Prehospital ultrasound: incidence of realization and impact on patient management


Advanced life support
prehospital emergency care
pre-hospital ultrasound

How to Cite

GONZVA, J. ., Derkenne , C., Robert , J., Allonneau, A., Gelé, V., Hervault, N., Mathon, A., Lefort, H., Jost, D., & Tourtier, J. (2019). Prehospital ultrasound: incidence of realization and impact on patient management. Mediterranean Journal of Emergency Medicine, (27), 4-6. Retrieved from


In a two-tiered pre-hospital emergency system, the miniaturization of ultrasound machines has allowed their increased use within Advanced Life Support teams in spite of a systematic absence of university education. A retrospective study in an urban area aimed to measure the incidence of pre-hospital ultrasound (PHU) performance. A secondary objective was reporting the reasons for carrying out PHU and its impact on patient management.

Over a one-year period, 3760 patients were taken charge of by an ALS team; 204 of them (5.4%) benefited from PHU. Pathologies involved were trauma (n = 130; 63.7%), chest pain (n = 32; 15.7%), cardiac arrest (n = 14; 6.9%), shock (n = 11; 5.4%), pregnancy (n = 5; 2.4%), and others (n = 12; 5.9%). There was no relationship between pathologic PHU and, respectively, the administration of a specific treatment (p = 0.13), or the decision to direct the patient to a particular department (p = 0.85).

The low incidence of performing PHU was explained essentially by the absence of systematic sonography training, and by the absence of specific pre-hospital guidelines. If PHU does not impact the management of a cohort in an urban milieu, it may influence hospital destination in a rural environment where the nearest hospitals are not always equipped with a complete technological platform. Additional investigations are needed on this topic. Training of emergency physicians in ultrasound must be reinforced.Advanced life support



Duchenne J, Martinez M, Rothmann C, Claret PJ, Desclefs JP, Vaux J, et al. First Level of Clinical Ultrasound in Emergency Medicine. French Society of Emergency Medicine (SFMU) Guidelines by Formal Consensus. Ann Fr Med Urgence 2016; 6:284-95.

American College of Emergency Physicians. Emergency Ultrasound Guidelines. Ann Emerg Med 2009; 53:550-70.

Hamada SR, Delhaye N, Kerever S, Harrois A, Duranteau J. Integrating eFAST in the initial management of stable trauma patients: the end of plain film radiography. Ann Intensive Care 2016; 6:62.

Brun PM, Bessereau J, Chenaitia H, Pradel AL, Deniel C, Garbaye G, Melaine R, Bylicki O, Lablanche C. Stay and play eFAST or scoop and run eFAST? That is the question! Am J Emerg Med 2014; 32:166-70.

O’Dochartaigh D, Douma M. Prehospital ultrasound of the abdomen and thorax changes trauma patient management: A systematic review. Injury 2015; 46:2093-102.

Rudolph SS, Sørensen MK, Svane C, Hesselfeldt R, Steinmetz J. Effect of prehospital ultrasound on clinical outcomes of non-trauma patients-a systematic review. Resuscitation 2014; 85:21-30