Point-of-care ultrasound (POCUS) practices in the helicopter emergency medical services in Europe: results of an online survey

Peter Hilbert-Carius; Manuel F Struck; Marcus Rudolph; Jürgen Knapp; Leif Rognås; Jörn Adler; Cor Slagt; Lars Jacobsen; Henryk Pich; Michael D Christian; Didier Dandrifosse; Fikri M Abu-Zidan; POCUS in HEMS collaborators

doi:10.1186/s13049-021-00933-y

Point-of-care ultrasound (POCUS) practices in the helicopter emergency medical services in Europe: results of an online survey

Peter Hilbert-Carius, Manuel F Struck, Marcus Rudolph, Jürgen Knapp, Leif Rognås, Jörn Adler, Cor Slagt, Lars Jacobsen, Henryk Pich, Michael D Christian, Didier Dandrifosse, Fikri M Abu-Zidan, POCUS in HEMS collaborators

Institut for Klinisk Medicin - Præhospitalet

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

Abstract

BACKGROUND: The extent to which Point-of-care of ultrasound (POCUS) is used in different European helicopter EMS (HEMS) is unknown. We aimed to study the availability, perception, and future aspects of POCUS in the European HEMS using an online survey.

METHOD: A survey about the use of POCUS in HEMS was conducted by a multinational steering expert committee and was carried out from November 30, 2020 to December 30, 2020 via an online web portal. Invitations for participation were sent via email to the medical directors of the European HEMS organizations including two reminding notes.

RESULTS: During the study period, 69 participants from 25 countries and 41 different HEMS providers took part in the survey. 96% (n = 66) completed the survey. POCUS was available in 75% (56% always when needed and 19% occasionally) of the responding HEMS organizations. 17% were planning to establish POCUS in the near future. Responders who provided POCUS used it in approximately 15% of the patients. Participants thought that POCUS is important in both trauma and non-trauma-patients (73%, n = 46). The extended focused assessment sonography for trauma (eFAST) protocol (77%) was the most common protocol used. A POCUS credentialing process including documented examinations was requested in less than one third of the HEMS organizations.

CONCLUSIONS: The majority of the HEMS organizations in Europe are able to provide different POCUS protocols in their services. The most used POCUS protocols were eFAST, FATE and RUSH. Despite the enthusiasm for POCUS, comprehensive training and clear credentialing processes are not available in about two thirds of the European HEMS organizations. Due to several limitations of this survey further studies are needed to evaluate POCUS in HEMS.

Originalsprog	Engelsk
Artikelnummer	124
Tidsskrift	Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Vol/bind	29
Nummer	1
Antal sider	8
ISSN	1757-7241
DOI	https://doi.org/10.1186/s13049-021-00933-y
Status	Udgivet - 26 aug. 2021

Adgang til dokumentet

10.1186/s13049-021-00933-y

https://sjtrem.biomedcentral.com/articles/10.1186/s13049-021-00933-y

Citationsformater

Hilbert-Carius, P., Struck, M. F., Rudolph, M., Knapp, J., Rognås, L., Adler, J., Slagt, C., Jacobsen, L., Pich, H., Christian, M. D., Dandrifosse, D., Abu-Zidan, F. M., & POCUS in HEMS collaborators (2021). Point-of-care ultrasound (POCUS) practices in the helicopter emergency medical services in Europe: results of an online survey. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 29(1), Artikel 124. https://doi.org/10.1186/s13049-021-00933-y

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title = "Point-of-care ultrasound (POCUS) practices in the helicopter emergency medical services in Europe: results of an online survey",

abstract = "BACKGROUND: The extent to which Point-of-care of ultrasound (POCUS) is used in different European helicopter EMS (HEMS) is unknown. We aimed to study the availability, perception, and future aspects of POCUS in the European HEMS using an online survey.METHOD: A survey about the use of POCUS in HEMS was conducted by a multinational steering expert committee and was carried out from November 30, 2020 to December 30, 2020 via an online web portal. Invitations for participation were sent via email to the medical directors of the European HEMS organizations including two reminding notes.RESULTS: During the study period, 69 participants from 25 countries and 41 different HEMS providers took part in the survey. 96% (n = 66) completed the survey. POCUS was available in 75% (56% always when needed and 19% occasionally) of the responding HEMS organizations. 17% were planning to establish POCUS in the near future. Responders who provided POCUS used it in approximately 15% of the patients. Participants thought that POCUS is important in both trauma and non-trauma-patients (73%, n = 46). The extended focused assessment sonography for trauma (eFAST) protocol (77%) was the most common protocol used. A POCUS credentialing process including documented examinations was requested in less than one third of the HEMS organizations.CONCLUSIONS: The majority of the HEMS organizations in Europe are able to provide different POCUS protocols in their services. The most used POCUS protocols were eFAST, FATE and RUSH. Despite the enthusiasm for POCUS, comprehensive training and clear credentialing processes are not available in about two thirds of the European HEMS organizations. Due to several limitations of this survey further studies are needed to evaluate POCUS in HEMS.",

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author = "Peter Hilbert-Carius and Struck, {Manuel F} and Marcus Rudolph and J{\"u}rgen Knapp and Leif Rogn{\aa}s and J{\"o}rn Adler and Cor Slagt and Lars Jacobsen and Henryk Pich and Christian, {Michael D} and Didier Dandrifosse and Abu-Zidan, {Fikri M} and {POCUS in HEMS collaborators}",

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doi = "10.1186/s13049-021-00933-y",

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Hilbert-Carius, P, Struck, MF, Rudolph, M, Knapp, J, Rognås, L, Adler, J, Slagt, C, Jacobsen, L, Pich, H, Christian, MD, Dandrifosse, D, Abu-Zidan, FM & POCUS in HEMS collaborators 2021, 'Point-of-care ultrasound (POCUS) practices in the helicopter emergency medical services in Europe: results of an online survey', Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, bind 29, nr. 1, 124. https://doi.org/10.1186/s13049-021-00933-y

Point-of-care ultrasound (POCUS) practices in the helicopter emergency medical services in Europe: results of an online survey. / Hilbert-Carius, Peter; Struck, Manuel F; Rudolph, Marcus et al.
I: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Bind 29, Nr. 1, 124, 26.08.2021.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

TY - JOUR

T1 - Point-of-care ultrasound (POCUS) practices in the helicopter emergency medical services in Europe

T2 - results of an online survey

AU - Hilbert-Carius, Peter

AU - Struck, Manuel F

AU - Rudolph, Marcus

AU - Knapp, Jürgen

AU - Rognås, Leif

AU - Adler, Jörn

AU - Slagt, Cor

AU - Jacobsen, Lars

AU - Pich, Henryk

AU - Christian, Michael D

AU - Dandrifosse, Didier

AU - Abu-Zidan, Fikri M

AU - POCUS in HEMS collaborators

PY - 2021/8/26

Y1 - 2021/8/26

N2 - BACKGROUND: The extent to which Point-of-care of ultrasound (POCUS) is used in different European helicopter EMS (HEMS) is unknown. We aimed to study the availability, perception, and future aspects of POCUS in the European HEMS using an online survey.METHOD: A survey about the use of POCUS in HEMS was conducted by a multinational steering expert committee and was carried out from November 30, 2020 to December 30, 2020 via an online web portal. Invitations for participation were sent via email to the medical directors of the European HEMS organizations including two reminding notes.RESULTS: During the study period, 69 participants from 25 countries and 41 different HEMS providers took part in the survey. 96% (n = 66) completed the survey. POCUS was available in 75% (56% always when needed and 19% occasionally) of the responding HEMS organizations. 17% were planning to establish POCUS in the near future. Responders who provided POCUS used it in approximately 15% of the patients. Participants thought that POCUS is important in both trauma and non-trauma-patients (73%, n = 46). The extended focused assessment sonography for trauma (eFAST) protocol (77%) was the most common protocol used. A POCUS credentialing process including documented examinations was requested in less than one third of the HEMS organizations.CONCLUSIONS: The majority of the HEMS organizations in Europe are able to provide different POCUS protocols in their services. The most used POCUS protocols were eFAST, FATE and RUSH. Despite the enthusiasm for POCUS, comprehensive training and clear credentialing processes are not available in about two thirds of the European HEMS organizations. Due to several limitations of this survey further studies are needed to evaluate POCUS in HEMS.

AB - BACKGROUND: The extent to which Point-of-care of ultrasound (POCUS) is used in different European helicopter EMS (HEMS) is unknown. We aimed to study the availability, perception, and future aspects of POCUS in the European HEMS using an online survey.METHOD: A survey about the use of POCUS in HEMS was conducted by a multinational steering expert committee and was carried out from November 30, 2020 to December 30, 2020 via an online web portal. Invitations for participation were sent via email to the medical directors of the European HEMS organizations including two reminding notes.RESULTS: During the study period, 69 participants from 25 countries and 41 different HEMS providers took part in the survey. 96% (n = 66) completed the survey. POCUS was available in 75% (56% always when needed and 19% occasionally) of the responding HEMS organizations. 17% were planning to establish POCUS in the near future. Responders who provided POCUS used it in approximately 15% of the patients. Participants thought that POCUS is important in both trauma and non-trauma-patients (73%, n = 46). The extended focused assessment sonography for trauma (eFAST) protocol (77%) was the most common protocol used. A POCUS credentialing process including documented examinations was requested in less than one third of the HEMS organizations.CONCLUSIONS: The majority of the HEMS organizations in Europe are able to provide different POCUS protocols in their services. The most used POCUS protocols were eFAST, FATE and RUSH. Despite the enthusiasm for POCUS, comprehensive training and clear credentialing processes are not available in about two thirds of the European HEMS organizations. Due to several limitations of this survey further studies are needed to evaluate POCUS in HEMS.

KW - Air Ambulances

KW - Aircraft

KW - Emergency Medical Services

KW - Europe

KW - Humans

KW - Point-of-Care Systems

U2 - 10.1186/s13049-021-00933-y

DO - 10.1186/s13049-021-00933-y

M3 - Journal article

C2 - 34446076

SN - 1757-7241

VL - 29

JO - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

JF - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

IS - 1

M1 - 124

ER -

Point-of-care ultrasound (POCUS) practices in the helicopter emergency medical services in Europe: results of an online survey

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