{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T14:29:40Z","timestamp":1790778580714,"version":"4.1.0"},"reference-count":28,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2022,4,18]],"date-time":"2022-04-18T00:00:00Z","timestamp":1650240000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1049023X22000644_as1\"><jats:title>Introduction:<\/jats:title><jats:p>Prehospital ultrasounds can be considered a new form of diagnostic tool when taking into account their small structure and due to the fact that nowadays, they are used in the care of emergency patients. However, at present, there is no study regarding the advantage of ultrasound usage in prehospital settings in Thailand.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X22000644_as2\"><jats:title>Study Objective:<\/jats:title><jats:p>This study aims to determine the sonographic characteristics recorded by handheld ultrasounds used in prehospital care and the diagnostic accuracy of ultrasounds for prehospital patients.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X22000644_as3\"><jats:title>Methods:<\/jats:title><jats:p>A cross-sectional study was conducted on prehospital patients who underwent point-of-care ultrasound (POCUS) examination on Emergency Medical Service (EMS) operations at Srinagarind Hospital, Thailand from January 2021 through December 2021. The ultrasound images, the electronic emergency department medical records, and the EMS database were recorded and reviewed by a team of emergency physicians. The quality of prehospital ultrasound examinations was assessed by comparing the diagnoses at the scene with those taken at the hospital.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X22000644_as4\"><jats:title>Results:<\/jats:title><jats:p>One hundred sixty-nine prehospital patients who received POCUS examinations were examined over a one-year period. All (100.0%) of the scans were for medical cases. No ultrasound protocol was used in the prehospital care. Two hundred eight POCUS examinations were performed in this study. The most common POCUS indication was dyspnea (45.6%), followed by hypotension\/shock (30.1%), and finally syncope (8.2%). The most common area where POCUS was performed was on the lung (37.0%), followed by the inferior vena cava (30.8%), and finally for cardiac cases (26.4%). This study found that 34.9% of sonographic findings could be considered abnormal. The diagnoses of prehospital patients were confirmed by using POCUS in 66 cases (39.1%) with the accuracy of prehospital diagnosis reaching a peak of 75.8%.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X22000644_as5\"><jats:title>Conclusion:<\/jats:title><jats:p>This study shows POCUS examinations can be effectively used in prehospital care. The prehospital diagnosis given by physicians administering treatment who used POCUS examinations correlated with the in-hospital diagnosis.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1049023x22000644","type":"journal-article","created":{"date-parts":[[2022,4,18]],"date-time":"2022-04-18T09:06:37Z","timestamp":1650272797000},"page":"355-359","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":24,"title":["The Utilization of Handheld Ultrasound Devices in a Prehospital Setting"],"prefix":"10.1017","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0328-4128","authenticated-orcid":false,"given":"Kamonwon","family":"Ienghong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lap Woon","family":"Cheung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Somsak","family":"Tiamkao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vajarabhongsa","family":"Bhudhisawasdi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1984-0865","authenticated-orcid":false,"given":"Korakot","family":"Apiratwarakul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2022,4,18]]},"reference":[{"key":"S1049023X22000644_ref7","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-018-0519-9"},{"key":"S1049023X22000644_ref2","doi-asserted-by":"publisher","DOI":"10.7861\/clinmedicine.18-3-219"},{"key":"S1049023X22000644_ref1","doi-asserted-by":"publisher","DOI":"10.1080\/10903127.2017.1358783"},{"key":"S1049023X22000644_ref15","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X12000611"},{"key":"S1049023X22000644_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2014.07.056"},{"key":"S1049023X22000644_ref23","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X21001217"},{"key":"S1049023X22000644_ref13","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X20001004"},{"key":"S1049023X22000644_ref27","doi-asserted-by":"publisher","DOI":"10.3889\/oamjms.2021.6075"},{"key":"S1049023X22000644_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.amj.2019.03.010"},{"key":"S1049023X22000644_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.amj.2021.01.003"},{"key":"S1049023X22000644_ref20","article-title":"Focused 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The Author(s), 2022. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}