{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T04:41:26Z","timestamp":1779252086236,"version":"3.51.4"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec>\n            <jats:title>Objective<\/jats:title>\n            <jats:p>This study aimed to evaluate live-stream videos for evaluation of pediatric emergency medicine ultrasound using a third generation (3G) network.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>The interrater reliability of a remote 3G network live-streaming assessment of ultrasound scans for abdominal free fluid, intussusception, and hip effusions was evaluated. Fifty-eight deidentified 6-second video clips in .mp4 format of focused assessment with sonography in trauma scans were downloaded to a laptop. A \u201cbedside\u201d ultrasound expert evaluated each scan and marked it positive or negative for the presence of free fluid. Using an iPhone 3G, Skype was used to connect to the second ultrasound expert located in Addis Ababa, Ethiopia, who reviewed the same scans. When the remote expert returned to the United States, evaluation of the scans was repeated as a second bedside reviewer. Interrater reliability was assessed using the <jats:italic toggle=\"yes\">\u03ba<\/jats:italic> statistic and percent agreement. This process was repeated for 44 intussusception scans and 28 hip effusion scans.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>The <jats:italic toggle=\"yes\">\u03ba<\/jats:italic> values (95% confidence interval) between the bedside and remote evaluators for focused assessment with sonography in trauma, intussusception, and hip effusion were 0.748 (0.576\u20130.92), 0.816 (0.648\u20130.984), and 0.764 (0.519\u20131.0), respectively. The percent agreements after adjusting for chance were 86%, 80%, and 88%, respectively. The <jats:italic toggle=\"yes\">\u03ba<\/jats:italic> values between the bedside assessments by each evaluator were 0.851 (0.71\u20130.992), 0.8 (0.616\u20130.984), and 0.747 (0.479\u20130.884), respectively. The percent agreements after adjusting for chance were 92%, 81%, and 88%, respectively.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Live-stream video conference using cellphones over 3G network is a feasible and accurate method for consultation of ultrasound scans from a remote location.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000001948","type":"journal-article","created":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T13:46:40Z","timestamp":1576590400000},"page":"e340-e342","source":"Crossref","is-referenced-by-count":6,"title":["Accuracy of Remote Interpretation of Pediatric Emergency Ultrasound Over Third Generation Networks Across Continents"],"prefix":"10.1097","volume":"36","author":[{"given":"Rachel E.","family":"Whitney","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Riera","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lei","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2019,12,17]]},"reference":[{"key":"bib1-20231002","doi-asserted-by":"crossref","first-page":"e011016","DOI":"10.1136\/bmjopen-2015-011016","article-title":"Impact of an SMS advice programme on maternal and newborn health in rural China: study protocol for a quasi-randomised controlled trial","volume":"6","year":"2016","journal-title":"BMJ Open"},{"key":"bib2-20231002","first-page":"306259","article-title":"Teleultrasound: historical perspective and clinical application","volume":"2015","year":"2015","journal-title":"Int J Telemed Appl"},{"key":"bib3-20231002","first-page":"010401","article-title":"Effectiveness of mHealth interventions for maternal, newborn and child health in low- and middle-income countries: Systematic review and meta-analysis","volume":"6","year":"2016","journal-title":"J Glob Health"},{"key":"bib4-20231002","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1007\/s40477-014-0126-1","article-title":"Point of care ultrasound (POCUS) telemedicine project in rural Nicaragua and its impact on patient management","volume":"18","year":"2015","journal-title":"J Ultrasound"},{"key":"bib5-20231002","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1111\/j.1553-2712.2000.tb02092.x","article-title":"Ultrasound training for emergency physicians\u2014a prospective study","volume":"7","year":"2000","journal-title":"Acad Emerg Med"},{"key":"bib6-20231002","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1186\/s12913-015-1114-7","article-title":"Diagnostics barriers and innovations in rural areas: insights from junior medical doctors on the frontlines of rural care in Peru","volume":"15","year":"2015","journal-title":"BMC Health Serv Res"},{"key":"bib7-20231002","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1580\/1080-6032(2005)16[38:CIDDAP]2.0.CO;2","article-title":"Change in differential diagnosis and patient management with the use of portable ultrasound in a remote setting","volume":"16","year":"2005","journal-title":"Wilderness Environ Med"},{"key":"bib8-20231002","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1016\/j.ajem.2004.05.007","article-title":"Use of emergency ultrasound in a rural ED with limited radiology services","volume":"23","year":"2005","journal-title":"Am J Emerg Med"},{"key":"bib9-20231002","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1258\/1357633971931183","article-title":"The effect of transmission bandwidth on diagnostic accuracy in remote fetal ultrasound scanning","volume":"3","year":"1997","journal-title":"J Telemed Telecare"},{"key":"bib10-20231002","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/s13089-016-0049-5","article-title":"Pediatric emergency medicine point-of-care ultrasound: summary of the evidence","volume":"8","year":"2016","journal-title":"Crit Ultrasound J"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000001948","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T21:06:54Z","timestamp":1696280814000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000001948"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,17]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000001948","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2019,12,17]]}}}