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| 1 | Pre-hospital assessment with ultrasound in emergencies: implementation in the field显示文摘BACKGROUND: Point-of-care ultrasound(US) is a proven diagnostic imaging tool in the emergency department(ED). Modern US devices are now more compact, affordable and portable, which has led to increased usage in austere environments. However, studies supporting the use of US in the prehospital setting are limited. The primary outcome of this pilot study was to determine if paramedics could perform cardiac ultrasound in the fi eld and obtain images that were adequate for interpretation. A secondary outcome was whether paramedics could correctly identify cardiac activity or the lack thereof in cardiac arrest patients.METHODS: We performed a prospective educational study using a convenience sample of professional paramedics without ultrasound experience. Eligible paramedics participated in a 3-hour session on point-of-care US. The paramedics then used US during emergency calls and saved the scans for possible cardiac complaints including: chest pain, dyspnea, loss of consciousness, trauma, or cardiac arrest.RESULTS: Four paramedics from two distinct fire stations enrolled a total of 19 unique patients, of whom 17 were deemed adequate for clinical decision making(89%, 95%CI 67%–99%). Paramedics accurately recorded 17 cases of cardiac activity(100%, 95%CI 84%–100%) and 2 cases of cardiac standstill(100%, 95%CI 22%–100%).CONCLUSION: Our pilot study suggests that with minimal training, paramedics can use US to obtain cardiac images that are adequate for interpretation and diagnose cardiac standstill. Further large-scale clinical trials are needed to determine if prehospital US can be used to guide care for patients with cardiac complaints. | Kevin P. Rooney Sari Lahham Shadi Lahham Craig L. Anderson Bryan Bledsoe Bryan Sloane Linda Joseph Megan B. Osborn John C. Fox | 2016 | World Journal of Emergency Medicine2016，7，2： | 5 |
| 2 | Tourism from Above and Below: Globalization, Localization and New Orleans 's Mardi Gras 显示文摘 | Kevin Fox Gotham | 2005 | International Journal of Urban and Regional Research2005，29，2： | 1 |
| 3 | Breast cancer angiogenesis — new approaches to therapy via antiangiogenesis, hypoxic activated drugs, and vascular targeting显示文摘 | Adrian L. Harris Huatang Zhang Amir Moghaddam Steve Fox Prudence Scott Adam Pattison Kevin Gatter Ian Stratford Roy Bicknell | 1996 | Breast Cancer Research and Treatment1996，，1： | 1 |
| 4 | Transoral Incisionless Fundoplication: 2-year Results from the Prospective Multicenter U.S. Study显示文摘 | Bell Reginald C W Barnes William E Carter Bart J Sewell Robert W Mavrelis Peter G Ihde Glenn M Hoddinott Kevin M Fox Mark A Freeman Katherine D Gunsberger Tanja Hausmann Mark G Dargis David Gill Brian DaCosta Wilson Erik Trad Karim S | 2014 | The American Surgeon2014，，11： | 1 |
| 5 | 显示文摘 | Anna Skibinska Stanislaw Glazewski Kevin Fox Malgorzata Kossut | 2000 | Experimental Brain Research2000，，1： | 1 |
| 6 | Breast cancer angiogenesis — new approaches to therapy via antiangiogenesis, hypoxic activated drugs, and vascular targeting显示文摘 | Adrian L. Harris Huatang Zhang Amir Moghaddam Steve Fox Prudence Scott Adam Pattison Kevin Gatter Ian Stratford Roy Bicknell | 1996 | Breast Cancer Research and Treatment1996，，1： | 1 |
| 7 | The impact of high-tech capital on productivity evidence from australia 显示文摘 | CONNNOLLY ELLIS KEVIN J FOX | 2006 | Economic Inquiry2006，44，1： | 1 |
| 8 | Attentional bias for threat: Evidence for delayed disengagement from emotional faces显示文摘 | Elaine Fox Riccardo Russo Kevin Dutton | 2002 | Cognition & Emotion2002，，3： | 1 |
| 9 | The impact of high - tcch capital on productivity evidence from Australia 显示文摘 | Connnolly Ellis Kevin J Fox | 2006 | Economic Inquiry2006，44，1： | 1 |
| 10 | Feasibility study of first-year medical students identifying cardiac anatomy using ultrasound in rural Panama显示文摘BACKGROUND: There are over 15 million children who have cardiac anomalies around the world, resulting in a significant morbidity and mortality. Early recognition and treatment can improve the outcomes and lengthen life-expectancy of these patients. The NIH and WHO have promoted guidelines for screening for congenital cardiac anomalies using ultrasound in rural environments.METHODS: Our study took place in Bocas Del Toro, Panama where a mobile clinic was established for community healthcare screening and ultrasonographic evaluation by medical student volunteers and volunteer clinical faculty. This was a non-blinded, investigational study utilizing a convenience sample of pediatric patients presenting for voluntary evaluation. Seven first-year medical students were recruited for the study. These students underwent a training program for advanced cardiac ultrasound instruction, termed 'Pediatric Echocardiography Cardiac Screening(PECS)'.RESULTS: Ten patients were enrolled in the study. Nine patients had adequate images as defined by the PECS criteria and were all classified as normal cardiac pathology by the medical students, resulting in a sensitivity and specificity of 100%. A single patient was identified by medical students as having a pathologic pulmonic stenosis. This was confirmed as correct by a blinded ultrasonographer.CONCLUSIONS: In this pilot study, the first-year medical students were able to correctly identify pediatric cardiac anatomy and pathology in rural Panama after undergoing a 12-hour ultrasound PECS training session. We believe that with this knowledge, minimally trained practitioners can be used to screen for cardiac anomalies in rural Panama using ultrasound. | Brianna Miner Amanda Purdy Laura Curtis Kevin Simonson Caleb Shumway Jessa Baker Jessica Vaughan Kara Percival Olivia Sanchez Shadi Lahham Linda Joseph J Christian Fox | 2015 | World Journal of Emergency Medicine2015，6，3： | 1 |
| 11 | Tourism Gentrification: The Case of New Orleans'Vieux Carre (French Quarter)显示文摘 | Kevin Fox Gotham | 2005 | Urban Studies2005，42，7： | 1 |
| 12 | HER‐2 pulsed dendritic cell vaccine can eliminate HER‐2 expression and impact ductal carcinoma in situ显示文摘 | Anupama Sharma Ursula Koldovsky Shuwen Xu Rosemarie Mick Robert Roses Elizabeth Fitzpatrick Susan Weinstein Harvey Nisenbaum Bruce L. Levine Kevin Fox Paul Zhang Gary Koski Brian J. Czerniecki | 2012 | Cancer2012，，： | 1 |
| 13 | Select spray coating system显示文摘 | Kevin J Fox | 2005 | MICRO2005，23，6： | 1 |
| 14 | Univariate and multivariate analyses of preoperative factors influencing symptomatic outcomes of transoral fundoplication显示文摘 | Reginald C. W. Bell Mark A. Fox William E. Barnes Peter G. Mavrelis Robert W. Sewell Bart J. Carter Glenn M. Ihde Karim S. Trad David Dargis Kevin M. Hoddinott Katherine D. Freeman Tanja Gunsberger Mark G. Hausmann Brian DaCosta Gill Erik Wilson | 2014 | Surgical Endoscopy2014，，： | 1 |
| 15 | Cancer-specific self-efficacy and psychosocial and functional adaptation to early stage breast cancer显示文摘 | Sharon L. Manne Ph.D. Jamie S. Ostroff Ph.D. Tina R. Norton Ph.D. Kevin Fox M.D. Generosa Grana M.D. Lori Goldstein M.D | 2006 | Annals of Behavioral Medicine2006，，2： | 1 |
| 16 | A feasibility study to determine if minimally trained medical students can identify markers of chronic parasitic infection using bedside ultrasound in rural Tanzania显示文摘BACKGROUND: Parasitic infections pose a significant health risk in developing nations and are a major cause of morbidity and mortality worldwide. In the Republic of Tanzania, the CDC estimates that 51.5% of the population is infected with one or more intestinal parasites. If diagnosed early, the consequences of chronic parasitic infection can potentially be avoided.METHODS: Six first-year medical students were recruited to enroll patients in the study. They underwent ten hours of formal, hands-on, ultrasound which included basic cardiac, hepatobiliary, renal, pulmonary and FAST scan ultrasound. A World Health Organization protocol with published grading scales was adapted and used to assess for pathology in each patient's liver, bladder, kidneys, and spleen.RESULTS: A total of 59 patients were enrolled in the study. Students reported a sensitivity of 96% and specificity of 100% for the presence of a dome shaped bladder, a sensitivity and specificity of 100% for bladder thickening, a sensitivity and specificity of 100% for portal hypertension and ascites. The sensitivity was 81% with a specificity of 100% for presence of portal vein distention. The sensitivity was 100% with a specificity of 90% for dilated bowel.CONCLUSIONS: Ultrasound has shown a promise at helping to identify pathology in rural communities with limited resources such as Tanzania. Our data suggest that minimally trained first year medical students are able to perform basic ultrasound scans that can identify ultrasonographic markers of parasitic infections. | Maria Barsky Lauren Kushner Megan Ansbro Kate Bowman Michael Sassounian Kevin Gustafson Shadi Lahham Linda Joseph John C Fox | 2015 | World Journal of Emergency Medicine2015，6，4： | 1 |
| 17 | Toughe-ning of a carbon-fibre composite using electrospun poly(hydroxyether of bisphenol A) nanofibrous membranesthrough inverse phase separation and intei-domain etherifi-cation显示文摘 | Kevin Magniez Thomas Chaffraix Bronwyn Fox | 2011 | Mater2011，4，11： | 1 |
| 18 | Tourism from Above and Below: Globalization, Localization and New Orleans' s Mardi Gras显示文摘 | Kevin Fox Gotham | 2005 | International Journal of Urban and Regional Research2005，29，2： | 1 |
| 19 | Tourism from above and below: globalization,localization and New Orleans's Mardi Gras显示文摘 | Kevin Fox Gotham | 2005 | International Journal of Urban and Regional Research2005，29，2： | 1 |
| 20 | The Endogenous Bacteria Alter Gut Epithelial Apoptosis and Decrease Mortality Following Pseudomonas aeruginosa Pneumonia显示文摘 | Amy C. Fox Kevin W. McConnell Benyam P. Yoseph Elise Breed Zhe Liang Andrew T. Clark David O’Donnell Brendan Zee-Cheng Enjae Jung Jessica A. Dominguez W. Michael Dunne Eileen M. Burd Craig M. Coopersmith | 2012 | Shock2012，，5： | 1 |
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