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Emergency Medicine Journal 2009;26(Suppl 1):31; doi:10.1136/emj.2009.082099e
© 2009 BMJ Publishing Group Ltd and the College of Emergency Medicine.

ABSTRACTS FOR ULTRASOUND AND ED SYSTEMS, FREE PAPER SESSION

Abstracts for Ultrasound and ED Systems, Free Paper Session, Thursday 17 September 12.00–12.45, Pippard Lecture Theatre

Can tele-ultrasound examinations for FAST, performed by inexperienced technicians by remote instruction, produce diagnostic quality images?

M. Mitchelson, I. Crawford, J. Ferguson

Aberdeen Royal Infirmary

The first 150 words of the full text of this article appear below.


Introduction

The applications for ultrasound in emergency medicine (EM) have expanded meteorically over the past decade—it has even been described as "the stethoscope for the 21st century". However, as a sub-specialisation within EM and the prehospital environment, it is still in its infancy. We assessed whether ultrasound trained EM practitioners could guide untrained individuals in producing diagnostic FAST examinations via a telemedicine link.


Methods

41 subjects with no experience of performing ultrasound scans were shown a 5 min induction video and then instructed through a FAST examination by a trained EM physician at the remote end of a telemedicine link. The images were graded for diagnostic quality by the instructor and, independently, retrospectively by blinded radiologists.


Results

41 subjects produced 164 images under guidance. 91.5% (150/164) of the images were considered of diagnostic quality, with almost complete . . . [Full text of this article]


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Official journal of British Association for Immediate Care: BASICS, Faculty of Pre-Hospital Care, Irish Society for Immediate Care and Swedish Society for Emergency Medicine: SweSEM

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