Point-of-care ultrasound for pulmonary concerns in remote spaceflight triage environments

Benjamin D. Johansen, Rebecca Blue, Tarah L. Castleberry, Erik L. Antonsen, James M. Vanderploeg

Research output: Contribution to journalArticle

Abstract

INTRODUCTION: With the development of the commercial space industry, growing numbers of spaceflight participants will engage in activities with a risk for pulmonary injuries, including pneumothorax, ebullism, and decompression sickness, as well as other concomitant trauma. Medical triage capabilities for mishaps involving pulmonary conditions have not been systematically reviewed. Recent studies have advocated the use of point-of-care ultrasound to screen for lung injury or illness. The operational utility of portable ultrasound systems in disaster relief and other austere settings may be relevant to commercial spaceflight. METHODS: A systematic review of published literature was conducted concerning the use of point-of-care pulmonary ultrasound techniques in austere environments, including suggested examination protocols for triage and diagnosis. RESULTS: Recent studies support the utility of pulmonary ultrasound examinations when performed by skilled operators, and comparability of the results to computed tomography and chest radiography for certain conditions, with important implications for trauma management in austere environments. DISCUSSION: Pulmonary injury and illness are among the potential health risks facing spaceflight participants. Implementation of point-of-care ultrasound protocols could aid in the rapid diagnosis, triage, and treatment of such conditions. Though operator-dependent, ultrasound, with proper training, experience, and equipment, could be a valuable tool in the hands of a first responder supporting remote spaceflight operations.

Original languageEnglish (US)
Pages (from-to)122-129
Number of pages8
JournalAerospace medicine and human performance
Volume89
Issue number2
DOIs
StatePublished - Feb 1 2018

Fingerprint

Point-of-Care Systems
Space Flight
Triage
Lung Injury
Lung
Decompression Sickness
Wounds and Injuries
Disasters
Pneumothorax
Radiography
Industry
Thorax
Tomography
Equipment and Supplies
Health

Keywords

  • Ebullism
  • Edema
  • Endotracheal tube
  • High altitude
  • Lung
  • Medical protocol
  • Pneumothorax
  • Sonography
  • Spaceflight
  • Telemedicine

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Public Health, Environmental and Occupational Health

Cite this

Johansen, B. D., Blue, R., Castleberry, T. L., Antonsen, E. L., & Vanderploeg, J. M. (2018). Point-of-care ultrasound for pulmonary concerns in remote spaceflight triage environments. Aerospace medicine and human performance, 89(2), 122-129. https://doi.org/10.3357/AMHP.4808.2018

Point-of-care ultrasound for pulmonary concerns in remote spaceflight triage environments. / Johansen, Benjamin D.; Blue, Rebecca; Castleberry, Tarah L.; Antonsen, Erik L.; Vanderploeg, James M.

In: Aerospace medicine and human performance, Vol. 89, No. 2, 01.02.2018, p. 122-129.

Research output: Contribution to journalArticle

Johansen, BD, Blue, R, Castleberry, TL, Antonsen, EL & Vanderploeg, JM 2018, 'Point-of-care ultrasound for pulmonary concerns in remote spaceflight triage environments', Aerospace medicine and human performance, vol. 89, no. 2, pp. 122-129. https://doi.org/10.3357/AMHP.4808.2018
Johansen, Benjamin D. ; Blue, Rebecca ; Castleberry, Tarah L. ; Antonsen, Erik L. ; Vanderploeg, James M. / Point-of-care ultrasound for pulmonary concerns in remote spaceflight triage environments. In: Aerospace medicine and human performance. 2018 ; Vol. 89, No. 2. pp. 122-129.
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