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Ultrasound in Disaster and Pre-hospital Use

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Ultrasound Program Management

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Abstract

Emergency ultrasound, can be used in disasters and mass casualty incidents to rapidly evaluate and triage patients as well as provide diagnostic and procedural guidance. Equipment must be portable, multi-application, and have battery capacity. In addition to trained personel, incorporation of emergency ultrasound requires specific protocols and preparation. In the prehospital phase, ultrasound has been used in other countries and is being developed in the United States with attention to function and key applications. Training, medical direction, telemedicine, and outcomes are key management concepts as ultrasound is adopted by prehospital medical systems.

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References

  1. Sztajnkrycer MD, Baez AA, Luke A. FAST ultrasound as an adjunct to triage using the START mass casualty triage system. Prehosp Emerg Care. 2006;10(1):96–102.

    Article  PubMed  Google Scholar 

  2. Hu H, et al. Streamlined focused assessment with sonography for mass casualty prehospital triage of blunt torso trauma patients. Am J Emerg Med. 2014;32(7):803–6.

    Article  CAS  PubMed  Google Scholar 

  3. Stawicki SP, et al. Portable ultrasonography in mass casualty incidents: the CAVEAT examination. World J Orthop. 2010;1(1):10–9.

    Article  PubMed  PubMed Central  Google Scholar 

  4. SARKISIAN AE, et al. Sonographic screening of mass casualties for abdominal and renal injuries following the 1988 Armenian earthquake. J Trauma Acute Care Surg. 1991;31(2):247–50.

    Article  CAS  Google Scholar 

  5. Dan D, et al. Ultrasonographic applications after mass casualty Incident caused by Wenchuan Earthquake. J Trauma Acute Care Surg. 2010;68(6):1417–20.

    Article  Google Scholar 

  6. Shorter M, Macias DJ. Portable handheld ultrasound in austere environments: use in the Haiti disaster. Prehosp Disaster Med. 2012;27(02):172–7.

    Article  PubMed  Google Scholar 

  7. Wydo SM, Seamon MJ, Melanson SW, et al. Portable ultrasound in disaster triage: a focused review. Eur J Trauma Emerg Surg. 2016;42(4):151–9.

    Article  CAS  PubMed  Google Scholar 

  8. Brunner J, et al. The Boston marathon bombing: after-action review of the Brigham and women’s hospital emergency radiology response. Radiology. 2014;273(1):78–87.

    Article  PubMed  Google Scholar 

  9. Davis J, et al. Diagnostic accuracy of ultrasonography in retained soft tissue foreign bodies: a systematic review and meta-analysis. Acad Emerg Med. 2015;22(7):777–87.

    Article  PubMed  Google Scholar 

  10. Perera P, et al. The RUSH exam: rapid ultrasound in SHock in the evaluation of the critically ill. Emerg Med Clin North Am. 2010;28(1):29–56.

    Article  PubMed  Google Scholar 

  11. Lippert SC, et al. Pain control in disaster settings: a role for ultrasound-guided nerve blocks. Ann Emerg Med. 2013;61(6):690–6.

    Article  PubMed  Google Scholar 

  12. Missair A, et al. A matter of life or limb? A review of traumatic injury patterns and anesthesia techniques for disaster relief after major earthquakes. Anesth Analg. 2013;117(4):934–41.

    Article  PubMed  Google Scholar 

  13. Shah S, Dalal A, Smith RM, et al. Impact of portable ultrasound in trauma care after the Haitian earthquake of 2010. Am J Emerg Med. 2010;28:970–1.

    Article  PubMed  Google Scholar 

  14. Raja AS, Propper BW, Vandenberg SL, et al. Imaging utilization during explosive multiple casualty incidents. J Trauma. 2010;68:1421–4.

    Article  PubMed  Google Scholar 

  15. Landman A, et al. The Boston marathon bombings mass casualty incident: one emergency department’s information systems challenges and opportunities. Ann Emerg Med. 2015;66(1):51–9.

    Article  PubMed  Google Scholar 

  16. Eyre A, Stone M, Kimberly HH. Point-of-care ultrasonography in a domestic mass casualty incident: the Boston marathon experience. Emerg Med Open J. 2016;2(2):32–5.

    Article  Google Scholar 

  17. Kimberly HH, Stone MB. Clinician-performed ultrasonography during the Boston marathon bombing mass casualty incident. Ann Emerg Med. 2013;62(2):199–200.

    Article  PubMed  Google Scholar 

  18. Taylor J, et al. Use of prehospital ultrasound in North America: a survey of emergency medical services medical directors. BMC Emerg Med. 2014;14(1):1–5.

    Article  Google Scholar 

  19. Kim CH, Shin SD, Song KJ, Park CB. Diagnostic accuracy of focused assessement with sonography for trauma (FAST) examinations performed by emergency medical technicians. Prehosp Emerg Care. 2012;16(3):400–6.

    Article  PubMed  Google Scholar 

  20. Heegaard W, et al. Prehospital ultrasound by paramedics: results of field trial. Acad Emerg Med. 2010;17(6):624–30.

    Article  PubMed  Google Scholar 

  21. 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.

    Article  PubMed  Google Scholar 

  22. Rooney KP, 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.

    Google Scholar 

  23. Walcher F, et al. Prehospital ultrasound imaging improves management of abdominal trauma. Br J Surg. 2006;93(2):238–42.

    Article  CAS  PubMed  Google Scholar 

  24. Rudolph SS, et al. Effect of prehospital ultrasound on clinical outcomes of non-trauma patients—a systematic review. Resuscitation. 2014;85(1):21–30.

    Article  PubMed  Google Scholar 

  25. 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.

    Article  PubMed  Google Scholar 

  26. 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.

    Article  PubMed  Google Scholar 

  27. European Resuscitation Council Guidelines for Resuscitation. 2015. https://cprguidelines.eu/. Accessed 14 Oct 2016.

  28. Gaspari R, et al. Emergency department point-of-care ultrasound in out-of-hospital and in-ED cardiac arrest. Resuscitation. 2016;109:33–9.

    Article  PubMed  Google Scholar 

  29. Adhikari S, et al. Transfer of real-time ultrasound video of FAST examinations from a simulated disaster scene via a mobile phone. Prehosp Disaster Med. 2014;29(03):290–3.

    Article  PubMed  Google Scholar 

  30. Boniface KS, et al. 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.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA, USA

    Haley Cochrane MBBS

  2. Department of Emergency Medicine, Brigham and Women’s Hospital, Boston, MA, USA

    Heidi H. Kimberly MD, FACEP

Authors
  1. Haley Cochrane MBBS
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  2. Heidi H. Kimberly MD, FACEP
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Corresponding author

Correspondence to Haley Cochrane MBBS .

Editor information

Editors and Affiliations

  1. Department of Emergency Medicine, Carolinas Medical Center, Charlotte, North Carolina, USA

    Vivek S. Tayal

  2. Department of Emergency Medicine, St. Francis Hospital, Columbus Georgia, University of South Carolina School of Medicine, Columbia, South Carolina, USA

    Michael Blaivas

  3. Lutheran General Hospital, Park Ridge, Illinois, USA

    Troy R Foster

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© 2018 Springer International Publishing AG

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Cochrane, H., Kimberly, H.H. (2018). Ultrasound in Disaster and Pre-hospital Use. In: Tayal, V., Blaivas, M., Foster, T. (eds) Ultrasound Program Management. Springer, Cham. https://doi.org/10.1007/978-3-319-63143-1_25

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  • DOI: https://doi.org/10.1007/978-3-319-63143-1_25

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-63141-7

  • Online ISBN: 978-3-319-63143-1

  • eBook Packages: MedicineMedicine (R0)

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