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通过超声波升级:在飞行中使用eFAST的远程辅助 - - 一项可行性研究

Peder Christian Engelsen^1,2, Fridtjof Heyerdahl^3,4, Dharani Dhar Maddali⁵

¹The Intervention Centre, Oslo University Hospital, Oslo, Norway. pedgre@ous-hf.no.

Emergency radiology

|December 8, 2023

概括

远程指导超声检查 (eFAST) 在直升机上是可行的,产生良好的图像质量. 然而,可靠的LTE网络覆盖率至关重要,并且可能因高度和位置而受到限制.

科学领域:

紧急医疗紧急医疗
医疗成像医学成像
远程医疗远程医疗

背景情况:

远程超声波使超声波获取和解释的远程专家指导成为可能.
之前的研究证实了远程超声波的可行性,但其在直升机飞行中通过LTE的使用没有得到检查.

研究的目的:

评估在直升机飞行过程中,在外伤中使用超声波 (eFAST) 进行远程扩展的集中评估的可行性.
在航空环境中评估远程超声波的图像质量和用户体验.

主要方法:

麻醉师和一名军事医生在9次直升机飞行中进行了远程辅助的eFAST.
放射科医生担任远程专家,在1-5利克尔特尺度上对图像质量进行评分.
通过问卷评估用户体验,以及LTE网络参数和检查持续时间.

主要成果:

远程专家评价图像的平均诊断质量为4.9/5.5.
远程指导的eFAST平均每次检查5分54秒.
在2000英尺以上和城市地区附近,LTE覆盖范围不一致;偶尔使用LTE语音解决音频问题.

结论:

远程指导的eFAST在直升机上可行,产生良好的诊断质量图像.
稳定的LTE覆盖是必不可少的,但可能会受到高度和飞行路径的限制.
电话编制的eFAST对患者结果的影响需要进一步调查.

关键词:

可行性可行性在直升机上飞行.医院前医学是医院前的医学.电话辅导 (telementoring) 是一种在线辅导方式.超声波超声波是指超声波的使用.这就是eFAST.

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