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MedNext Journal of Medical and Health Sciences
Review
DOI: 10.54448/mdnt23210
Submitted: 08-05-2023
Published: 08-05-2023

Major approaches on the use of ultrasound at the point-of-care at the pre-hospital level: a systematic review

Hospital Municipal de José de Carvalho florence, Saigiro Nakamura, 800, Vila Industrial, São José dos Campos, São Paulo, Brazil
Hospital Municipal de José de Carvalho florence, Saigiro Nakamura, 800, Vila Industrial, São José dos Campos, São Paulo, Brazil
Hospital Santa Casa de Misericórdia de Barretos - Av. Vinte e Três, 1208, Centro, Barretos, São Paulo, Brazil

Abstract

Introduction: Point-of-Care Ultrasound (POCUS) has been established as an ideal imaging modality when used by clinicians trained in the clinical setting. Thus, sophisticated but relatively inexpensive handheld devices have also contributed to point-of-care ultrasound (POCUS) becoming the norm at the prehospital level. Objective: This study aimed to present, through systematic review, the main considerations about the use of ultrasound at the point of care at the prehospital level. Methods: The present study followed a systematic review model. After the criteria of literary search using MeSH Terms clinical studies were collated and submitted to the eligibility analysis. The search strategy was performed in the PubMed, Embase, Ovid and Cochrane Library, Web Of Science, ScienceDirect Journals (Elsevier), Scopus (Elsevier), and OneFile databases. Results and Conclusion: A total of 156 articles were found. Initially, duplication of articles was excluded. After this process, the abstracts were evaluated and a new exclusion was performed, removing the articles that did not include the theme of this article, resulting in 112 articles. A total of 64 clinical studies were collated and submitted to the eligibility analysis and, after that, 20 studies were selected for the systematic review, dated from 2016 to 2022. On-site ultrasound is spreading through Emergency Medicine, Critical Care, and Prehospital Care. However, there is an underlying inherited conflict with established specialties by conducting comprehensive examinations. Thus, in-service ultrasound in the light of disruptive innovation is a different perspective than ultrasound that had not been academically examined before. Therefore, it can be concluded that ultrasound in the hospital can be implemented in several medical fields for the bedside examination of patients, especially in the prehospital environment. Scientific evidence supports the fact that the addition of ultrasound technology in daily practice (portable ultrasound device), called by some 'future stethoscopes', improves patient care and allows early diagnosis in a hospital setting.

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How to Cite

Cevada, C. M., Figueira, D., & Silva, G. S. (2023). Major approaches on the use of ultrasound at the point-of-care at the pre-hospital level: a systematic review. MedNEXT Journal of Medical and Health Sciences, 4(2). https://doi.org/10.54448/mdnt23210