[Prehospital point-of-care ultrasound (pPOCUS): "See, decide, act" : Evidence, training concepts, and the role of pPOCUS in the acute assessment of traumatic and nontraumatic emergencies].

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2026-07-15 DOI:10.1007/s00063-026-01478-7

Sarah Funk, Doreen Sternheim

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引用次数: 0

Abstract

Background: Prehospital point-of-care ultrasound (pPOCUS) enables focused sonography for immediate management-relevant clinical questions.

Objective: To summarize the role of pPOCUS in traumatic and nontraumatic emergencies with regard to evidence, indications, training, and limitations.

Results: pPOCUS may provide clinically relevant adjunctive information in trauma, acute dyspnea, chest pain, undifferentiated shock, resuscitation, and selected procedural settings. Current evidence supports its feasibility and frequent impact on management decisions, whereas robust data on patient-centered outcomes remain limited.

Conclusion: The clinical benefit of pPOCUS depends on appropriate indications, integration into team workflows, structured training, documentation, and quality assurance. pPOCUS should be regarded as focused decision support rather than as an exclusionary diagnostic modality.

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院前护理点超声（pPOCUS）：“看到，决定，行动”：证据，培训概念，以及pPOCUS在创伤性和非创伤性紧急情况急性评估中的作用。

院前护理点超声（pPOCUS）使聚焦超声能够立即处理相关的临床问题。目的：总结pPOCUS在创伤性和非创伤性急诊中的作用，包括证据、适应证、训练和局限性。结果：pPOCUS可以为创伤、急性呼吸困难、胸痛、未分化休克、复苏和选择的手术设置提供临床相关的辅助信息。目前的证据支持其可行性和对管理决策的频繁影响，而以患者为中心的结果的可靠数据仍然有限。结论：pPOCUS的临床效益取决于合适的适应症，融入团队工作流程，结构化培训，文件和质量保证。pPOCUS应被视为集中的决策支持，而不是一种排他性的诊断方式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medizinische Klinik-Intensivmedizin Und Notfallmedizin MEDICINE, GENERAL & INTERNAL-

CiteScore

2.60

自引率

9.10%

发文量

审稿时长

6-12 weeks

期刊介绍： Medizinische Klinik – Intensivmedizin und Notfallmedizin is an internationally respected interdisciplinary journal. It is intended for physicians, nurses, respiratory and physical therapists active in intensive care and accident/emergency units, but also for internists, anesthesiologists, surgeons, neurologists, and pediatricians with special interest in intensive care medicine. Comprehensive reviews describe the most recent advances in the field of internal medicine with special focus on intensive care problems. Freely submitted original articles present important studies in this discipline and promote scientific exchange, while articles in the category Photo essay feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. In the rubric journal club well-respected experts comment on outstanding international publications. Review articles under the rubric "Continuing Medical Education" present verified results of scientific research and their integration into daily practice. The rubrics "Nursing practice" and "Physical therapy" round out the information.