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Thoughts From A Clinician

Thoughts from a Clinician: Support for EMS POCUS




There is so much buzz in the world of Emergency and Critical Care transport medicine about the use of prehospital ultrasound technology.  This technology has become more affordable and more widely available and the clinicians in these areas of practice are ready to have this tool at their disposal.  The biggest question I hear from active prehospital providers is why?  Why do we need this in our tool bag?  What is the cost/benefit ratio?  These are truly valid questions and it was my first thought too.  I support EMS Prehospital Point of Care Ultrasound (EMS Pocus).  Here is why - I think that there is a lot of use for this tool in the prehospital environment.  I cannot express how beneficial it will be to have ultrasound available during cardiac arrests to see if we are making progress.  Another reason to utilize this technology is to help assess treatment efficacy of sepsis patients.  Looking at IVC and SVC measurements are extremely helpful in determining if our treatment modalities are helping our patients or if we need to change our approach.  All of that aside, if we are striving to provide the most invasive care regardless of geography, this is the next big thing.  It is, in my opinion, an additional tool that can have a big impact on the care our patients receive in the prehospital setting. 

The biggest hurdle in acquiring portable ultrasound is almost always cost.  However, as is the trend in medical technology, the cost will decrease and therefore ultrasound equipment will become more affordable for critical care transport and pre-hospital emergency medical services.  As these systems become more affordable some services are still lightyears away from having this at their disposal.  We can combat this through outreach education and training.  We can also talk to our friends at and East Coast Helicopter Operations.  Regardless of what is needed at your service, these people are here to direct anyone in their pursuit of ultrasound education.  In the interim PLEASE support the use of EMS Pocus.  There are so many doors that could be opened with the use of this device in the prehospital setting.  Simply put, be a part of the change or get left behind.





Klint is a United States trained Critical Care Paramedic, who hold specialty certifications in neonatal and pediatric transport as well as being Flight Paramedic certified (FP-C).  He is currently pursuing a Baccalaureate degree in EMS Management through Western Carolina University.  Klint works full time as Flight Paramedic in the Midwest, USA.  He is also an EMS / Critical Care instructor with DistanceCME.  In addition, Klint is FlightBridgeED’s newest blog author and is heavily involved in Free Open Access Medication Education and EMS Education.  Klint can be reached at This email address is being protected from spambots. You need JavaScript enabled to view it. or on Twitter at @NoDesat


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