{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T08:08:52Z","timestamp":1793088532043,"version":"4.5.0"},"reference-count":15,"publisher":"FapUNIFESP (SciELO)","issue":"4","license":[{"start":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T00:00:00Z","timestamp":1659312000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T00:00:00Z","timestamp":1659312000000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T00:00:00Z","timestamp":1659312000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Radiol Bras"],"abstract":"<jats:p>Abstract  Objective: To evaluate the feasibility of telemedicine using a standardized multiorgan ultrasound assessment protocol to guide untrained on-site general practitioners at a field hospital during a life-threatening crisis.  Materials and Methods: We evaluated 11 inpatients with shock, with or without acute dyspnea, for whom general practitioners spontaneously requested remote evaluation by a specialist.  Results: All of the general practitioners accepted the protocol and were able to position the transducer correctly, thus obtaining key images of the internal jugular vein, lungs, and inferior vena cava when guided remotely by a telemedicine physician, who interpreted all of the findings. However, only four (36%) of the on-site general practitioners obtained the appropriate key image of the heart in the left parasternal long-axis view, and only three (27%) received an immediate interpretation of an image from the remote physician. The mean evaluation time was 22.7 \u00b1 12 min (range, 7-42 min).  Conclusion: Even in life-threatening situations, untrained general practitioners may be correctly guided by telemedicine specialists to perform multiorgan point-of-care ultrasound in order to improve bedside diagnostic evaluation.<\/jats:p>","DOI":"10.1590\/0100-3984.2021.0098","type":"journal-article","created":{"date-parts":[[2022,5,2]],"date-time":"2022-05-02T19:57:14Z","timestamp":1651521434000},"page":"236-241","source":"Crossref","is-referenced-by-count":8,"title":["Telemedicine can be a feasible means of guiding untrained general practitioners to perform point-of-care ultrasound in life-threatening situations: the case of a field hospital during the COVID-19 pandemic"],"prefix":"10.1590","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8023-3466","authenticated-orcid":false,"given":"Tarso Augusto Duenhas","family":"Accorsi","sequence":"first","affiliation":[{"name":"Hospital Israelita Albert Einstein,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9936-2436","authenticated-orcid":false,"given":"Karine De Amicis","family":"Lima","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1556-4314","authenticated-orcid":false,"given":"Jos\u00e9 Roberto de Oliveira","family":"Silva Filho","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1789-1738","authenticated-orcid":false,"given":"Renata Albaladejo","family":"Morbeck","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0634-7086","authenticated-orcid":false,"given":"Carlos Henrique Sartorato","family":"Pedrotti","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8348-4623","authenticated-orcid":false,"given":"Karen Francine","family":"K\u00f6hler","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7171-2449","authenticated-orcid":false,"given":"Fabio de Castro Jorge","family":"Racy","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5405-9380","authenticated-orcid":false,"given":"Eduardo","family":"Cordioli","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2022,8]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1016\/j.jemermed.2009.09.006","article-title":"Portable ultrasound for remote environments, Part I: feasibility of field deployment","volume":"40","author":"Nelson BP","year":"2011","journal-title":"J Emerg Med"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1016\/j.jcmg.2014.05.005","article-title":"Remote ultrasound: new opportunities","volume":"7","author":"Nagueh SF","year":"2014","journal-title":"JACC Cardiovasc Imaging"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1177\/1357633X17731444","article-title":"Remotely supported prehospital ultrasound: a feasibility study of real-time image transmission and expert guidance to aid diagnosis in remote and rural communities","volume":"24","author":"Eadie L","year":"2018","journal-title":"J Telemed Telecare"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"e0194840","DOI":"10.1371\/journal.pone.0194840","article-title":"Telesonography in emergency medicine: a systematic review","volume":"13","author":"Marsh-Feiley G","year":"2018","journal-title":"PLoS One"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"e205","DOI":"10.1016\/j.amjmed.2016.12.019","article-title":"Tele-ultrasound to guide management of a patient with circulatory shock","volume":"130","author":"Becker C","year":"2017","journal-title":"Am J Med"},{"key":"ref6","first-page":"157","article-title":"WHO declares COVID-19 a pandemic","volume":"91","author":"Cucinotta D","year":"2020","journal-title":"Acta Biomed"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.1016\/S0140-6736(20)30566-3","article-title":"Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study","volume":"395","author":"Zhou F","year":"2020","journal-title":"Lancet"},{"key":"ref8","first-page":"1006","article-title":"Guideline of the Brazilian Society of Cardiology on telemedicine in cardiology - 2019","volume":"113","author":"Lopes MACQ","year":"2019","journal-title":"Arq Bras Cardiol"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1002\/ejhf.759","article-title":"Telemedicine in heart failure: new insights from the Cochrane meta-analyses","volume":"19","author":"Dierckx R","year":"2017","journal-title":"Eur J Heart Fail"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1136\/heartjnl-2019-314705","article-title":"Heartbeat: telemedicine for echocardiography screening","volume":"105","author":"Otto CM","year":"2019","journal-title":"Heart"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"2517","DOI":"10.1002\/jum.14609","article-title":"Remote mentoring of point-of-care ultrasound skills to inexperienced operators using multiple telemedicine platforms: is a cell phone good enough?","volume":"37","author":"Smith A","year":"2018","journal-title":"J Ultrasound Med"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1177\/1357633X15575446","article-title":"A comparison of telemedicine teaching to in-person teaching for the acquisition of an ultrasound skill - a pilot project","volume":"21","author":"Brisson AM","year":"2015","journal-title":"J Telemed Telecare"},{"key":"ref13","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":"Levine AR","year":"2015","journal-title":"J Crit Care"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/j.ajem.2008.01.002","article-title":"Identification of congestive heart failure via respiratory variation of inferior vena cava diameter","volume":"27","author":"Blehar DJ","year":"2009","journal-title":"Am J Emerg Med"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1111\/acem.12878","article-title":"Diagnosing acute heart failure in the emergency department: a systematic review and meta-analysis","volume":"23","author":"Martindale JL","year":"2016","journal-title":"Acad Emerg Med"}],"container-title":["Radiologia Brasileira"],"original-title":["O ultrassom guiado por telemedicina realizado por cl\u00ednicos gerais n\u00e3o treinados pode ser vi\u00e1vel em uma situa\u00e7\u00e3o de risco de vida: o caso de um hospital de campanha durante a pandemia de COVID-19"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0100-39842022000400236&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,15]],"date-time":"2022-08-15T12:45:03Z","timestamp":1660567503000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0100-39842022000400236&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8]]},"references-count":15,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,8]]}},"alternative-id":["S0100-39842022000400236"],"URL":"https:\/\/doi.org\/10.1590\/0100-3984.2021.0098","relation":{},"ISSN":["1678-7099"],"issn-type":[{"value":"1678-7099","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8]]}}}