Evaluation of a thoracic ultrasound training module for the detection of pneumothorax and pulmonary edema by prehospital physician care providers

Vicki E. Noble1, Lionel Lamhaut2, Roberta Capp1, Nichole Bosson1, Andrew S. Liteplo1, J.-S. Marx2, Pierre Carli2
1Department of Emergency Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, Massachusetts, USA
2SAMU de Paris, Hôpital Necker – Enfants Malades, 149 Rue de Sèvres, 75743, Paris, Cedex 15, France

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Wang CS, FitzGerald JM, Schulzer M, et al: Does this dyspneic patient in the emergency department have congestive heart failure?. JAMA. 2005, 294: 1944-1956. 10.1001/jama.294.15.1944.

Zehtabchi S, Brandler ES: Evidence-based emergency medicine/rational clinical examination abstract. does this patient have congestive heart failure?. Ann Emerg Med. 2008, 51: 87-90. 10.1016/j.annemergmed.2007.03.034.

Fonseca C, Morais H, Mota T, et al: The diagnosis of heart failure in primary care: Value of symptoms and signs. Eur J Heart Fail. 2004, 6: 795-800. 10.1016/j.ejheart.2004.08.002.

Salpeter SR, Ormiston TM, Salpeter EE: Cardiovascular effects of beta-agonists in patients with asthma and COPD: A meta-analysis. Chest. 2004, 125: 2309-2321. 10.1378/chest.125.6.2309.

Singer AJ, Emerman C, Char DM, et al: Bronchodilator therapy in acute decompensated heart failure patients without a history of chronic obstructive pulmonary disease. Ann Emerg Med. 2008, 51: 25-34. 10.1016/j.annemergmed.2007.04.005.

Lichtenstein D: General Ultrasound in the Critically Ill. 2004, Springer, Berlin Heidelberg New York

Lichtenstein D, Meziere G, Biderman P, et al: The comet-tail artifact. an ultrasound sign of alveolar-interstitial syndrome. Am J Respir Crit Care Med. 1997, 156: 1640-1646.

Lichtenstein D, Meziere G: A lung ultrasound sign allowing bedside distinction between pulmonary edema and COPD: The comet-tail artifact. Intensive Care Med. 1998, 24: 1331-1334. 10.1007/s001340050771.

Picano E, Frassi F, Agricola E, et al: Ultrasound lung comets: A clinically useful sign of extravascular lung water. J Am Soc Echocardiogr. 2006, 19: 356-363. 10.1016/j.echo.2005.05.019.

Jambrik Z, Monti S, Coppola V, et al: Usefulness of ultrasound lung comets as a nonradiologic sign of extravascular lung water. Am J Cardiol. 2004, 93: 1265-1270. 10.1016/j.amjcard.2004.02.012.

Agricola E, Bove T, Oppizzi M, et al: "Ultrasound comet-tail images": A marker of pulmonary edema: A comparative study with wedge pressure and extravascular lung water. Chest. 2005, 127: 1690-1695. 10.1378/chest.127.5.1690.

Volpicelli G, Mussa A, Garofalo G, et al: Bedside lung ultrasound in the assessment of alveolar-interstitial syndrome. Am J Emerg Med. 2006, 24: 689-696. 10.1016/j.ajem.2006.02.013.

Dulchavsky SA, Hamilton DR, Diebel LN, Sargsyan AE, Billica RD, William DR: Thoracic ultrasound diagnosis of pneumothorax. J Trauma. 1999, 47 (5): 970-1. 10.1097/00005373-199911000-00029.

Langlois SMB: "Focused Ultrasound Training For Clinicians.". Critical Care Medicine. 2007, 35 (5 Suppl).