Concise, Practical Review on Transthoracic Lung Ultrasound in Prehospital Diagnosis of Dyspnea in Adults

Medicina (Kaunas). 2023 Jan 25;59(2):224. doi: 10.3390/medicina59020224.

Abstract

Ultrasonography is a relatively young but widely recognized method of imaging parenchymal organs, including the lungs. Our concise, practical review on transthoracic lung ultrasound (LUS) in the prehospital diagnosis of dyspnea in adults attempts to summarize current knowledge in the field. Furthermore, we discussed POCUS protocols in the analyzed context, discussing their usefulness. We concluded that bedside ultrasonography, or point of care (POCUS), is developing rapidly; however, the knowledge about the use of LUS in a pre-hospital setting is scarce, highlighting the need for further research in this field. Additionally, despite the possibility of using various ultrasound protocols in diagnosing a patient with dyspnea, there is no comprehensive and, at the same time, highly sensitive and specific protocol covering a satisfactory saccade of differential diagnosis of this symptom. It seems reasonable to conduct further targeted research to create such a dedicated solution.

Keywords: BLUE protocol; FATE; POCUS; dyspnea; point-of-care ultrasound; thoracic ultrasound.

Publication types

  • Review

MeSH terms

  • Adult
  • Diagnosis, Differential
  • Dyspnea
  • Emergency Medical Services*
  • Humans
  • Lung* / diagnostic imaging
  • Ultrasonography / methods

Grants and funding

No external funding has been received according to this study.