Evidence map›Paper›PMID 33284368›Full record

ArticleThe ultrasound journal2020

Evaluation of a novel handheld point-of-care ultrasound device in an African emergency department.

Samuel L Burleson, Jonathan F Swanson, Erin F Shufflebarger, Douglas W Wallace, Matthew A Heimann, James C Crosby, David C Pigott, John P Gullett, Maxwell A Thompson, Christopher J Greene

Open access · goldAbstract readLetter
In one paragraph

Article in The ultrasound journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 10% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Use of a handheld ultrasound device for detecting orbital inflammation.American journal of ophthalmology case reports · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Accuracy of portable ultrasound machines for obstetric biometry.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2024
    Observational
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Samuel L BurlesonDepartment of Emergency Medicine, University of Alabama at Birmingham, Old Hillman Building Suite 251, 619 19th St S, Birmingham, AL, 35249, USA. slburleson@uabmc.edu.ORCID http://orcid.org/0000-0002-6305-4677
Jonathan F SwansonDepartment of Emergency Medicine, University of Alabama at Birmingham, Old Hillman Building Suite 251, 619 19th St S, Birmingham, AL, 35249, USA.
Erin F ShufflebargerDepartment of Emergency Medicine, University of Alabama at Birmingham, Old Hillman Building Suite 251, 619 19th St S, Birmingham, AL, 35249, USA.
Douglas W WallaceDepartment of Emergency Medicine, University of Alabama at Birmingham, Old Hillman Building Suite 251, 619 19th St S, Birmingham, AL, 35249, USA.
Matthew A HeimannDepartment of Emergency Medicine, University of Alabama at Birmingham, Old Hillman Building Suite 251, 619 19th St S, Birmingham, AL, 35249, USA.
James C CrosbyDepartment of Emergency Medicine, University of Alabama at Birmingham, Old Hillman Building Suite 251, 619 19th St S, Birmingham, AL, 35249, USA.
David C PigottDepartment of Emergency Medicine, University of Alabama at Birmingham, Old Hillman Building Suite 251, 619 19th St S, Birmingham, AL, 35249, USA.
John P GullettDepartment of Emergency Medicine, University of Alabama at Birmingham, Old Hillman Building Suite 251, 619 19th St S, Birmingham, AL, 35249, USA.
Maxwell A ThompsonDepartment of Emergency Medicine, University of Alabama at Birmingham, Old Hillman Building Suite 251, 619 19th St S, Birmingham, AL, 35249, USA.
Christopher J GreeneDepartment of Emergency Medicine, University of Alabama at Birmingham, Old Hillman Building Suite 251, 619 19th St S, Birmingham, AL, 35249, USA.
University of Alabama at Birmingham · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany point-of-care ultrasound devices are now "pocket-sized" or handheld, allowing easy transport during travel and facilitating use in crowded spaces or in austere low-resource settings. Concerns remain about their durability, image quality, and clinical utility in those environments.

methodFive emergency physicians with training in point-of-care ultrasound employed the Butterfly iQ, a novel handheld ultrasound device, in routine clinical care in a busy, high-acuity African emergency department over a period of 10 weeks. We retrospectively evaluated the performance of the Butterfly iQ from the perspectives of both the clinicians using the device and expert ultrasound faculty reviewing the images.

resultsWe found advantages of the Butterfly iQ in a high-acuity African emergency department include its use of a single probe for multiple functions, small size, ease of transport, relatively low cost, and good image quality in most functions. Disadvantages include large probe footprint, lower, though still adequate, cardiac imaging quality, frequent overheating, and reliance on internet-based cloud storage, but these were surmountable. We also report a wide variety of patient presentations, pathology, and procedures to which the device was used.

conclusionWe conclude the Butterfly iQ is an effective, though imperfect, point-of-care ultrasound device in a low-resource emergency setting. We will continue to employ the device in clinical emergency care and teaching in this setting.

Indexed as

Butterfly iQEmergencyHandheldPoint-of-care ultrasoundResource-limited settingsTropical infectious disease

Identifiers

PMID33284368
PMCPMC7721766
OpenAlexW3111235697

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.