The Utility of Ultrasound in Emergency Medicine

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Medical Imaging and Theranostics".

Deadline for manuscript submissions: 28 February 2025 | Viewed by 1767

Special Issue Editor

Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06355, Republic of Korea
Interests: intensive care unit; cardiac arrest; cardiopulmonary resuscitation

Special Issue Information

Dear Colleagues,

The journal Diagnostics is calling for submissions for its upcoming Special Issue titled “The Utility of Ultrasound in Emergency Medicine”. This Special Issue aims to illuminate the essential role of ultrasound in emergency medical care, including its use as a diagnostic tool and in medical education.

We invite submissions that cover the spectrum of ultrasound in emergency medicine. This includes its application in patient care, advancements in ultrasound technology, and, importantly, the integration of ultrasound education into emergency medicine training programs. Articles may address clinical case studies, technological innovations, educational strategies, and the challenges of incorporating ultrasound into emergency medicine curricula.

Our goal is to compile a comprehensive collection that not only highlights ultrasound's diagnostic capabilities but also underscores its value in medical education and training for emergency medicine practitioners. Submissions are encouraged to explore how ultrasound education enhances clinical skills, decision-making, and patient outcomes in emergency scenarios.

This Special Issue is intended to be an informative resource for emergency medicine professionals, educators, and students, reflecting the latest trends and developments in the field.

Dr. Hee Yoon
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Diagnostics is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • emergency medicine
  • imaging
  • ultrasound
  • point-of-care ultrasound
  • medical education

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Published Papers (1 paper)

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Research

11 pages, 2512 KiB  
Article
Real-Time Tracheal Ultrasound vs. Capnography for Intubation Confirmation during CPR Wearing a Powered Air-Purifying Respirator in COVID-19 Era
by Seungwan Eun, Hee Yoon, Soo Yeon Kang, Ik Joon Jo, Sejin Heo, Hansol Chang, Guntak Lee, Jong Eun Park, Taerim Kim, Se Uk Lee, Sung Yeon Hwang and Sun-Young Baek
Diagnostics 2024, 14(2), 225; https://doi.org/10.3390/diagnostics14020225 - 21 Jan 2024
Viewed by 1503
Abstract
This study aimed to compare the accuracy of real-time trans-tracheal ultrasound (TTUS) with capnography to confirm intubation in cardiopulmonary resuscitation (CPR) while wearing a powered air-purifying respirator (PAPR). This setting reflects increased caution due to contagious diseases. This single-center, prospective, comparative study enrolled [...] Read more.
This study aimed to compare the accuracy of real-time trans-tracheal ultrasound (TTUS) with capnography to confirm intubation in cardiopulmonary resuscitation (CPR) while wearing a powered air-purifying respirator (PAPR). This setting reflects increased caution due to contagious diseases. This single-center, prospective, comparative study enrolled patients requiring CPR while wearing a PAPR who visited the emergency department of a tertiary medical center from December 2020 to August 2022. A physician performed the TTUS in real time and recorded the tube placement assessment. Another healthcare provider attached waveform capnography to the tube and recorded end-tidal carbon dioxide (EtCO2) after five ventilations. The accuracy and agreement of both methods compared with direct laryngoscopic visualization of tube placement, and the time taken by both methods was evaluated. Thirty-three patients with cardiac arrest were analyzed. TTUS confirmed tube placement with 100% accuracy, sensitivity, and specificity, whereas capnography demonstrated 97% accuracy, 96.8% sensitivity, and 100% specificity. The Kappa values for TTUS and capnography compared to direct visualization were 1.0 and 0.7843, respectively. EtCO2 was measured in 45 (37–59) seconds (median (interquartile range)), whereas TTUS required only 12 (8–23) seconds, indicating that TTUS was significantly faster (p < 0.001). No significant correlation was found between the physician’s TTUS proficiency and image acquisition time. This study demonstrated that TTUS is more accurate and faster than EtCO2 measurement for confirming endotracheal tube placement during CPR, particularly in the context of PAPR usage in pandemic conditions. Full article
(This article belongs to the Special Issue The Utility of Ultrasound in Emergency Medicine)
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