<< Diagnostic Emergency Ultrasound: Assessment Techniques In The Pediatric Patient

Prehospital Care

Ultrasound has been investigated for use in the prehospital setting. It is more widely used in Europe,15 but is only rarely used in this setting in North America.16 In a recent survey of emergency medical services (EMS) directors in the United States and Canada, the most common reasons for not implementing prehospital ultrasound were equipment and training costs, as well as a lack of evidence that it improves patient morbidity and mortality.16 Two systematic reviews, 1 for trauma and 1 for nontrauma, concluded that there was insufficient evidence that prehospital ultrasound improves patient outcomes.17,18 There are no randomized controlled trials in this area, and there are no studies in the pediatric setting in particular. Most of the studies are from the trauma setting and assessed patients of all ages, while some excluded pediatric patients.

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