Evidence map›Paper›PMID 34446076›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2021

Point-of-care ultrasound (POCUS) practices in the helicopter emergency medical services in Europe: results of an online survey.

Peter Hilbert-Carius, Manuel F Struck, Marcus Rudolph, Jürgen Knapp, Leif Rognås, Jörn Adler, Cor Slagt, Lars Jacobsen, Henryk Pich, Michael D Christian and 3 more

Abstract read
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  4. Review
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  6. Patient profiles and P-HEMS specific interventions performed by a HEMS team in the netherlands; A retrospective cohort study of 18,199 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  7. Article
  8. Article
  9. Article
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  12. Article
  13. Traumatic Cardiac Arrest-A Narrative Review.Journal of clinical medicine · 2024
    Review
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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

13 authors.

Peter Hilbert-CariusDepartment of Anesthesiology, Intensive Care, Emergency Medicine and Pain Therapy, BG Klinikum Bergmannstrost Halle gGmbH, and HEMS, Christoph 84" and "Christoph 85", DRF-Luftrettung, Halle (Saale), Germany.
Manuel F StruckDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Leipzig, Leipzig, and HEMS "Christoph 33"and "Christoph 71, Senftenberg, Germany.
Marcus RudolphDRF Stiftung Luftrettung Gemeinnützige AG, Filderstadt, Germany.
Jürgen KnappDepartment of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Leif RognåsDanish Air Ambulance, Aarhus, Denmark.
Jörn AdlerLuxembourg Air Rescue A.S.B.L, Sandweiler, Luxembourg.
Cor SlagtDepartment of Anesthesiology, Pain and Palliative Medicine and Helicopter Emergency Medical Service, Lifeliner 3" and "Lifeliner 5", Radboudumc, Nijmegen, The Netherlands.
Lars JacobsenSørlandet Hospital, Air Ambulance dpt, Arendal, Norway.
Henryk PichDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Augsburg, Augsburg, Germany.
Michael D ChristianLondon's Air Ambulance, Barth's Health NHS Trust, London, UK.
Didier DandrifosseLuxembourg Air Rescue A.S.B.L, Sandweiler, Luxembourg.
Fikri M Abu-ZidanDepartment of Surgery, College of Medicine and Health Science, UAE University, Al-Ain, United Arab Emirates. fabuzidan@uaeu.ac.ae.ORCID http://orcid.org/0000-0003-0143-8568
POCUS in HEMS collaborators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe extent to which Point-of-care of ultrasound (POCUS) is used in different European helicopter EMS (HEMS) is unknown. We aimed to study the availability, perception, and future aspects of POCUS in the European HEMS using an online survey.

methodA survey about the use of POCUS in HEMS was conducted by a multinational steering expert committee and was carried out from November 30, 2020 to December 30, 2020 via an online web portal. Invitations for participation were sent via email to the medical directors of the European HEMS organizations including two reminding notes.

resultsDuring the study period, 69 participants from 25 countries and 41 different HEMS providers took part in the survey. 96% (n = 66) completed the survey. POCUS was available in 75% (56% always when needed and 19% occasionally) of the responding HEMS organizations. 17% were planning to establish POCUS in the near future. Responders who provided POCUS used it in approximately 15% of the patients. Participants thought that POCUS is important in both trauma and non-trauma-patients (73%, n = 46). The extended focused assessment sonography for trauma (eFAST) protocol (77%) was the most common protocol used. A POCUS credentialing process including documented examinations was requested in less than one third of the HEMS organizations.

conclusionsThe majority of the HEMS organizations in Europe are able to provide different POCUS protocols in their services. The most used POCUS protocols were eFAST, FATE and RUSH. Despite the enthusiasm for POCUS, comprehensive training and clear credentialing processes are not available in about two thirds of the European HEMS organizations. Due to several limitations of this survey further studies are needed to evaluate POCUS in HEMS.

Indexed as

Air AmbulancesEmergency Medical ServicesAircraftEuropeHumansPoint-of-Care SystemsEmergency medicineHelicopter emergency medical servicePoint-of-care ultrasoundPre-hospital careSurvey

Identifiers

PMID34446076
PMCPMC8390051

What OpenQuestion holds

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LicenceCC BY
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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.