Acute cardiac care & resuscitation
Live stream of prehospital point-of-care ultrasound during cardiopulmonary resuscitation – A feasibility trial
Authors' conclusion
This feasibility study demonstrated that POCUS with tele-support can be safely performed during OHCA in an urban environment.
Study context
- Population
- Patients with out-of-hospital cardiac arrest (OHCA) receiving prehospital point-of-care ultrasound (POCUS) by physicians during cardiopulmonary resuscitation (CPR), urban setting
- Participants
- 42 patients
- Comparison
- POCUS with tele-support vs without tele-support during OHCA
- Tele-supportn = 30
- Without tele-supportn = 12reference
- Outcome
- Safe integration of POCUS into the Advanced Life Support (ALS) algorithm; hands-off time before, during and after POCUS
Methodological detailsurban prehospital setting
- Urban prehospital setting
Main finding
As reported in the abstract
Hands-off time during rhythm analyses for POCUS
- POCUS possible during regular rhythm analyses in all cases, no additional hands-off time required
- 42
- POCUS performed during a single regular rhythm analysis
- 40 of these 42 cases
- Two periods required
- two cases
Further findings
Change in suspected primary cause of cardiac arrest and treatment strategy as a result of POCUS
- Physician on scene altered diagnosis, leading to change in treatment strategy
- a quarter of all cases
Original publication
Live stream of prehospital point-of-care ultrasound during cardiopulmonary resuscitation – A feasibility trial. Resuscitation. Published 16 December 2023. doi:10.
Summarised from the published abstract; every number is checked against it