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Transport and Use of Point-of-Care Ultrasound by a Disaster Medical Assistance Team

Published online by Cambridge University Press:  28 June 2012

Stefan M. Mazur*
Affiliation:
Emergency Department, Royal Perth Hospital, Perth, Western, Australia
James Rippey
Affiliation:
Emergency Department, Sir Charles Gardener Hospital, Perth, Western, Australia
*
State Director of TrainingRegional Director NQldCareFlight Medical ServicesPO Box 829AitkenvaleQueensland 4814Australia E-mail: stefanm@careflightmedical.org.au

Abstract

The role of ultrasound in disaster medicine has not been not well established. This report describes the transport and use of point-of-care ultrasound by Disaster Medical Assistance Team (DMAT) responding to a mass-casualty incident due to a cyclone. Ultrasound-competent physicians on the team were able to use portable ultrasound on cyclone casualties to exclude intra-abdominal hemorrhage, peri cardial fluid, pneumothoraces, and hemothoraces Information obtained using ultrasound made initial patient management, and subsequent decisions regarding triage for transport safer and based on more detailed clinical information.

Type
Case Report
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2009

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References

1. Australian Gove rnment Bureau of Meteorology: Cyclone categories. Available at http://www.bom.gov.au/weather/cyclone/about/tropical-cyclone-intnsity.shtml Accessed 27 February 2008.Google Scholar
2. Australasian College for Emergency Medicine: Policies and guidelines. P21. Policy on use of bedside ultrasound. Available at http://www.acem.org.au. Accessed October 2007.Google Scholar
3. Blaivas, M, Kuhn, W, Reynolds, B, Brannam, L: Change in differential diagnosis and patient management with the use of portable ultrasound in a remote setting. Wild Environ Med 2005;(16):3841.Google Scholar
4. Lapostolle, F, Petrovic, T, Lenoir, G, Catineau, J, Galinski, M, Metzger, J, Chanzy, E, Adnet, F: Usefulness of hand-held ultrasound devices in out-ofhospital diagnosis performed by emergency physicians. Am J Emerg Med 2006;(24):237242.Google Scholar
5. Mazur, SM, Pearce, A, Alfred, S, Goudie, A, Sharley, P: The FASTER Trial. The Focussed Assessment by Sonography in Trauma during Emergency Retrieval; A feaibility study. Injury 2008;(39):512518.Google Scholar
6. Busch, M: Portable ultrasound in pre-hospital emergencies: A feasibility study. Acta Anaesthesiol Scand 2006;50(6):754758.CrossRefGoogle ScholarPubMed
7. Mazur, SM, Pearce, A, Alfred, S, Sharley, P:The use of point-of-careultra sound by a Critical Care Retri eval Team. Emerg Med Australas 2007;(19):547552.Google Scholar
8. Sarkisian, AE, Khondkarian, RA, Amirbekian, NM, Bagdasarian, NB, Khojayan, RL, Oganesian, YT: Sonographic screening of mass casualties for abdominal and renal injuries following the 1988 Armenian earthquake. J Trauma 1991;31(2):247250.Google Scholar
9. Keven, K, Ates, K, Yagmurlu, B, et al. : Renal Doppler ultrasonographic findings in, earthquake victims with crush injury. J Ultrasound Med 2001;20:675679.CrossRefGoogle ScholarPubMed
10. Sztanjnkrycer, D, Baez, AA, Luke, A: FAST ultrasound as an adjunct to triage using the START mass casualty triage system: A preliminary descriptive study. Prehosp Emerg Care 2006;10(1)96102.Google Scholar
11. Huffer, LL, Bauch, TD, Furgerson, JL, Bulgrin, J, Boyd, SY: Feasibility of remote echocardiogra phy with satellite transmission and real-time interpretation to support medical activities in the austere medical environment. J Am Soc Echocardiogr 2004;(17):670674.Google Scholar
12. Pearce, A, Mark, P, Gray, N, Curry, C: Responding to the Boxing Day tsunami disaster in Aceh, Indonesia:Western and South Australian contributions. Emerg Med Australas 2006;18:8692.CrossRefGoogle Scholar
13. Australian Government Bureau of Meteorology: Meteorological aspects of s eve retropical cyclone George's impact on the Pilbara. Available at http://www.bom.gov.au/weather/wa/cyclone/about/pthed/george/BoM_TCGeorge_Pilbara_Impact_Report.pdf.Google Scholar