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Usefulness of point-of-care ultrasound in military medical emergencies performed by young military medicine residents
  1. Pierre Perrier1,
  2. J Leyral2,
  3. O Thabouillot3,
  4. D Papeix4,
  5. G Comat5,
  6. A Renard6 and
  7. N Cazes7
  1. 1 Antenne Médicale de Mailly le Camp, Centre Médical des Armées de Mourmelon, Mailly le Camp, France
  2. 2 Service d’accueil des urgences, Centre Hospitalier de Pont l'Abbé, Pont l'Abbé, France
  3. 3 Antenne Médicale d’Orange, Centre Médical des Armées de Nîmes-Orange-Laudun, Nimes, France
  4. 4 Antenne Médicale de Suippes, Centre Médical des Armées de Mourmelon, Suippes, France
  5. 5 Antenne Médicale de Calvi, Centre Médical des Armées de Marseille, Calvi, France
  6. 6 Service d'accueil des urgences, Hôpital d’Instruction des Armées Saint-Anne, Toulon, France
  7. 7 Service Médical d’urgence, Bataillon de marins-pompiers de Marseille, Marseille, France
  1. Correspondence to N Cazes, Service Médical d’urgence, Bataillon de marins-pompiers de Marseille, 13233 CEDEX 20, France; md.ncazes{at}gmail.com

Abstract

Introduction To evaluate the usefulness of point-of-care ultrasound (POCUS) performed by young military medicine residents after short training in the diagnosis of medical emergencies.

Methods A prospective study was performed in the emergency department of a French army teaching hospital. Two young military medicine residents received ultrasound training focused on gall bladder, kidneys and lower limb veins. After clinical examination, they assigned a ‘clinical diagnostic probability’ (CP) on a visual analogue scale from 0 (definitely not diagnosis) to 10 (definitive diagnosis). The same student performed ultrasound examination and assigned an ‘ultrasound diagnostic probability’ (UP) in the same way. The absolute difference between CP and UP was calculated. This result corresponded to the Ultrasound Diagnostic Index (UDI), which was positive if UP was closer to the final diagnosis than CP (POCUS improved the diagnostic accuracy), and negative conversely (POCUS decreased the diagnostic accuracy).

Results Forty-eight patients were included and 48 ultrasound examinations were performed. The present pathologies were found in 14 patients (29%). The mean UDI value was +3 (0–5). UDI was positive in 35 exams (73%), zero in 12 exams (25%) and negative in only one exam (2%).

Conclusion POCUS performed after clinical examination increases the diagnostic accuracy of young military medicine residents.

  • ultrasonography
  • military medicine
  • education
  • emergency medicine
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Footnotes

  • Contributors PP and OT made the ultrasounds. JL created the project and conceptualised it. JL was the emergency physician who taught US. PP and NC wrote the manuscript. DP and AR translated the text in English before professional proof-reading. GC and NC made analysis and interpretation of data. AR took part in the discussion, read back the manuscript and participated in the final version of the manuscript. NC approved the final version of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Ethics approval The ethical committee of Bégin Army Teaching Hospital approved this study.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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