Knott Dominik, Siegl Lutz, Siegl Katharina
Klinik X Anästhesiologie,Intensivmedizin, Schmerztherapie und Notfallmedizin, Bundeswehrkrankenhaus Berlin, Berlin, Deutschland.
Dtsch Med Wochenschr. 2024 Aug;149(15):912-924. doi: 10.1055/a-2323-3146. Epub 2024 Jul 16.
Sonography is an established noninvasive diagnostic tool in the clinical context of an emergency department. Its use in the prehospital setting is still rare despite its importance to use someone's resources purposeful and its importance in emergency medicine guidelines. In this article we show the advantages and disadvantages of prehospital point-of-care ultrasound (pPOCUS). We reflect organizational hurdles implementing pPOCUS as well as describing the technical preconditions for an easy and meaningful use. Furthermore, we explain teaching issues for pPOCUS and with a standard operating procedure (SOP) we show how pPOCUS could be implemented in the prehospital setting using some cardinal symptoms as examples.
超声检查在急诊科的临床环境中是一种既定的非侵入性诊断工具。尽管其对于有目的地利用资源很重要,且在急诊医学指南中也很重要,但它在院前环境中的使用仍然很少。在本文中,我们展示了院前即时超声检查(pPOCUS)的优缺点。我们思考了实施pPOCUS的组织障碍,并描述了轻松且有意义地使用它的技术前提条件。此外,我们解释了pPOCUS的教学问题,并通过一个标准操作程序(SOP),以一些主要症状为例展示了pPOCUS如何在院前环境中实施。