Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Aug;73(8):502-510.
doi: 10.1007/s00101-024-01437-x. Epub 2024 Jul 26.

[Prehospital ultrasound in emergency medicine]

[Article in German]
Oliver Vicent  1   2 , Andreas W Reske  3   4 , Rosa Nickl  5 , Rebecca Heinen  6 , Peter M Spieth  5   7
Affiliations

[Prehospital ultrasound in emergency medicine]

[Article in German]
Oliver Vicent et al. Anaesthesiologie. 2024 Aug.

Abstract
in English, German

Small, portable hand-held ultrasound devices nowadays enable a widespread use of prehospital point-of-care ultrasound (pPOCUS), which has so far only been used hesitantly, especially in ground-based emergency services. Many critical or even life-threatening conditions or internal injuries can often be better diagnosed or ruled out using pPOCUS, which can enable faster and more suitable goal-directed treatment and hospital transport. This article critically discusses relevant data, clinical benefits, limitations and challenges to be overcome when using pPOCUS for the most important life-threatening situations and aims to call for intensifying training and the extensive use of pPOCUS.

Kleine transportable Hand-held-Ultraschallgeräte ermöglichen heutzutage einen breiten Einsatz des prähospitalen Point-of-care-Ultraschalls (pPOCUS), der jedoch bislang v. a. im bodengebundenen Rettungsdienst nur zögerlich Anwendung findet. Viele kritische oder gar lebensbedrohliche Krankheitsbilder bzw. innere Verletzungen können mittels pPOCUS oft besser diagnostiziert oder ausgeschlossen werden, was eine schnellere und gezieltere Therapie und Klinikzuweisung ermöglichen kann. Dieser Leitartikel beleuchtet kritisch relevante Daten, den klinischen Nutzen, Limitationen und zu bewältigende Herausforderungen bei der Anwendung von pPOCUS bei den wichtigsten lebensbedrohlichen Leitsymptomen und soll dazu auffordern, die Ausbildung und den flächendeckenden Einsatz von pPOCUS zu intensivieren.

Keywords: Emergency sonography; Hand-held-ultrasound devices; Outcome; Point-of-care; Training.

PubMed Disclaimer

References

Literatur

    1. Bergmann I, Büttner B, Teut E et al (2018) Pre-hospital transthoracic echocardiography for early identification of non-ST-elevation myocardial infarction in patients with acute coronary syndrome. Crit Care 22:29 - PubMed - PMC - DOI
    1. Blaivas M (2010) Inadequate needle thoracostomy rate in the prehospital setting for presumed pneumothorax: an ultrasound study. J Ultrasound Med 29:1285–1289 - PubMed - DOI
    1. Blehar DJ, Barton B, Gaspari RJ (2015) Learning curves in emergency ultrasound education. Acad Emerg Med 22:574–582 - PubMed - DOI
    1. Bobbia X, Pradeilles C, Claret PG et al (2015) Does physician experience influence the interpretability of focused echocardiography images performed by a pocket device? Scand J Trauma Resusc Emerg Med 23:52 - PubMed - PMC - DOI
    1. Boniface KS, Shokoohi H, Smith ER et al (2011) Tele-ultrasound and paramedics: real-time remote physician guidance of the Focused Assessment With Sonography for Trauma examination. Am J Emerg Med 29:477–481 - PubMed - DOI

Publication types

MeSH terms

LinkOut - more resources