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<h2><strong>Title:</strong> <a href="https://umem.org/educational_pearls/4666/">Lung Ultrasound for CHF in the Prehospital Setting</a></h2>
<p><strong>Category:</strong> <a href="https://umem.org/educational_pearls/?category=36">Ultrasound</a></p>
<p><strong>Keywords:</strong> POCUS, Lung ultrasound, EMS <a href="http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=search&term=POCUS+Lung+ultrasound+EMS+%22last+5+years%22[dp]&db=pubmed&pubmedfilters=true" target="_blank">(PubMed Search)<i class="icon-share" title="Opens in new window"></i></a> </p>
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<strong>Posted:</strong> 12/2/2024 by <a href="https://umem.org/educational_pearls/?author=1403">Alexis Salerno, MD</a>
<br/>
<a href="https://umem.org/profiles/faculty/1403/">Click here to contact Alexis Salerno, MD</a>
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<p>Early treatment of congestive heart failure (CHF) exacerbations is associated with improved mortality rates and shorter hospital length of stay. Lung ultrasound is a valuable tool in diagnosing CHF exacerbations. Recently, several studies have explored the use of lung ultrasound in the prehospital settings to expedite diagnosis and treatment. </p>
<p>A recent systematic review and meta-analysis evaluated the diagnostic accuracy and clinical impact of prehospital lung ultrasound. The authors found similar test characteristics to point-of-care ultrasound (POCUS) performed in the emergency department. </p>
<p>The eight studies included in the analysis utilized varying lung ultrasound protocols, analyzing between 2 and 8 lung zones. Notably, only two studies involved paramedics performing the ultrasounds, yet no significant difference in diagnostic accuracy was observed. </p>
<p>Further research is needed to evaluate the training requirements for prehospital providers and the broader impact of prehospital lung ultrasound on treatment strategies and patient outcomes.</p>
<h3>References</h3>
<ol>
<li>Russell FM, Harrison NE, Hobson O, Montelauro N, Vetter CJ, Brenner D, Kennedy S, Hunter BR. Diagnostic accuracy of prehospital lung ultrasound for acute decompensated heart failure: A systematic review and Meta-analysis. Am J Emerg Med. 2024 Jun;80:91-98. doi: 10.1016/j.ajem.2024.03.021</li>
<li>Russell FM, Supples M, Tamhankar O, Liao M, Finnegan P. Prehospital lung ultrasound in acute heart failure: Impact on diagnosis and treatment. Acad Emerg Med. 2024 Jan;31(1):42-48. doi: 10.1111/acem.14811</li>
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<h3>View this pearl on the University of Maryland, Department of Emergency Medicine's website: <a href="https://umem.org/educational_pearls/4666/">https://umem.org/educational_pearls/4666/</a></h3>
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