{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T13:20:30Z","timestamp":1792070430691,"version":"4.4.0"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"06","funder":[{"name":"Ministry of Science and Cultur Brandenburg; digilog program"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ultraschall Med"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Purpose\u2002This study aims to evaluate the use of handheld ultrasound devices (HHUS) for point-of-care ultrasound (POCUS) to improve outpatient care in rural Brandenburg.<\/jats:p><jats:p>\n          Materials and Methods\u2002A group of general practitioners (n\u200a=\u200a9), palliative care physicians (n\u200a=\u200a6), emergency physicians (n\u200a=\u200a4), and nurses from palliative care services (n\u200a=\u200a5) participated in this study. Following a 3-hour workshop and 2 weeks of individual training, participants performed POCUS using HHUS (HH-POCUS). Indications, examination results, and resulting treatment changes (e.\u200ag., acute interventions, new medication) were documented in a standardized data entry form.<\/jats:p><jats:p>\n          Results\u200219 physicians with different ultrasound experience and 5 palliative care nurses attended the workshop program and took part in the study. Three of the participating physicians were out of training in ultrasound and received prolonged supervision. Among 427 HH-POCUS examinations, the FAST scan and kidney scan were performed most often. Pain and dyspnea were the most common indications for HH-POCUS.\u200aAmong the examinations performed by physicians (n\u200a=\u200a311), ascites was the most common pathology (27\u200a% of cases). Using a simplified examination protocol, palliative care nurses diagnosed fluid collections, hydronephrosis and transurethral catheter position or urinary retention. In 80.4\u200a% of physician-performed cases, HH-POCUS made a valuable impact on patient management. HH-POCUS contributed to treatment decisions in 49.5\u200a% of cases, including a change of medication in 29.6\u200a% and performance of therapeutic interventions in 19.9\u200a%. Hospital admission or referral to an ambulatory specialist was initiated due to HH-POCUS findings in 17.7\u200a% of patients.<\/jats:p><jats:p>\n          Conclusion\u2002HH-POCUS helped doctors in rural areas to optimize patient care through rapid on-site collection of therapeutically relevant findings. In addition, it was shown that specialized and motivated nurses can independently detect simple ultrasound findings and thus provide clinically relevant information to doctors.<\/jats:p>","DOI":"10.1055\/a-1354-5958","type":"journal-article","created":{"date-parts":[[2021,2,24]],"date-time":"2021-02-24T23:46:10Z","timestamp":1614210370000},"page":"584-591","source":"Crossref","is-referenced-by-count":25,"title":["Ambulatory Use of Handheld Point-of-Care Ultrasound (HH-POCUS) in Rural Brandenburg \u2013 A Pilot Study"],"prefix":"10.1055","volume":"43","author":[{"given":"Hendra","family":"Lo","sequence":"additional","affiliation":[{"name":"Institute for Clinical Ultrasound, Brandenburg Medical School Theodor Fontane, Neuruppin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vilmar","family":"Frauendorf","sequence":"additional","affiliation":[{"name":"Gastroenterology, Ruppiner Kliniken, Neuruppin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Wischke","sequence":"additional","affiliation":[{"name":"Private Practice, Practice for Internal Medicine and Cardiology, Oberkramer, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christin","family":"Schimmath-Deutrich","sequence":"additional","affiliation":[{"name":"Private Practice, Practice for Internal Medicine, Neuruppin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Kersten","sequence":"additional","affiliation":[{"name":"Private Practice, Practice for General Medicine, Rheinsberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Nuernberg","sequence":"additional","affiliation":[{"name":"Institute for Clinical Ultrasound, Brandenburg Medical School Theodor Fontane, Neuruppin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dieter","family":"Nuernberg","sequence":"additional","affiliation":[{"name":"Institute for Clinical Ultrasound, Brandenburg Medical School Theodor Fontane, Neuruppin, Germany"},{"name":"Faculty of Health Sciences Brandenburg, Brandenburg Medical School Theodor Fontane, Neuruppin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Jenssen","sequence":"additional","affiliation":[{"name":"Institute for Clinical Ultrasound, Brandenburg Medical School Theodor Fontane, Neuruppin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,2,24]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1811","DOI":"10.1016\/j.mayocp.2016.08.023","article-title":"Point-of-Care Ultrasonography for Primary Care Physicians and General Internists","volume":"91","author":"A Bhagra","year":"2016","journal-title":"Mayo Clin Proc"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"404","DOI":"10.14423\/SMJ.0000000000000835","article-title":"Point-of-Care Ultrasound Applications in the Outpatient Clinic","volume":"111","author":"M Wagner","year":"2018","journal-title":"South Med J"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1735","DOI":"10.7863\/jum.2008.27.12.1735","article-title":"Utility of portable ultrasound in a community in Ghana","volume":"27","author":"J K Spencer","year":"2008","journal-title":"J Ultrasound Med"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1111\/tmi.12657","article-title":"The use of portable ultrasound devices in low- and middle-income countries: a systematic review of the literature","volume":"21","author":"D M Becker","year":"2016","journal-title":"Trop Med Int Health"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"87","DOI":"10.5005\/jp-journals-10009-1340","article-title":"The application of hand-held ultrasound scanner in teaching of telemedicine and rural medicine","volume":"8","author":"J Wright","year":"2014","journal-title":"Donald Schoo J Ultrasound Obstet Gynecol"},{"key":"ref6","first-page":"92","article-title":"Birth of echoscopy","volume":"34","author":"F Piscaglia","year":"2013","journal-title":"Ultraschall in Med"},{"key":"ref7","first-page":"582","article-title":"Ultrasound in palliative care medicine, Part II","volume":"55","author":"D Nuernberg","year":"2017","journal-title":"Z Gastroenterol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.jcrc.2017.03.028","article-title":"Remote tele-mentored ultrasound for non-physician learners using FaceTime: A feasibility study in a low-income country","volume":"40","author":"T E Robertson","year":"2017","journal-title":"J Crit Care"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1016\/j.jcrc.2015.05.030","article-title":"Tele-intensivists can instruct non-physicians to acquire high-quality ultrasound images","volume":"30","author":"A R Levine","year":"2015","journal-title":"J Crit Care"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/j.jcrc.2016.02.019","article-title":"Ultrasound images transmitted via FaceTime are non-inferior to images on the ultrasound machine","volume":"33","author":"A R Levine","year":"2016","journal-title":"J\u00a0Crit Care"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1007\/s12245-008-0053-z","article-title":"Development of an ultrasound training curriculum in a limited resource international setting: successes and challenges of ultrasound training in rural Rwanda","volume":"1","author":"S Shah","year":"2008","journal-title":"Int J Emerg Med"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1007\/s12245-008-0074-7","article-title":"Introduction of a portable ultrasound unit into the health services of the Lugufu refugee camp, Kigoma District, Tanzania","volume":"1","author":"D Adler","year":"2008","journal-title":"Int J Emerg Med"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1111\/echo.12122","article-title":"Briefly trained medical students can effectively identify rheumatic mitral valve injury using a hand-carried ultrasound","volume":"30","author":"H Shmueli","year":"2013","journal-title":"Echocardiography"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"1369","DOI":"10.7863\/ultra.15.08073","article-title":"Bedside Ultrasound Education in Primary Care","volume":"35","author":"D Flick","year":"2016","journal-title":"J Ultrasound Med"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1093\/fampra\/cms009","article-title":"Assessment of left ventricular function by GPs using pocket-sized ultrasound","volume":"29","author":"O C Mjolstad","year":"2012","journal-title":"Fam Pract"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1017\/S1049023X18000821","article-title":"Prospective Evaluation of Point-of-Care Ultrasound at a Remote, Multi-Day Music Festival","volume":"33","author":"R Prager","year":"2018","journal-title":"Prehosp Disaster Med"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1071\/HC18031","article-title":"Scope of point-of-care ultrasound practice in rural New Zealand","volume":"10","author":"G Nixon","year":"2018","journal-title":"J Prim Health Care"},{"key":"ref18","first-page":"168","article-title":"Point-of-care Ultrasound (PoCUS) for the internist in Acute Medicine: a uniform curriculum","volume":"77","author":"T J Olgers","year":"2019","journal-title":"Neth J Med"},{"key":"ref19","first-page":"e4246","article-title":"Current State of Point-of-care Ultrasound Usage in Canadian Emergency Departments","volume":"11","author":"M Leschyna","year":"2019","journal-title":"Cureus"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1186\/s12873-015-0063-0","article-title":"A majority of rural emergency departments in the province of Quebec use point-of-care ultrasound: a cross-sectional survey","volume":"15","author":"P Leger","year":"2015","journal-title":"BMC Emerg Med"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1111\/pan.13684","article-title":"Cardiac and Lung Point of Care Ultrasound in Pediatric Anesthesia and Critical Care Medicine: Uses, Pitfalls, and Future Directions to optimize pediatric care","volume":"8","author":"A C Adler","year":"2019","journal-title":"Paediatr Anaesth"},{"key":"ref22","first-page":"308","article-title":"Point of Care Ultrasound in Geriatric Patients: Prospective Evaluation of a Portable Handheld Ultrasound Device","volume":"41","author":"E Frohlich","year":"2019","journal-title":"Ultraschall in Med"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1007\/s40477-019-00426-w","article-title":"Point-of-care ultrasound (POCUS) in a remote area of Sierra Leone: impact on patient management and training program for community health officers","volume":"23","author":"V Sabatino","year":"2020","journal-title":"J Ultrasound"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.tmaid.2018.01.001","article-title":"Pocket-size point-of-care ultrasound in rural Uganda \u2013 A unique opportunity \u201cto see\u201d, where no imaging facilities are available","volume":"23","author":"D Epstein","year":"2018","journal-title":"Travel Med Infect Dis"},{"key":"ref25","first-page":"409","article-title":"Ultrasound in palliative care medicine","volume":"53","author":"D Nurnberg","year":"2015","journal-title":"Z Gastroenterol"},{"key":"ref26","first-page":"Cd011447","article-title":"Ultrasound guidance versus anatomical landmarks for subclavian or femoral vein catheterization","volume":"1","author":"P Brass","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"ref27","first-page":"11","article-title":"Statement from the DEGUM board regarding the editorial entitled \u201cWho's Doing Your Scan? A European Perspective on Ultrasound Services.\u201d","volume":"40","year":"2018","journal-title":"Ultraschall in Med"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1055\/a-0783-2303","article-title":"The Use of Handheld Ultrasound Devices \u2013 An EFSUMB Position Paper","volume":"40","author":"M B Nielsen","year":"2019","journal-title":"Ultraschall in Med"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.ultrasmedbio.2016.06.021","article-title":"Point of Care Ultrasound: A WFUMB Position Paper","volume":"43","author":"C F Dietrich","year":"2017","journal-title":"Ultrasound Med Biol"},{"issue":"S 01","key":"ref30","first-page":"54","article-title":"Sono-Teleconsulting (USTeleCon) \u2013 update 2019","volume":"40","author":"D N\u00fcrnberg","year":"2019","journal-title":"Ultraschall in Med"}],"container-title":["Ultraschall in der Medizin - European Journal of Ultrasound"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1354-5958.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,10]],"date-time":"2023-02-10T15:16:19Z","timestamp":1676042179000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1354-5958"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,24]]},"references-count":30,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2022,12,5]]},"published-print":{"date-parts":[[2022,12]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1354-5958","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0172-4614","1438-8782"],"issn-type":[{"value":"0172-4614","type":"print"},{"value":"1438-8782","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,24]]}}}