Usefulness of point-of-care ultrasound in military medical emergencies performed by young military medicine residents.
Autor: Perrier, Pierre; Leyral, J.; Thabouillot, O.; Papeix, D.; Comat, G.; Renard, A.; Cazes, N.
Publication year: 2020
BMJ military health
issn:2633-3775 2633-3767
doi: 10.1136/jramc-2018-001132
Abstract:
INTRODUCTION: To evaluate the usefulness of point-of-care ultrasound (POCUS) performed by young military medicine residents after short training in the diagnosis of medical emergencies. METHODS: A prospective study was performed in the emergency department of a French army teaching hospital. Two young military medicine residents received ultrasound training focused on gall bladder, kidneys and lower limb veins. After clinical examination, they assigned a ‘clinical diagnostic probability’ (CP) on a visual analogue scale from 0 (definitely not diagnosis) to 10 (definitive diagnosis). The same student performed ultrasound examination and assigned an ‘ultrasound diagnostic probability’ (UP) in the same way. The absolute difference between CP and UP was calculated. This result corresponded to the Ultrasound Diagnostic Index (UDI), which was positive if UP was closer to the final diagnosis than CP (POCUS improved the diagnostic accuracy), and negative conversely (POCUS decreased the diagnostic accuracy). RESULTS: Forty-eight patients were included and 48 ultrasound examinations were performed. The present pathologies were found in 14 patients (29%). The mean UDI value was +3 (0-5). UDI was positive in 35 exams (73%), zero in 12 exams (25%) and negative in only one exam (2%). CONCLUSION: POCUS performed after clinical examination increases the diagnostic accuracy of young military medicine residents.
Language: eng
Rights: © Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.
Pmid: 30636688
Tags: Humans; Aged; Female; Male; Prospective Studies; Adult; Middle Aged; education; ultrasonography; emergency medicine; France; Education, Medical, Graduate/standards/trends; Emergency Medical Services/methods/*standards/trends; Internship and Residency/methods/trends; military medicine; Military Medicine/instrumentation/methods/standards; Military Personnel/*education/statistics & numerical data; Physical Examination/instrumentation/methods; Point-of-Care Systems/standards/trends; Ultrasonography/*instrumentation/*standards/trends
Link: https://pubmed.ncbi.nlm.nih.gov/30636688/
