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| 1 | Pre-hospital assessment with ultrasound in emergencies: implementation in the field显示文摘BACKGROUND: Point-of-care ultrasound(US) is a proven diagnostic imaging tool in the emergency department(ED). Modern US devices are now more compact, affordable and portable, which has led to increased usage in austere environments. However, studies supporting the use of US in the prehospital setting are limited. The primary outcome of this pilot study was to determine if paramedics could perform cardiac ultrasound in the fi eld and obtain images that were adequate for interpretation. A secondary outcome was whether paramedics could correctly identify cardiac activity or the lack thereof in cardiac arrest patients.METHODS: We performed a prospective educational study using a convenience sample of professional paramedics without ultrasound experience. Eligible paramedics participated in a 3-hour session on point-of-care US. The paramedics then used US during emergency calls and saved the scans for possible cardiac complaints including: chest pain, dyspnea, loss of consciousness, trauma, or cardiac arrest.RESULTS: Four paramedics from two distinct fire stations enrolled a total of 19 unique patients, of whom 17 were deemed adequate for clinical decision making(89%, 95%CI 67%–99%). Paramedics accurately recorded 17 cases of cardiac activity(100%, 95%CI 84%–100%) and 2 cases of cardiac standstill(100%, 95%CI 22%–100%).CONCLUSION: Our pilot study suggests that with minimal training, paramedics can use US to obtain cardiac images that are adequate for interpretation and diagnose cardiac standstill. Further large-scale clinical trials are needed to determine if prehospital US can be used to guide care for patients with cardiac complaints. | Kevin P. Rooney Sari Lahham Shadi Lahham Craig L. Anderson Bryan Bledsoe Bryan Sloane Linda Joseph Megan B. Osborn John C. Fox | 2016 | World Journal of Emergency Medicine2016，7，2： | 5 |
| 2 | 765 Tower design for 6-conductor bun dle 显示文摘 | BLEDSOE J K | 2006 | Electrical Transmission Line2006，12，1： | 1 |
| 3 | Seasonal and diurnal patterns of soil water potential in the rhizosphere of blue oaks: Evidence for hydraulic lift显示文摘 | Millikin-Ishikawa C Bledsoe C S | 2000 | Oecologia2000，125，4： | 1 |
| 4 | Rising rates of macrolide-resistant Mycoplasma pneumoniae in the central United States 显示文摘 | Yamada M Buller R Bledsoe S | 2012 | Pediatr Infect Dis J2012，31，4： | 1 |
| 5 | Crystal structure of the glucocorticoid receptor ligand binding domain reveals a novel mode of receptor dimerization and eoactivator recognition显示文摘 | Bledsoe RK Montana VG Stanley TB | 2002 | Cell2002，12，110： | 1 |
| 6 | Bile acids:natural ligands for an orphan nuclear receptor显示文摘 | Parks D J Blanchard S G Bledsoe R K | 1999 | Science1999，284，5418： | 1 |
| 7 | River restoration 显示文摘 | WOHL E ANGERMEIER P L BLEDSOE B | 2005 | Water Resources Research2005，41，10： | 1 |
| 8 | Nitrogen transfer within and between plants through common mycorrhizal networks 显示文摘 | He X H Critchley C Bledsoe C | 2003 | Plant Sci2003，22，6： | 1 |
| 9 | The tissue kallikrein-kinin system protects against cardiovascular and renal diseases and ischemic stroke independently of blood pressure reduction 显示文摘 | Chao J Bledsoe G Yin H | 2006 | Biol Chem2006，387，6： | 1 |
| 10 | The tissue kallikrein-kininsystem protects against cardiovascular and renal diseasesand ischemic stroke independently of blood pressure reduc-tion显示文摘 | Chao J Bledsoe G Yin H | 2006 | Biol Chem2006，387，6： | 1 |
| 11 | Human umbilical cord matrix stem ceils: preliminary characterization and effect of transplantation in a rodent model of Parkinsan's disease显示文摘 | Weiss ML Medicetty S Bledsoe AR | 2006 | Stem Cells2006，24，3： | 1 |
| 12 | Human umbilical cord matrix stem cells : preliminary characterization and effect of transplantation in a rodent model of Parkinson' s disease 显示文摘 | Weiss M L Medicetty S Bledsoe A R | 2006 | Stem Cells2006，24，3： | 1 |
| 13 | The tissue kallikrein-kinin systemprotects against cardiovascular and renal diseases and ischemicstroke independently of blood pressure reduction显示文摘 | Chao J Bledsoe G Yin H | 2006 | Biol Chem2006，387，6： | 1 |
| 14 | Rile acids:natural ligands for an orphan nuclear receptor显示文摘 | BLANCHARD S G BLEDSOE R K | 1999 | Science1999，284，5418： | 1 |
| 15 | Energy required to form large round hay bales effect of operational procedure and baler chamber type 显示文摘 | Freeland R S Bledsoe B L | 1988 | Transactions of the ASAE1988，31，1： | 1 |
| 16 | A biomechanical comparison of trochanteric nail proximal screw configurations in a subtrochanteric fracture model显示文摘 | Grisell M Moed BR Bledsoe JG | 2010 | J Orthop Trauma2010，24，6： | 1 |
| 17 | Refractory cerebrospinal fluid rhinorrhea secondary to occult superior vena cava syndrome and benign intracranial hypertension : diagnosis and management 显示文摘 | Bledsoe JM Moore E Link MJ | 2009 | Skull Base2009，19，4： | 1 |
| 18 | Crystal structure of the glucoeorticoid receptor ligand binding domain reveals a novel mode of receptor dimerization and coactivator recognition显示文摘 | Bledsoe R K Montana V G Stanley T B | 2002 | Ceil2002，110，1： | 1 |
| 19 | The tissue kallikreinkinin system protects against cardiovascular and renal diseases and ischemic stroke independently of blood pressure reduction显示文摘 | Chao J Bledsoe G Yin H | 2006 | Biol Chem2006，387，： | 1 |
| 20 | A retrospective look at tip location and complications of peripherally inserted cen tral catheter lines显示文摘 | James L Bledsoe L Hadaway LC | 1993 | J Intraven Nurs1993，16，2： | 1 |
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