Page 36 - Ultrasonography in Prehospital and Emergency Medicine - Rein Ketelaars

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Chapter 2
Abstract
Prehospital point-of-care ultrasound used by nonradiologists in emergency medicine is gain- ing ground. It is feasible on-scene and during aeromedical transport and it allows healthcare professionals to detect or rule out potential harmful conditions. Consequently, it impacts decision-making in prioritizing care, selecting the best treatment, and the most suitable transport mode and destination. This increasing relevance of prehospital ultrasonography is due to advancements in ultrasound devices and related technology, and to a growing number of applications.
This narrative review aims to present an overview of prehospital ultrasonography literature. The focus is on civilian emergency (trauma and non-trauma) setting. Current and potential future applications are discussed, structured according to the airway, breathing, circulation, disability, environment/exposure (ABCDE) approach. Aside from diagnostic implementa- tion and specific protocols, procedural guidance, therapeutic ultrasound, and challenges are reviewed.