{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,4]],"date-time":"2022-04-04T19:03:27Z","timestamp":1649099007744},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"9-10","license":[{"start":{"date-parts":[[2020,6,27]],"date-time":"2020-06-27T00:00:00Z","timestamp":1593216000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,9,18]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Ultrasound is now recognized as a key tool in the practice of medicine in isolated situations. This study aims to evaluate the impact of transthoracic echocardiography (TTE) in a military mission when performed by a trained military practitioner (MP).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>We conducted a 2-month retrospective observational study on the use of TTE in a French medical complex in Mali with a mission that included providing a medical aid to the population. All patients were included. Every ultrasound performed by the MP was listed, and the epidemiologic data, indication for the exam and results were collected for each TTE.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 349 patients were included, 16 were war-wounded patients and 333 came for a general medical consultation. In all, 153 ultrasounds were performed, including 48 TTEs. Sixteen TTEs were performed to evaluate injuries in war-wounded patients. During the 333 medical consultations, 32 TTEs were realized. The indications were dyspnoea (10), heart murmur (7), acute chest pain (5) and assessment of heart disease (10). TTE permitted a direct positive diagnosis for 18 patients: 7 with acute heart failure and 11 with morphologic problems. The normality of the exam was a supplementary argument to exclude a cardiac implication for eight patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>TTE can provide important information with a direct impact on the management of patients. Faced with cardiac emergencies, an adapted training can be proposed for the MP. Thereby, the transfer of conventional cardiac views could facilitate the advice of a cardiologist.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/milmed\/usaa126","type":"journal-article","created":{"date-parts":[[2020,6,27]],"date-time":"2020-06-27T08:24:38Z","timestamp":1593246278000},"page":"e1562-e1568","source":"Crossref","is-referenced-by-count":0,"title":["Transthoracic Doppler echocardiography during a military mission in a French role II in Mali: is it useful to learn this practice?"],"prefix":"10.1093","volume":"185","author":[{"given":"Paul-Vincent","family":"Martin","sequence":"first","affiliation":[{"name":"Emergency department at the Percy Army training Hospital, 101 avenue Henri Barbusse, 92140 Clamart, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana\u00efs","family":"Chataigneau","sequence":"additional","affiliation":[{"name":"Orthopedic and traumatology department at the Percy Army training Hospital, 101 avenue Henri Barbusse, 92140 Clamart, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fran\u00e7ois-Xavier","family":"Arnaud","sequence":"additional","affiliation":[{"name":"Radiology department at the Percy Army training Hospital, 101 avenue Henri Barbusse, 92140 Clamart, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faye","family":"Rozwadowski","sequence":"additional","affiliation":[{"name":"FAAFP, Primary Care Physician for U.S. Military Veterans, Tallahassee, Florida, 3231, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Marie","family":"Cournac","sequence":"additional","affiliation":[{"name":"Internal Medecine department at the Percy Army training Hospital, 101 avenue Henri Barbusse, 92140 Clamart, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne-C\u00e9line","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Cardiology, European Hospital Georges Pompidou, Paris, France"},{"name":"Universit\u00e9 de Paris, Innovative Therapy in Haemostasis, INSERM 1140, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,6,27]]},"reference":[{"issue":"3","key":"2020092112344685700_ref1","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1097\/RUQ.0b013e31822b7c14","article-title":"Battlefield applications for handheld ultrasound","volume":"27","author":"Nations","year":"2011","journal-title":"Ultrasound Q"},{"issue":"1","key":"2020092112344685700_ref2","first-page":"47","article-title":"Optimization of the potential of ultrasound in a French role 2 in Mali","volume":"91","author":"Martin","year":"2018","journal-title":"International Review of the Armed Forces Medical Services"},{"issue":"4","key":"2020092112344685700_ref3","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1007\/s13341-016-0649-5","article-title":"Premier niveau de comp\u00e9tence pour l'\u00e9chographie clinique en m\u00e9decine d\u2019urgence. 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