ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2019
Rapid, remote education for point-of-care ultrasound among non-physician emergency care providers in a resource limited setting.
Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- The effects of mobile health on emergency care in low- and middle-income countries: A systematic review and narrative synthesis.Journal of global health · 2021Pooled it
- Feasibility of point-of-care ultrasound training and remote quality assurance for community physicians in conflict-affected Syria.Journal of ultrasound · 2026Article
- Establishment and efficacy of a novel point-of-care ultrasound curriculum for Emergency Medicine residents in an East African program.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- From concepts to evaluation: mapping approaches to POCUS training assessment in low- and middle-income countries - a systematic scoping review.The ultrasound journal · 2026Article
- Point-of-Care Kidney Ultrasonography in Pediatric Nephrology: Current Evidence and Clinical Relevance.International journal of nephrology · 2026Review
- The application of focused assessment with sonography for trauma in resource-limited settings: a scoping review.Frontiers in public health · 2026Article
- Efficacy of a novel smartphone-based ultrasonography curriculum in rapidly training low- and middle-income country trauma care providers.The journal of trauma and acute care surgery · 2025Article
- Concepts for point-of-care ultrasound training in low resource settings: a scoping review.The ultrasound journal · 2025Review
- The Jamaica Handheld Ultrasound Project: a novel longitudinal point-of-care ultrasound curriculum in a resource-limited setting.World journal of emergency medicine · 2025Article
- Feasibility of Brain Ultrasound Performed by Nurses in the Evaluation of Newborns Who Are HIV Exposed in Utero and Uninfected: A Pilot Study in Botswana.Children (Basel, Switzerland) · 2024Article
- Telerobotic Versus Standard Ultrasound in the Assessment of the Abdomen and Pelvis: A Real-World Prospective Study.International journal of telemedicine and applications · 2024Article
- Virtual immediate feedback with POCUS in Belize.Frontiers in digital health · 2023Article
- Article
- Failure to receive prescribed imaging is associated with increased early mortality after injury in Cameroon.PLOS global public health · 2023Article
- Task shifting for point of care ultrasound in primary healthcare in low- and middle-income countries-a systematic review.EClinicalMedicine · 2022Review
- Global point-of-care ultrasound education and training in the age of COVID-19.International journal of emergency medicine · 2021Article
- Pragmatic Recommendations for the Use of Diagnostic Testing and Prognostic Models in Hospitalized Patients with Severe COVID-19 in Low- and Middle-Income Countries.The American journal of tropical medicine and hygiene · 2021Article
- Lung ultrasound in the COVID-19 pandemic.Postgraduate medical journal · 2021Review
- Evaluation of Interdisciplinary Emergency Ultrasound Workshop for Primary Care Physicians in Nepal.Open access emergency medicine : OAEM · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAccess to high-quality emergency care in low- and middle-income countries (LMIC) is lacking. Many countries utilise a strategy known as "task-shifting" where skills and responsibilities are distributed in novel ways among healthcare personnel. Point-of-care ultrasound (POCUS) has the potential to significantly improve emergency care in LMICs.
methodsPOCUS was incorporated into a training program for a ten-person cohort of non-physician Emergency Care Providers (ECPs) in rural Uganda. We performed a prospective observational evaluation on the impact of a remote, rapid review of POCUS studies on the primary objective of ECP ultrasound quality and secondary objective of ultrasound utilisation. The study was divided into four phases over 11 months: an initial in-person training month, two middle month blocks where ECPs performed ultrasounds independently without remote electronic feedback, and the final months when ECPs performed ultrasounds independently with remote electronic feedback. Quality was assessed on a previously published eight-point ordinal scale by a U.S.-based expert sonographer and rapid standardised feedback was given to ECPs by local staff. Sensitivity and specificity of ultrasound exam findings for the Focused Assessment with Sonography for Trauma (FAST) was calculated.
resultsOver the study duration, 1153 ultrasound studies were reviewed. Average imaging frequency per ECP dropped 61% after the initial in-person training month (
conclusionsRemotely delivered quality assurance feedback is an effective educational tool to enhance provider skill and foster continued and sustainable use of ultrasound in LMICs.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.