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, Phabiola M Herrera, MD Division of Pulmonary, Critical Care and Sleep Medicine, University of Miami , Miami, FL 33136, USA Search for other works by this author on: Oxford Academic Paul W Blair, MD The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc. , Bethesda, MD 20817, USA Division of Infectious Diseases, Johns Hopkins University School of Medicine , Baltimore, MD 21205, USA Search for other works by this author on: Oxford Academic Trishul Siddharthan, MD Division of Pulmonary, Critical Care and Sleep Medicine, University of Miami , Miami, FL 33136, USA Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine , Baltimore, MD 21205, USA Search for other works by this author on: Oxford Academic Tiffany Fong, MD Department of Emergency Medicine, Johns Hopkins University School of Medicine , Baltimore, MD 21205, USA Search for other works by this author on: Oxford Academic Simon Pollett, MD The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc. , Bethesda, MD 20817, USA Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences , Bethesda, MD 20814, USA Search for other works by this author on: Oxford Academic Danielle V Clark, PhD The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc. , Bethesda, MD 20817, USA Search for other works by this author on: Oxford Academic
Military Medicine, Volume 189, Issue 5-6, May/June 2024, Pages e1246–e1252, https://doi.org/10.1093/milmed/usad393
Published:
13 October 2023
Article history
Received:
01 June 2023
Revision received:
26 July 2023
Editorial decision:
19 September 2023
Accepted:
21 September 2023
Corrected and typeset:
30 September 2023
Published:
13 October 2023
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Phabiola M Herrera, Paul W Blair, Trishul Siddharthan, Tiffany Fong, Simon Pollett, Danielle V Clark, Implementation ofan International Severe Infection Point-of-Care Ultrasound Research Network, Military Medicine, Volume 189, Issue 5-6, May/June 2024, Pages e1246–e1252, https://doi.org/10.1093/milmed/usad393
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ABSTRACT
Introduction
Point-of-care ultrasound (POCUS) is a rapid, readily available, and cost-effective diagnostic and prognostic modality in a range of clinical settings. However, data to support its clinical application are limited. This project’s main goal was to assess the effectiveness of standardizing lung ultrasound (LUS) training for sonographers to determine if universal LUS adoption is justified.
Materials and Methods
We describe the effectiveness of an implementation of a LUS research training program across eight international study sites in Asia, Africa, and North America as part of prospective Coronavirus Disease of 2019 (COVID-19) and sepsis study cohorts (Rapid Assessment of Infection with SONography research network). Within our network, point-of-care LUS was used to longitudinally evaluate radiographic markers of lung injury. POCUS operators were personnel from a variety of backgrounds ranging from research coordinators with no medical background to experienced clinicians.
Results
Following a standardized protocol, 49 study sonographers were trained and LUS images from 486 study participants were collected. After training was completed, we compared before and after image qualities for interpretation. The proportion of acceptable images improved at each site between the first 25 scans and the second 25 scans, resulting in 80% or greater acceptance at each study site.
Conclusions
POCUS training and implementation proved feasible in diverse research settings among a range of providers. Standardization across ongoing cohort protocols affords opportunities for increased statistical power and generalizability of results. These results potentially support care delivery by enabling military medics to provide care at the point of injury, as well as aiding frontline clinicians in both austere and highly resourced critical care settings.
© The Association of Military Surgeons of the United States 2023. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/pages/standard-publication-reuse-rights)
Topic:
- sepsis
- ultrasonography
- care of intensive care unit patient
- africa
- asia
- delivery of health care
- military personnel
- infections
- afterimage
- diagnosis
- point-of-care ultrasonography
- lung ultrasonography
- covid-19
Issue Section:
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