitation. 2010;81(11):1527–33. doi:10.1016/j.resuscitation.2010.07.013.
  • Bøtker MT, Jacobsen L, Rudolph SS, Knudsen L. The role of point of care ultrasound in prehospital critical care: a systematic review. Scand J Trauma Resusc Emerg Med. 2018;26(1):14–51. doi:10.1186/s13049-018-0518-x.
  • Humphries AL, White JMB, Guinn RE, Braude DA. Paramedic-performed carotid artery ultrasound heralds return of spontaneous circulation in out-of-hospital cardiac arrest: a case report. Prehosp Emerg Care. 2022:1–5. doi:10.1080/10903127.2021.2022257.
  • Kreiser MA, Hill B, Karki D, Wood E, Shelton R, Peterson J, Riccio J, Zapata I, Khalil PA, Gubler D, et al. Point-of-care ultrasound use by EMS providers in out-of-hospital cardiac arrest. Prehosp Disaster Med. 2022;37(1):39–44. doi:10.1017/S1049023X21001357.
  • Van den Bempt S, Wauters L, Dewolf P. Pulseless electrical activity: Detection of underlying causes in a prehospital setting. Med Princ Pract. 2021;30(3):212–22. doi:10.1159/000513431.
  • Reed MJ, Gibson L, Dewar A, Short S, Black P, Clegg GR. Introduction of paramedic led Echo in Life Support into the pre-hospital environment: The PUCA study. Resuscitation. 2017;112:65–9. 10.1016/j.resuscitation.2016.09.003
  • Merlin MA, Joseph J, Hohbein J, Ariyaprakai N, Tanis J, Tagore A. Out-of-hospital transesophageal echocardiogram for cardiac arrest resuscitation: the initial case. Prehosp Emerg Care. 2020; 24(1):90–3. doi:10.1080/10903127.2019.1604926.
  • Škulec R, Truhlář A, Šeblová J, Knor J, Houdek M, Černý V. Intra-arrest formation of right-heart thrombi – a case illustrated by real-time ultrasonography. Acta Anaesthesiol Scand. 2013; 57(5):669–73. doi:10.1111/aas.12072.
  • Sotak M, Tyll T, Pochop M. The role of ultrasound examination in the differential diagnosis of cardiac arrest in prehospital care: a case report. Prehosp Emerg Care. 2022:1–3. doi:10.1080/10903127.2022.2082609.
  • Querellou E, Meyran D, Petitjean F, Le Dreff P, Maurin O. Ventricular fibrillation diagnosed with trans-thoracic echocardiography. Resuscitation. 2009;80(10):1211–3. doi:10.1016/j.resuscitation.2009.06.033.
  • Bleeg RC. Ultrasound in the royal Danish air force search and rescue helicopter: 2 case reports. Air Med J. 2017;36(3):138–9. doi:10.1016/j.amj.2017.02.004.
  • Brun PM, Chenaitia H, Dejesus I, Bessereau J, Bonello L, Pierre B. Ultrasound to perimortem caesarean delivery in prehospital settings. Injury. 2013;44(1):151–2. doi:10.1016/j.injury.2012.08.029.
  • Zanatta M, Lorenzi C, Scorpiniti M, Cianci V, Pasini R, Barchitta A. Ultrasound-guided chest compressions in out-of-hospital cardiac arrests. J Emerg Med. 2020;59(6):e225–33–e233. doi:10.1016/j.jemermed.2020.07.005.
  • Bergmann I, Büttner B, Teut E, Jacobshagen C, Hinz J, Quintel M, Mansur A, Roessler M. Pre-hospital transthoracic echocardiography for early identification of non-ST-elevation myocardial infarction in patients with acute coronary syndrome. Crit Care. 2018;22(1):29. doi:10.1186/s13054-017-1929-1.
  • Heiner JD, McArthur TJ. The ultrasound identification of simulated long bone fractures by prehospital providers. Wilderness Environ Med. 2010;21(2):137–40. doi:10.1016/j.wem.2009.12.028.
  • 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. doi:10.7205/milmed.169.9.681.
  • Galinski M, Petrovic T, Rodrigues A, Hermann M, Catineau J, Adnet F, Lapostolle F. Out-of-hospital diagnosis of a ruptured ectopic pregnancy: myometrial embryo implantation, an exceptional diagnosis. Prehosp Emerg Care. 2010;14(4):496–8. doi:10.3109/10903127.2010.493984.
  • Hoffmann B, Gullett J, Hill H, Fuller D, Westergaard M, Hosek W, Smith J. Bedside ultrasound of the neck confirms endotracheal tube position in emergency intubations. Ultraschall in Med. 2014;35(05):451–8. doi:10.1055/s-0034-1366014.
  • Joyce M, Tozer J, Vitto M, Evans D. Ability of critical care medics to confirm endotracheal tube placement by ultrasound. Prehosp Disaster Med. 2020;35(6):629–31. doi:10.1017/S1049023X20001004.
  • Zadel S, Strnad M, Prosen G, Mekiš D. Point of care ultrasound for orotracheal tube placement assessment in out-of hospital setting. Resuscitation. 2015;87:1–6. doi:10.1016/j.resuscitation.2014.11.006.
  • Mason R, Latimer A, Vrablik M, Utarnachitt R. Teaching flight nurses ultrasonographic evaluation of esophageal intubation and pneumothorax. Air Med J. 2019;38(3):195–7. doi:10.1016/j.amj.2018.11.007.
  • Kaminski A, Dike NO, Bachista K, Boniface M, Dove C, Simon LV. Differences between esophageal and tracheal intubation ultrasound view proficiency: an educational study of novice prehospital providers. Cureus. 2020;12(6):e8686. doi:10.7759/cureus.8686.
  • White-Dzuro GA, Gibson LE, Berra L, Bittner EA, Chang MG. Portable handheld point-of-care ultrasound for detecting unrecognized esophageal intubations. Respir Care. 2022;67(5):607–12.
  • Lema PC, O’Brien M, Wilson J, James ES, Lindstrom H, DeAngelis J, Caldwell J, May P, Clemency B. Avoid the Goose! Paramedic identification of esophageal intubation by ultrasound. Prehosp Disaster Med. 2018;33(4):406–10. doi:10.1017/S1049023X18000651.
  • Park SY, Kim JK. Transtracheal ultrasonographic confirmation of endotracheal intubation using I-gel and an endotracheal tube introducer. Am J Emerg Med. 2020;38(12):2629–33. doi:10.1016/j.ajem.2020.07.080.
  • Hanlin ER, Zelenak J, Barakat M, Anderson KL. Airway ultrasound for the confirmation of endotracheal tube placement in cadavers by military flight medic trainees – a pilot study. Am J Emerg Med. 2018;36(9):1711–4. doi:10.1016/j.ajem.2018.01.074.
  • Brun PM, Bessereau J, Cazes N, Querellou E, Chenaitia H. Lung ultrasound associated to capnography to verify correct endotracheal tube positioning in prehospital. Am J Emerg Med. 2012;30(9):2080-e5.
  • Mazur SM, Pearce A, Alfred S, Sharley P. Use of point-of-care ultrasound by a critical care retrieval team. Emerg Med Australas. 2007;19(6):547–52. doi:10.1111/j.1742-6723.2007.01029.x.
  • Skulec R, Callerova J, Vojtisek P, Cerny V. Two different techniques of ultrasound-guided peripheral venous catheter placement versus the traditional approach in the pre-hospital emergency setting: a randomized study. Intern Emerg Med. 2020;15(2):303–10. doi:10.1007/s11739-019-02226-w.
  • Büttner B, Mansur A, Kalmbach M, Hinz J, Volk T, Szalai K, Roessler M, Bergmann I. Prehospital ultrasound-guided nerve blocks improve reduction-feasibility of dislocated extremity injuries compared to systemic analgesia. A randomized controlled trial. PLoS ONE. PLoS ONE. 2018;13(7):e0199776. doi:10.1371/journal.pone.0199776.
  • Ibbotson WJ, Greenberg R, Brendt P. Erector spinae block for chest trauma in aeromedical prehospital and retrieval medicine. Prehosp Disaster Med. 2020;35(4):454–6. doi:10.1017/S1049023X20000540.
  • Brun P-M, Chenaitia H, Lablanche C, Pradel A-L, Deniel C, Bessereau J, Melaine R. 2-point ultrasonography to confirm correct position of the gastric tube in prehospital setting. Mil Med. 2014;179(9):959–63. doi:10.7205/MILMED-D-14-00044.
  • Chenaitia H, Brun P-M, Querellou E, Leyral J, Bessereau J, Aimé C, Bouaziz R, Georges A, Louis F, WINFOCUS (World Interactive Network Focused On Critical Ultrasound) Group France. Ultrasound to confirm gastric tube placement in prehospital management. Resuscitation. 2012;83(4):447–51. doi:10.1016/j.resuscitation.2011.11.035.
  • Kranc DA, Jones AW, Nackenson J, Davis CA, Abo BN, Hawkins SC. Use of ultrasound for joint dislocation reduction in an austere wilderness setting: a case report. Prehosp Emerg Care. 2019;23(4):584–9. doi:10.1080/10903127.2018.1532474.
  • Darvishi M, Shahali H. Acute cardiac tamponade: a case of life-threatening coronavirus disease 2019 complication during air medical transportation. Air Med J. 2021;40(3):179–81. doi:10.1016/j.amj.2021.01.004.
  • Holscher T, Schlachetzki F, Zimmermann M, Jakob W, Ittner KP, Haslberger J, Bogdahn U, Boy S. Transcranial ultrasound from diagnosis to early stroke treatment. 1. Feasibility of prehospital cerebrovascular assessment. Cerebrovasc Dis. 2008;26(6):659–63. doi:10.1159/000166844.
  • Schlachetzki F, Herzberg M, Hölscher T, Ertl M, Zimmermann M, Ittner KP, Pels H, Bogdahn U, Boy S. Transcranial ultrasound from diagnosis to early stroke treatment: part 2: prehospital neurosonography in patients with acute stroke: the Regensburg stroke mobile project. Cerebrovasc Dis. 2012;33(3):262–71. doi:10.1159/000334667.
  • Herzberg M, Boy S, Hölscher T, Ertl M, Zimmermann M, Ittner K-P, Pemmerl J, Pels H, Bogdahn U, Schlachetzki F. Prehospital stroke diagnostics based on neurological examination and transcranial ultrasound. Crit Ultrasound J. 2014;6(1):3. doi:10.1186/2036-7902-6-3.
  • Knobloch K, Hubrich V, Rohmann P, Lupkemann M, Gerich T, Krettek C, Phillips R. Feasibility of preclinical cardiac output and systemic vascular resistance in HEMS in thoracic pain–the ultrasonic cardiac output monitor. Air Med J. 2006;25(6):270–5. doi:10.1016/j.amj.2006.08.005.
  • Murray A, Hutchison H, Popil M, Krebs W. The use of point-of-care ultrasound to accurately measure cardiac output in flight. Air Med J. 2020;39(3):218–20. doi:10.1016/j.amj.2019.12.008.
  • Lichtenstein D, Courret JP. Feasibility of ultrasound in the helicopter. Intensive Care Med. 1998;24(10):1119. doi:10.1007/s001340050730.
  • Lyon M, Shiver SA, Walton P. M-mode ultrasound for the detection of pneumothorax during helicopter transport. Am J Emerg Med. 2012;30(8):1577–80. doi:10.1016/j.ajem.2011.08.022.
  • Simmons CJ, Mack LD, Cronin AJ, Monti JD, Perreault MD, Ahern BJ. FAST performance in a stationary versus in-motion military ambulance utilizing handheld ultrasound: a randomized controlled study. Prehosp Disaster Med. 2020;35(6):632–7. doi:10.1017/S1049023X20001028.
  • 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. doi:10.1136/emj.2010.096966.
  • Brun P-M, Bessereau J, Chenaitia H, Pradel A-L, Deniel C, Garbaye G, Melaine R, Bylicki O, Lablanche C. Stay and play eFAST or scoop and run eFAST? That is the question!. Am J Emerg Med. 2014;32(2):166–70. doi:10.1016/j.ajem.2013.11.008.
  • Maloney LM, Williams DW, Reardon L, Marshall RT, Alian A, Boyle J, Secko M. Utility of different lung ultrasound simulation modalities used by paramedics during varied ambulance driving conditions. Prehosp Disaster Med. 2021;36(1):42–6. doi:10.1017/S1049023X20001247.
  • Price DD, Wilson SR, Murphy TG. Trauma ultrasound feasibility during helicopter transport. Air Medical Journal. 2000;19(4):144–6. doi:10.1016/S1067-991X(00)90008-7.
  • 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. doi:10.1080/10903120190939607.
  • Marsh-Feiley G, Eadie L, Wilson P. Telesonography in emergency medicine: a systematic review. PLoS One. 2018;13(5):e0194840. doi:10.1371/journal.pone.0194840.
  • Eadie L, Mulhern J, Regan L, Mort A, Shannon H, Macaden A, Wilson P. Remotely supported prehospital ultrasound: a feasibility study of real-time image transmission and expert guidance to aid diagnosis in remote and rural communities. J Telemed Telecare. 2018;24(9):616–22. doi:10.1177/1357633X17731444.
  • Garrett PD, Boyd SYN, Bauch TD, Rubal BJ, Bulgrin JR, Kinkler ES. Feasibility of real-time echocardiographic evaluation during patient transport. J Am Soc Echocardiogr. 2003;16(3):197–201. doi:10.1067/mje.2003.16.
  • Eder PA, Reime B, Wurmb T, Kippnich U, Shammas L, Rashid A. Prehospital telemedical emergency management of severely injured trauma patients. Methods Inf Med. 2018;57(5-06):231–42. doi:10.1055/s-0039-1681089.
  • Song KJ, Shin SD, Hong KJ, Cheon KW, Shin I, Song S-W, Kim HC. Clinical applicability of real-time, prehospital image transmission for FAST (Focused Assessment with Sonography for Trauma). J Telemed Telecare. 2013;19(8):450–5. doi:10.1177/1357633X13512068.
  • Biegler N, McBeth PB, Tevez-Molina MC, McMillan J, Crawford I, Hamilton DR, Kirkpatrick AW. Just-in-time cost-effective off-the-shelf remote telementoring of paramedical personnel in bedside lung sonography-a technical case study. Telemed J E Health. 2012;18(10):807–9. doi:10.1089/tmj.2012.0038.
  • Hermann M, Hafner C, Scharner V, Hribersek M, Maleczek M, Schmid A, Schaden E, Willschke H, Hamp T. Remote real-time supervision of prehospital point-of-care ultrasound: a feasibility study. Scand J Trauma Resusc Emerg Med. 2022;30(1):23. doi:10.1186/s13049-021-00985-0.
  • McBeth PB, Hamilton T, Kirkpatrick AW. Cost-effective remote iPhone-teathered telementored trauma telesonography. J Trauma. 2010;69(6):1597–9. doi:10.1097/TA.0b013e3181e61ea9.
  • Strode CA, Rubal BJ, Gerhardt RT, Bulgrin JR, Boyd SYN. Wireless and satellite transmission of prehospital focused abdominal sonography for trauma. Prehosp Emerg Care. 2003;7(3):375–9. doi:10.1080/10903120390936608.
  • Ogedegbe C, Morchel H, Hazelwood V, Chaplin WF, Feldman J. Development and evaluation of a novel, real time mobile telesonography system in management of patients with abdominal trauma: study protocol. BMC Emerg Med. 2012;12:19–7. (doi:10.1186/1471-227X-12-19.
  • Su M-J, Ma H-M, Ko C-I, Chiang W-C, Yang C-W, Chen S-J, Chen R, Chen H-S. Application of tele-ultrasound in emergency medical services. Telemed J E Health. 2008;14(8):816–24. doi:10.1089/tmj.2008.0076.
  • Sibert K, Ricci MA, Caputo M, Callas PW, Rogers FB, Charash W, Malone P, Leffler SM, Clark H, Salinas J, et al. The feasibility of using ultrasound and video laryngoscopy in a mobile telemedicine consult. Telemed J E Health. 2008;14(3):266–72. doi:10.1089/tmj.2007.0050.
  • 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. doi:10.1017/S1049023X14000375.
  • Berlet M, Vogel T, Gharba M, Eichinger J, Schulz E, Friess H, Wilhelm D, Ostler D, Kranzfelder M. Emergency telemedicine mobile ultrasounds using a 5G-enabled application: development and usability study. JMIR Form Res. 2022; 6(5):e36824. doi:10.2196/36824.
  • Guy A, Bryson A, Wheeler S, McLean N, Kanji HD. A blended prehospital ultrasound curriculum for critical care paramedics. Air Med J. 2019;38(6):426–30. doi:10.1016/j.amj.2019.07.013.
  • McCallum J, Vu E, Sweet D, Kanji HD. Assessment of paramedic ultrasound curricula: a systematic review. Air Med J. 2015;34(6):360–8. doi:10.1016/j.amj.2015.07.002.
  • Lyon M, Walton P, Bhalla V, Shiver SA. Ultrasound detection of the sliding lung sign by prehospital critical care providers. Am J Emerg Med. 2012;30(3):485–8. doi:10.1016/j.ajem.2011.01.009.
  • Salazar RF, Monti JD, Cronin AJ, Perreault MD, Naylor JF, Ahern BJ, et al. Combat medic eFAST with novel and conventional portable ultrasound devices: a prospective, randomized, crossover trial. Med J (Ft Sam Houst Tex). 2021;36–43.
  • Fatima H, Kuppalli S, Baribeau V, Wong VT, Chaudhary O, Sharkey A, Bordlee JW, Leibowitz A, Murugappan K, Pannu A, et al. Comprehensive ultrasound course for special operations combat and tactical medics. J Spec Oper Med. 2021;21(4):54–61. doi:10.55460/R270-3KAL.
  • Meadows RM, Monti JD, Umar MA, Van Arnem KA, Chin EJ, Mitchell CA, Love S. US Army combat medic performance with portable ultrasound to detect sonographic findings of pneumothorax in a cadaveric model. J Spec Oper Med. 2020;20(3):71–5. doi:10.55460/SOPZ-STAP.
  • Meadley B, Olaussen A, Delorenzo A, Roder N, Martin C, St Clair T, Burns A, Stam E, Williams B. Educational standards for training paramedics in ultrasound: a scoping review. BMC Emerg Med. 2017;17;17(1):18. doi:10.1186/s12873-017-0131-8.
  • Backlund BH, Bonnett CJ, Faragher JP, Haukoos JS, Kendall JL. Pilot study to determine the feasibility of training army national guard medics to perform focused cardiac ultrasonography. Prehosp Emerg Care. 2010; 14(1):118–23. doi:10.3109/10903120903349770.
  • Waterman B, Van Aarsen K, Lewell M, Myslik F, Peddle M, Doran S. Quality of abdominal ultrasound image acquisition by novice practitioners following a minimal training session on healthy volunteers. CJEM Can J Emerg Med Care. 2020;22(S2):S74–S78. doi:10.1017/cem.2020.29.
  • Donovan JK, Burton SO, Jones SL, Phillips LM, Anderson D, Meadley BN. Use of point-of-care ultrasound by intensive care paramedics to assess respiratory distress in the out-of-hospital environment: a pilot study. Prehosp Emerg Care. 2022;1–7. doi:10.1080/10903127.2022.2107123.
  • Khalil PA, Merelman A, Riccio J, Peterson J, Shelton R, Meyers J, Ketchmark T, Garneau E, Khalil S, Roosevelt G, et al. Randomized controlled trial of point-of-care ultrasound education for the recognition of tension pneumothorax by paramedics in prehospital simulation. Prehosp Disaster Med. 2021;36(1):74–8. doi:10.1017/S1049023X20001399.
  • Monti JD, Perreault MD. Impact of a 4-hour introductory eFAST training intervention among ultrasound-naive U.S. military medics. Mil Med. 2020;185(5–6):e601–e608. doi:10.1093/milmed/usaa014.
  • Bahner DP, Adkins EJ, Nagel R, Way D, Werman HA, Royall NA. Brightness mode quality ultrasound imaging examination technique (B-QUIET): quantifying quality in ultrasound imaging. J Ultrasound Med. 2011;30(12):1649–55. doi:10.7863/jum.2011.30.12.1649.
  • Paddock MT, Bailitz J, Horowitz R, Khishfe B, Cosby K, Sergel MJ. Disaster response team FAST skills training with a portable ultrasound simulator compared to traditional training: pilot study. West J Emerg Med. 2015;16(2):325–30. doi:10.5811/westjem.2015.1.23720.
  • Ross EM, Deaton T, Hurst N, Siefert J. Operational point-of-care ultrasound review: low-cost simulators and resources for advanced prehospital providers. J Spec Oper Med. 2015;15(1):71–8. doi:10.55460/VO9N-9D45.
  • Luckey-Smith K, King B, Boyd JS. Is E-learning education effective in increasing the ability of nonphysician medical flight crewmembers to accurately interpret point-of-care lung and cardiac ultrasound examinations? Air Med J. 2021;40(2):119–23. doi:10.1016/j.amj.2020.11.012.
  • Takeuchi R, Harada H, Masuda K, Ota G-i, Yokoi M, Teramura N, Saito T. Field testing of a remote controlled robotic tele-echo system in an ambulance using broadband mobile communication technology. J Med Syst. 2008;32(3):235–42. doi:10.1007/s10916-008-9128-x.
  • Ultrasound guidelines: emergency, point-of-care and clinical ultrasound guidelines in medicine. Ann Emerg Med. 2017; 69(5):e27–54.
  • Micheller D, Peterson WJ, Cover M, Smith G, Chapman M, Theyyunni N, Kessler R, Lowell MJ, Huang RD. Defining a theory-driven ultrasound curriculum for prehospital providers. Air Med J. 2019;38(4):285–8. doi:10.1016/j.amj.2019.03.018.
  • 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. doi:10.1016/j.amj.2003.12.006.
  • Ackil DJ, Toney A, Good R, Ross D, Germano R, Sabbadini L, Thiessen M, Bell C, Kendall JL. Use of hand-motion analysis to assess competence and skill decay for cardiac and lung point-of-care ultrasound. AEM Educ Train. 2021;5(3):e10560. doi:10.1002/aet2.10560.

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