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1.
Melniker LA, Leibner E, McKenney MG, Lopez P, Briggs WM, Mancuso CA, 2006. Randomised controlled clinical trial of point-of-care, limited ultrasonography for trauma in the emergency department: the first sonography outcomes assessment program trial. Ann Emerg Med 48: 227–235.
-
2.
Moore CL, Copel JA, 2011. Point-of-care ultrasonography. N Engl J Med 364: 749–757.
-
3.
Gillman LM, Kirkpatrick AW, 2012. Portable bedside ultrasound: the visual stethoscope of the 21st century. Scand J Trauma Resusc Emerg Med 9: 18.
-
4.
Liu XL, Lian R, Tao YK, Gu CD, Zhang GQ, 2015. Lung ultrasonography: an effective way to diagnose community-acquired pneumonia. Emerg Med J 32: 433–438.
-
5.
Ding W, Shen Y, Yang J, He X, Zhang M, 2011. Diagnosis of pneumothorax by radiography and ultrasonography: a meta- analysis. Chest 140: 859–866.
-
6.
Ianniello S, Di Giacomo V, Sessa B, Meile V, 2014. First-line sonographic diagnosis of pneumothorax in major trauma: accuracy of e-FAST and comparison with multi-detector computed tomography. Radiol Med (Torino) 119: 674–680.
-
7.
Shah S, Price D, Bukhman G, Shah S, Wroe E, 2011. Manual of Ultrasound for Recourse-Limited Settings. First Edition. Partners in Health. Available at: http://www.pih.org/library/manual-of-ultrasound-for-resource-limited-settings. Accessed September 11, 2015.
-
8.
Shackford SR, Rogers FB, Osler TM, Trabulsy ME, Clauss DW, Vane DW, 1999. Focused abdominal sonogram for trauma: the learning curve of nonradiologist clinicians in detecting hemoperitoneum. J Trauma Inj Infect Crit Care 46: 553–564.
-
9.
Lutz H, Buscarini E, 1998. Training in Diagnostic Ultrasound: Essentials, Principles and Standards, 2nd edition, Vol. 1. Geneva, Switzerland: World Health Organization. Available at: http://apps.who.int/iris/bitstream/10665/42093/1/WHO_TRS_875.pdf. Accessed September 13, 2015.
-
10.
Shah S, Epino H, Bukhman G, Umulisa I, Dushimiyimana JM, Reichman A, Noble V, 2009. Impact of the introduction of ultrasound services in a limited resource setting: rural Rwanda 2008. BMC Int Health Hum Rights 9: 4.
-
11.
Kobal SL, Lee SS, Willner R, Aguila-Vargas FE, Luo H, Watanabe C, Neuman Y, Miyamoto T, Siegel RJ, 2004. Hand carried ultrasound enhances health care delivery in developing countries. Am J Cardiol 94: 539–541.
| Past two years | Past Year | Past 30 Days | |
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| Abstract Views | 49 | 49 | 15 |
| Full Text Views | 390 | 110 | 1 |
| PDF Downloads | 164 | 49 | 0 |
The Impact of Systematic Point-of-Care Ultrasound on Management of Patients in a Resource-Limited Setting
Alastair Stanley
Alastair Stanley
London School of Hygiene and Tropical Medicine, London, United Kingdom.
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Bahati M. K. Wajanga
Bahati M. K. Wajanga
Weill Bugando School of Medicine, Mwanza, Tanzania.
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Hyasinta Jaka
Hyasinta Jaka
Weill Bugando School of Medicine, Mwanza, Tanzania.
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Rachael Purcell
Rachael Purcell
London School of Hygiene and Tropical Medicine, London, United Kingdom.
School of Medicine, The University of Notre Dame Australia, Sydney, Australia.
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School of Medicine, The University of Notre Dame Australia, Sydney, Australia.
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Lauren Byrne
Lauren Byrne
London School of Hygiene and Tropical Medicine, London, United Kingdom.
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Felicity Williams
Felicity Williams
London School of Hygiene and Tropical Medicine, London, United Kingdom.
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Candace Rypien
Candace Rypien
London School of Hygiene and Tropical Medicine, London, United Kingdom.
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Abigail Sharpe
Abigail Sharpe
London School of Hygiene and Tropical Medicine, London, United Kingdom.
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Patrick Laws
Patrick Laws
London School of Hygiene and Tropical Medicine, London, United Kingdom.
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Lucas Faustine
Lucas Faustine
London School of Hygiene and Tropical Medicine, London, United Kingdom.
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Tshepo Leeme
Tshepo Leeme
London School of Hygiene and Tropical Medicine, London, United Kingdom.
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Emmanuel Mwabutwa
Emmanuel Mwabutwa
London School of Hygiene and Tropical Medicine, London, United Kingdom.
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Robert Peck
Robert Peck
Weill Cornell Medical College, New York, New York.
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Matthew Stephens
Matthew Stephens
WellSpan York Hospital, York, Pennsylvania.
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Daniel Kaminstein
Daniel Kaminstein
Augusta University, Augusta, Georgia.
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Although target point-of-care (POC) ultrasonography has been shown to benefit patients in resource-limited settings, it is not clear whether a systematic POC ultrasound assessment in these settings can also lead to similar changes in patient management. A predefined systematic set of POC ultrasound scans were performed on inpatients at a tertiary referral hospital in Tanzania to see if this resulted in changes to patient management. Of the 55 patients scanned, an abnormality was detected in 75% (N = 41), and a change in patient management was recommended or implemented on the basis of POC ultrasound findings in 53% (N = 29). The main impact was earlier initiation of treatment due to more rapid and accurate diagnosis. Further research is warranted to determine whether systematic POC ultrasonography would result in improved patient outcomes in resource-limited settings.
Author Notes
Authors' addresses: Alastair Stanley, Lauren Byrne, Felicity Williams, Candace Rypien, Abigail Sharpe, Patrick Laws, Lucas Faustine, Tshepo Leeme, and Emmanuel Mwabutwa, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom, E-mails: alastair.stanley@nhs.net, lauren.byrne@gmail.com, felicityjean.williams@gmail.com, candace.rypien@gmail.com, abi.sharpe@hotmail.com, pjlaws1@gmail.com, eben22003@gmail.com, tbleeme@yahoo.com, and emwabutwa@medcol.mw. Bahati M. K. Wajanga and Hyasinta Jaka, Department of Internal Medicine, Bugando Medical Centre, Mwanza, Tanzania, E-mails: wajangabmk@gmail.com and yasintaliwa5@gmail.com. Rachael Purcell, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom, and School of Medicine, University of Notre Dame Australia, Sydney, Australia, E-mail: rachael.purcell@gmail.com. Robert Peck, Department of Medicine, Weill Cornell Medical College, New York, NY, and Department of Internal Medicine, Bugando Medical Centre, Mwanza, Tanzania, E-mail: rnp2002@gmail.com. Matthew Stephens, Department of Emergency Medicine, WellSpan York Hospital, York, PA, E-mail: mstephens3@wellspan.org. Daniel Kaminstein, Department of Emergency Medicine, Georgia Regents University—Summerville Campus, Augusta, GA, E-mail: daniel.kaminstein@gmail.com.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Melniker LA, Leibner E, McKenney MG, Lopez P, Briggs WM, Mancuso CA, 2006. Randomised controlled clinical trial of point-of-care, limited ultrasonography for trauma in the emergency department: the first sonography outcomes assessment program trial. Ann Emerg Med 48: 227–235.
-
2.
Moore CL, Copel JA, 2011. Point-of-care ultrasonography. N Engl J Med 364: 749–757.
-
3.
Gillman LM, Kirkpatrick AW, 2012. Portable bedside ultrasound: the visual stethoscope of the 21st century. Scand J Trauma Resusc Emerg Med 9: 18.
-
4.
Liu XL, Lian R, Tao YK, Gu CD, Zhang GQ, 2015. Lung ultrasonography: an effective way to diagnose community-acquired pneumonia. Emerg Med J 32: 433–438.
-
5.
Ding W, Shen Y, Yang J, He X, Zhang M, 2011. Diagnosis of pneumothorax by radiography and ultrasonography: a meta- analysis. Chest 140: 859–866.
-
6.
Ianniello S, Di Giacomo V, Sessa B, Meile V, 2014. First-line sonographic diagnosis of pneumothorax in major trauma: accuracy of e-FAST and comparison with multi-detector computed tomography. Radiol Med (Torino) 119: 674–680.
-
7.
Shah S, Price D, Bukhman G, Shah S, Wroe E, 2011. Manual of Ultrasound for Recourse-Limited Settings. First Edition. Partners in Health. Available at: http://www.pih.org/library/manual-of-ultrasound-for-resource-limited-settings. Accessed September 11, 2015.
-
8.
Shackford SR, Rogers FB, Osler TM, Trabulsy ME, Clauss DW, Vane DW, 1999. Focused abdominal sonogram for trauma: the learning curve of nonradiologist clinicians in detecting hemoperitoneum. J Trauma Inj Infect Crit Care 46: 553–564.
-
9.
Lutz H, Buscarini E, 1998. Training in Diagnostic Ultrasound: Essentials, Principles and Standards, 2nd edition, Vol. 1. Geneva, Switzerland: World Health Organization. Available at: http://apps.who.int/iris/bitstream/10665/42093/1/WHO_TRS_875.pdf. Accessed September 13, 2015.
-
10.
Shah S, Epino H, Bukhman G, Umulisa I, Dushimiyimana JM, Reichman A, Noble V, 2009. Impact of the introduction of ultrasound services in a limited resource setting: rural Rwanda 2008. BMC Int Health Hum Rights 9: 4.
-
11.
Kobal SL, Lee SS, Willner R, Aguila-Vargas FE, Luo H, Watanabe C, Neuman Y, Miyamoto T, Siegel RJ, 2004. Hand carried ultrasound enhances health care delivery in developing countries. Am J Cardiol 94: 539–541.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 49 | 49 | 15 |
| Full Text Views | 390 | 110 | 1 |
| PDF Downloads | 164 | 49 | 0 |