- ABSTRACT.
- INTRODUCTION
- DIAGNOSTIC ACCURACY IN LIMITED-RESOURCE SETTINGS
- IS POINT-OF-CARE HANDHELD US A POTENTIAL SOLUTION?
- DEVELOPMENT OF STANDARD OPERATING PROCEDURES AND A TRAIN-THE-TRAINER PROGRAM
- TRAINING FOR IMPLEMENTATION OF THE SPLENOMEGALY SCREENING AND MONITORING SOP
- MOVING INTO THE FUTURE
- CONCLUSION
- Supplemental Materials
- REFERENCES
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
The UN Refugee Agency , 2022. Refugee Data Finder. Available at: https://www.unhcr.org/refugee-statistics/. Accessed October 23, 2022.
-
2.
U.S. Department of State, n.d Refugee Admissions. Available at https://www.state.gov/refugee-admissions/. Accessed October 23, 2022.
-
3.
Mann EM et al., 2020. Health challenges in refugee resettlement: an innovative multi-sector partnership to improve the continuum of care for resettling refugees. J Travel Med 27: 1–3.
-
4.
Zambrano LD et al., 2018. Unresolved splenomegaly in recently resettled Congolese refugees: multiple states, 2015–1018. MMWR Morb Mortal Wkly Rep 67: 14.
-
5.
Goers M et al., 2016. Notes from the field: splenomegaly of unknown etiology in Congolese refugees applying for resettlement to the United States: Uganda, 2015. MMWR Morb Mortal Wkly Rep 65: 943–944.
-
6.
Zambrano LD et al., 2020. Clinical sequelae associated with unresolved tropical splenomegaly in a cohort of recently resettled Congolese refugees in the United States: multiple state, 2015–2018. Am J Trop Med Hyg 103: 485–493.
-
7.
Olson APJ et al., 2015. Point-of-care ultrasonography improves the diagnosis of splenomegaly in hospitalized patients. Crit Ultrasound J 7: 13.
-
8.
Suttorp M , Classen CF , 2021. Splenomegaly in Children and Adolescents. Available at: https://www.frontiersin.org/articles/10.3389/fped.2021.704635/full. Accessed November 3, 2022.
-
9.
Becker DM et al., 2016. The use of portable ultrasound devices in low- and middle-income countries: a systemic review of the literature. Trop Med Int Health 21: 294–311.
-
10.
Adler D , Mgalula K , Price D , Taylor O , 2008. Introduction of a portable ultrasound unite into the health services of Lugufu refugee camp, Kigoma District, Tanzania. Int J Emerg Med 1: 261–266.
-
11.
European Society of Radiology , 2019. ESR statement on portable ultrasound devices. Insights Imaging 10: 89.
-
12.
Rykkje A , Carlsen JF , Nielsen MB , 2019. Hand-held ultrasound devices compared with high-end ultrasound systems: a systematic review. Diagnostics (Basel) 9: 61.
| Past two years | Past Year | Past 30 Days | |
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| Abstract Views | 3207 | 1118 | 40 |
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| PDF Downloads | 112 | 12 | 0 |
Use of Point-of-Care Handheld Ultrasound for Splenomegaly in United States–Bound Refugees: A Novel Technology with Far-Reaching Implications
Tim Kummer
Tim Kummer
Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, Minnesota;
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Alexandra M. Medley
Alexandra M. Medley
Division of Foodborne, Waterborne and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia;
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Alexander Klosovsky
Alexander Klosovsky
International Organization for Migration, Geneva, Switzerland;
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Erin Mann
Erin Mann
Center for Global Health and Social Responsibility, University of Minnesota, Minneapolis, Minnesota;
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Patricia Mburu
Patricia Mburu
International Organization for Migration, Nairobi, Kenya;
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Karen Ekernas
Karen Ekernas
Department of Emergency Medicine, Colorado Permanente Medical Group, Denver, Colorado;
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Betty Bonass
Betty Bonass
International Organization for Migration, Nairobi, Kenya;
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Jacob C. Stauffer
Jacob C. Stauffer
School of Public Health, University of Minnesota, Minneapolis, Minnesota;
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Stewart Walukaga
Stewart Walukaga
School of Public Health, University of Minnesota, Minneapolis, Minnesota;
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Michelle Weinberg
Michelle Weinberg
Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia;
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Stephen J. Dunlop
Stephen J. Dunlop
Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, Minnesota;
Global Medicine, University of Minnesota, Minneapolis, Minnesota
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Global Medicine, University of Minnesota, Minneapolis, Minnesota
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William M. Stauffer
William M. Stauffer
Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, Minnesota;
Center for Global Health and Social Responsibility, University of Minnesota, Minneapolis, Minnesota;
School of Public Health, University of Minnesota, Minneapolis, Minnesota;
Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia;
Global Medicine, University of Minnesota, Minneapolis, Minnesota
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Center for Global Health and Social Responsibility, University of Minnesota, Minneapolis, Minnesota;
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Global Medicine, University of Minnesota, Minneapolis, Minnesota
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ABSTRACT.
Ultrasound (US) is an invaluable clinical tool. New point-of-care US technology holds great promise for hard-to-reach and mobile populations such as refugees. The implementation of US in unique and challenging settings has been hindered by cost, fragility of equipment, need for uninterrupted electricity, training, and difficulty in sharing data/image files impeding quality assurance. The recent development of more flexible, durable, high-quality, low-cost, handheld US technology has offered increased potential to address many of these barriers. We describe a pilot program using a new point-of-care US technology to identify and monitor splenomegaly in United States–bound Congolese refugees. This experience and model may hold lessons for planning and development of similar approaches in other hard-to-reach mobile populations.
- Supplemental Materials (PDF 217 KB)
Author Notes
These authors contributed equally to this work.
Financial support: This work is supported by International Organization for Migration Award No. NU50CK000495.
Disclosure: W. S. receives partial chapter royalties from UpToDate, consultant to BCTPartners and Haymarket Education.
Authors’ addresses: Tim Kummer, Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN, E-mail: timkummer84@gmail.com. Alexandra M. Medley, Division of Foodborne, Waterborne and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, GA, E-mail: muv3@cdc.gov. Alexander Klosovsky, International Organization for Migration, Geneva, Switzerland, E-mail: aklosovsky@iom.int. Erin Mann, Center for Global Health and Social Responsibility, University of Minnesota, Minneapolis, MN, E-mail: mann0255@umn.edu. Patricia Mburu and Betty Bonass, International Organization for Migration, Nairobi, Kenya, E-mails: pmburu@iom.int and bbonass@iom.int. Karen Ekernas, Department of Emergency Medicine, Colorado Permanente Medical Group, Denver, CO, E-mail: karenbast@gmail.com. Jacob Stauffer and Stewart Walukaga, School of Public Health, University of Minnesota, Minneapolis, MN, E-mails: jacobcstauffer@gmail.com and walukagas@gmail.com. Michelle Weinberg, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, GA, E-mail: mpw5@cdc.gov. Stephen J. Dunlop and William Stauffer, Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN, and Global Medicine, University of Minnesota, Minneapolis, MN, E-mails: stephenjdunlop@hotmail.com and stauf005@umn.edu.
- ABSTRACT.
- INTRODUCTION
- DIAGNOSTIC ACCURACY IN LIMITED-RESOURCE SETTINGS
- IS POINT-OF-CARE HANDHELD US A POTENTIAL SOLUTION?
- DEVELOPMENT OF STANDARD OPERATING PROCEDURES AND A TRAIN-THE-TRAINER PROGRAM
- TRAINING FOR IMPLEMENTATION OF THE SPLENOMEGALY SCREENING AND MONITORING SOP
- MOVING INTO THE FUTURE
- CONCLUSION
- Supplemental Materials
- REFERENCES
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
The UN Refugee Agency , 2022. Refugee Data Finder. Available at: https://www.unhcr.org/refugee-statistics/. Accessed October 23, 2022.
-
2.
U.S. Department of State, n.d Refugee Admissions. Available at https://www.state.gov/refugee-admissions/. Accessed October 23, 2022.
-
3.
Mann EM et al., 2020. Health challenges in refugee resettlement: an innovative multi-sector partnership to improve the continuum of care for resettling refugees. J Travel Med 27: 1–3.
-
4.
Zambrano LD et al., 2018. Unresolved splenomegaly in recently resettled Congolese refugees: multiple states, 2015–1018. MMWR Morb Mortal Wkly Rep 67: 14.
-
5.
Goers M et al., 2016. Notes from the field: splenomegaly of unknown etiology in Congolese refugees applying for resettlement to the United States: Uganda, 2015. MMWR Morb Mortal Wkly Rep 65: 943–944.
-
6.
Zambrano LD et al., 2020. Clinical sequelae associated with unresolved tropical splenomegaly in a cohort of recently resettled Congolese refugees in the United States: multiple state, 2015–2018. Am J Trop Med Hyg 103: 485–493.
-
7.
Olson APJ et al., 2015. Point-of-care ultrasonography improves the diagnosis of splenomegaly in hospitalized patients. Crit Ultrasound J 7: 13.
-
8.
Suttorp M , Classen CF , 2021. Splenomegaly in Children and Adolescents. Available at: https://www.frontiersin.org/articles/10.3389/fped.2021.704635/full. Accessed November 3, 2022.
-
9.
Becker DM et al., 2016. The use of portable ultrasound devices in low- and middle-income countries: a systemic review of the literature. Trop Med Int Health 21: 294–311.
-
10.
Adler D , Mgalula K , Price D , Taylor O , 2008. Introduction of a portable ultrasound unite into the health services of Lugufu refugee camp, Kigoma District, Tanzania. Int J Emerg Med 1: 261–266.
-
11.
European Society of Radiology , 2019. ESR statement on portable ultrasound devices. Insights Imaging 10: 89.
-
12.
Rykkje A , Carlsen JF , Nielsen MB , 2019. Hand-held ultrasound devices compared with high-end ultrasound systems: a systematic review. Diagnostics (Basel) 9: 61.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 3207 | 1118 | 40 |
| Full Text Views | 402 | 109 | 17 |
| PDF Downloads | 112 | 12 | 0 |