Feasibility and utilization of point-of-care ultrasound devices in a prehospital setting in Riyadh, Saudi Arabia

To evaluate the utility of point-of-care ultrasound (POCUS) devices in prehospital care in Saudi Arabia. Furthermore, the impact of POCUS training on paramedics' knowledge, confidence in use, and attitudes toward POCUS devices was assessed.

Thirty-seven paramedics who were engaged in providing prehospital emergency care were selected. A quasi-experimental pre-test and post-test study was conducted between February 5 and March 20, 2025. Participants underwent a comprehensive POCUS training involving theoretical lectures, hands-on sessions, and simulation-based exercises.

A significant improvement in overall POCUS knowledge, confidence in use, and diagnostic accuracy were noted on the post-test survey. Pre-test knowledge scores averaged 2.57 on a 5-point scale, whereas post-test scores exceeded 4 in all assessed categories. Confidence in using POCUS devices improved from a mean of 1.51 (not confident) to 3.51 (moderately confident). Training influenced attitudes, as 97% of participants recommended POCUS in Emergency Medical Services (EMS) practice.

Point-of-care ultrasound training can influence diagnostic abilities. The implementation of POCUS devices in the prehospital setting can improve clinical decision-making, ultimately leading to improvement in patients' outcomes.