Evaluation of a Novel Wireless Transmission System for Trauma Ultrasound Examinations From Moving Ambulances.

Objective: To determine if physicians trained in ultrasound interpretation perceive a difference in image quality and usefulness between Extended Focused Assessment with Sonography ultrasound examinations performed at bedside in a hospital vs. by emergency medical technicians minimally trained in me...

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Publicado en:Military Medicine Vol. 183; pp. 111 - 119
Autores principales: Morchel, Herman, Ogedegbe, Chinwe, Chaplin, William, Cheney, Brianna, Zakharchenko, Svetlana, Misch, David, Schwartz, Matthew, Feldman, Joseph, Kaul, Sanjeev
Formato: questionnaire/scale research tables/charts Journal Article
Publicado: Oxford University Press / USA 2018 Supplement
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Oxford University Press / USA
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        10.1093/milmed/usx167
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        atl: Evaluation of a Novel Wireless Transmission System for Trauma Ultrasound Examinations From Moving Ambulances.
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          Morchel, Herman
          Ogedegbe, Chinwe
          Chaplin, William
          Cheney, Brianna
          Zakharchenko, Svetlana
          Misch, David
          Schwartz, Matthew
          Feldman, Joseph
          Kaul, Sanjeev
        affil: Emergency Trauma Center, Hackensack Meridian Health, 30 Prospect Avenue, Hackensack, NJ 07601
      sug:
        subj:
          Ambulances
          Wireless Communications Equipment and Supplies
          Wounds, Nonpenetrating
          Emergency Medical Services Standards
          Ultrasonography Equipment and Supplies
          Wireless Communications Standards
          Image Processing, Computer Assisted Standards
          Emergency Medical Services Methods
          Wireless Communications
          Wounds, Nonpenetrating Diagnosis
          Human
          Ultrasonography Methods
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Scales
      ab: Objective: To determine if physicians trained in ultrasound interpretation perceive a difference in image quality and usefulness between Extended Focused Assessment with Sonography ultrasound examinations performed at bedside in a hospital vs. by emergency medical technicians minimally trained in medical ultrasound on a moving ambulance and transmitted to the hospital via a novel wireless system. In particular, we sought to demonstrate that useful images could be obtained from patients in less than optimal imaging conditions; that is, while they were in transport.Methods: Emergency medical technicians performed the examinations during transport of blunt trauma patients. Upon patient arrival at the hospital, a bedside Extended Focused Assessment with Sonography examination was performed by a physician. Both examinations were recorded and later reviewed by physicians trained in ultrasound interpretation.Results: Data were collected on 20 blunt trauma patients over a period of 13 mo. Twenty ultrasound-trained physicians blindly compared transmitted vs. bedside images using 11 Questionnaire for User Interaction Satisfaction scales. Four paired samples t-tests were conducted to assess mean differences between ratings for ambulatory and base images.Conclusion: Although there is a slight tendency for the average rating across all subjects and raters to be slightly higher in the base than in the ambulatory condition, none of these differences are statistically significant. These results suggest that the quality of the ambulatory images was viewed as essentially as good as the quality of the base images.
      pubtype: Academic Journal
      doctype:
        questionnaire/scale
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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