Prehospital portable ultrasound for safe and accurate prehospital needle thoracostomy: a pilot educational study

Autor: Zachary E. Dewar, Stephanie Ko, Cameron Rogers, Alexis Oropallo, Andrew Augustine, Ankitha Pamula, Christopher L. Berry
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: The Ultrasound Journal, Vol 14, Iss 1, Pp 1-6 (2022)
Druh dokumentu: article
ISSN: 2524-8987
DOI: 10.1186/s13089-022-00270-w
Popis: Abstract Background Simulated needle thoracostomy (NT) using ultrasound may reduce potential injury, increase accuracy, and be as rapid to perform as the traditional landmark technique following a brief educational session. Our objective was to determine if the use of an educational session demonstrating the use of handheld ultrasound to Emergency Medical Services (EMS) staff to facilitate NT was both feasible, and an effective way of increasing the safety and efficacy of this procedure for rural EMS providers. Methods A pre/post-educational intervention on a convenience sample of rural North American EMS paramedics and nurses. Measurement of location and estimated depth of placement of needle thoracostomy with traditional landmark technique was completed and then repeated using handheld ultrasound following a training session on thoracic ultrasound and correct placement of NT. Results A total of 30 EMS practitioners participated. Seven were female (23.3%). There was a higher frequency of dangerous structures underlying the chosen location with the landmark technique 9/60 (15%) compared to the ultrasound technique 1/60 (1.7%) (p = 0.08). Mean time-to-site-selection for the landmark technique was shorter than the ultrasound technique at 10.7 s (range 3.35–45 s) vs. 19.9 s (range 7.8–50 s), respectively (p
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