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      Analysis of lawsuits related to point-of-care ultrasonography in neonatology and pediatric subspecialties

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      Journal of Perinatology
      Springer Nature

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          Point-of-care ultrasonography.

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            Emergency ultrasound guidelines.

            (2009)
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              Focused echocardiographic evaluation in life support and peri-resuscitation of emergency patients: a prospective trial.

              Focused ultrasound is increasingly used in the emergency setting, with an ALS-compliant focused echocardiography algorithm proposed as an adjunct in peri-resuscitation care (FEEL). The purpose of this study was to evaluate the feasibility of FEEL in pre-hospital resuscitation, the incidence of potentially treatable conditions detected, and the influence on patient management. A prospective observational study in a pre-hospital emergency setting in patients actively undergoing cardio-pulmonary resuscitation or in a shock state. The FEEL protocol was applied by trained emergency doctors, following which a standardised report sheet was completed, including echo findings and any echo-directed change in management. These reports were then analysed independently. A total of 230 patients were included, with 204 undergoing a FEEL examination during ongoing cardiac arrest (100) and in a shock state (104). Images of diagnostic quality were obtained in 96%. In 35% of those with an ECG diagnosis of asystole, and 58% of those with PEA, coordinated cardiac motion was detected, and associated with increased survival. Echocardiographic findings altered management in 78% of cases. Application of ALS-compliant echocardiography in pre-hospital care is feasible, and alters diagnosis and management in a significant number of patients. Further research into its effect on patient outcomes is warranted. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.
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                Author and article information

                Journal
                Journal of Perinatology
                J Perinatol
                Springer Nature
                0743-8346
                1476-5543
                April 14 2016
                April 14 2016
                : 36
                : 9
                : 784-786
                Article
                10.1038/jp.2016.66
                27078203
                368045aa-8781-454a-9d08-ae6bc2af8e8f
                © 2016
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