2021
Paramedic-performed Prehospital Point-of-care Ultrasound for Patients with Undifferentiated Dyspnea: A Pilot Study
Schoeneck JH, Coughlin RF, Baloescu C, Cone DC, Liu RB, Kalam S, Medoro AK, Medoro I, Joseph D, Burns K, Bohrer-Clancy JI, Moore CL. Paramedic-performed Prehospital Point-of-care Ultrasound for Patients with Undifferentiated Dyspnea: A Pilot Study. Western Journal Of Emergency Medicine 2021, 22: 750-755. PMID: 34125056, PMCID: PMC8203026, DOI: 10.5811/westjem.2020.12.49254.Peer-Reviewed Original Research
2019
Increased Sensitivity of Focused Cardiac Ultrasound for Pulmonary Embolism in Emergency Department Patients With Abnormal Vital Signs
Daley JI, Dwyer KH, Grunwald Z, Shaw DL, Stone MB, Schick A, Vrablik M, Hall M, Hall J, Liteplo AS, Haney RM, Hun N, Liu R, Moore CL. Increased Sensitivity of Focused Cardiac Ultrasound for Pulmonary Embolism in Emergency Department Patients With Abnormal Vital Signs. Academic Emergency Medicine 2019, 26: 1211-1220. PMID: 31562679, DOI: 10.1111/acem.13774.Peer-Reviewed Original ResearchConceptsAbnormal vital signsComputed tomography angiographyBeats/minPulmonary embolismVital signsProspective observational multicenter cohort studyCardiac ultrasoundTricuspid annular plane systolic excursionObservational multicenter cohort studyAnnular plane systolic excursionDiagnosis of PERight ventricular dysfunctionMulticenter cohort studyRight ventricular dilationUrban academic EDEmergency department patientsEntire patient populationVital sign abnormalitiesFocused cardiac ultrasoundRapid bedside testDiagnostic test characteristicsSubstantial interobserver agreementMcConnell's signVentricular dysfunctionCohort studyGuiding Cardiopulmonary Resuscitation with Focused Echocardiography: A Report of Five Cases
Liu R, Bogucki S, Marcolini EG, Yu CY, Wira CR, Kalam S, Daley J, Moore CL, Cone D. Guiding Cardiopulmonary Resuscitation with Focused Echocardiography: A Report of Five Cases. Prehospital Emergency Care 2019, 24: 297-302. PMID: 31150302, DOI: 10.1080/10903127.2019.1626955.Peer-Reviewed Original ResearchConceptsCardiopulmonary resuscitationCardiac arrestEchocardiography studyFocused echocardiographyAdvanced cardiac life support algorithmLeft ventricular compressionCardiac arrest patientsEnd-tidal carbon dioxide valuesHospital cardiac arrestTransthoracic echocardiography studyFocused transthoracic echocardiographyTidal carbon dioxide valuesTransthoracic echocardiographyVentricular compressionArrest patientsPatient outcomesHemodynamic parametersPulse checksEchocardiographyInadequate compressionResuscitationCarbon dioxide valuesUltrasound timingPhysical performanceUltrasound performance
2018
Challenges and Changes to the Management of Pulmonary Embolism in the Emergency Department
Moore C, McNamara K, Liu R. Challenges and Changes to the Management of Pulmonary Embolism in the Emergency Department. Clinics In Chest Medicine 2018, 39: 539-547. PMID: 30122178, DOI: 10.1016/j.ccm.2018.04.009.Peer-Reviewed Original Research
2016
Emergency physician performed tricuspid annular plane systolic excursion in the evaluation of suspected pulmonary embolism
Daley J, Grotberg J, Pare J, Medoro A, Liu R, Hall MK, Taylor A, Moore CL. Emergency physician performed tricuspid annular plane systolic excursion in the evaluation of suspected pulmonary embolism. The American Journal Of Emergency Medicine 2016, 35: 106-111. PMID: 27793505, DOI: 10.1016/j.ajem.2016.10.018.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overCohort StudiesComputed Tomography AngiographyEchocardiographyEmergency MedicineFemaleHumansMaleMiddle AgedObserver VariationPhysiciansPoint-of-Care SystemsPoint-of-Care TestingProspective StudiesPulmonary EmbolismReproducibility of ResultsROC CurveSensitivity and SpecificitySystoleTricuspid ValveVentricular Dysfunction, RightYoung AdultConceptsTricuspid annular plane systolic excursionAnnular plane systolic excursionDiagnosis of PEPulmonary embolismSystolic excursionProspective observational cohort studyUrban academic emergency departmentObservational cohort studyAcademic emergency departmentCharacteristic curve analysisModerate diagnostic valueIntraclass correlation coefficientCohort studyEmergency departmentTomographic angiographyEmergency physiciansOptimal cutoffPatientsDiagnostic valueAbnormal cutoffsSecondary objectiveΚ statisticCurve analysisConvenience sampleInterrater reliabilityCorrected flow time: a noninvasive ultrasound measure to detect preload reduction by nitroglycerin
Pare JR, Liu R, Moore CL, Safdar B. Corrected flow time: a noninvasive ultrasound measure to detect preload reduction by nitroglycerin. The American Journal Of Emergency Medicine 2016, 34: 1859-1862. PMID: 27431739, DOI: 10.1016/j.ajem.2016.06.077.Peer-Reviewed Original ResearchConceptsAdministration of nitroglycerinIntravascular volume statusPreload reductionVolume statusPatient's intravascular volume statusProspective cohort studyChest pain centerDiastolic blood pressureBeats/minMean heart rateReliable noninvasive measureIntraclass correlation coefficientCardiac evaluationPain centerCohort studyBlood pressureSublingual nitroglycerinDoppler measurementsHeart rateInvasive measuresNitroglycerinNoninvasive measureUltrasound measuresAdministrationSpectral Doppler measurements
2015
Emergency physician focused cardiac ultrasound improves diagnosis of ascending aortic dissection
Pare JR, Liu R, Moore CL, Sherban T, Kelleher MS, Thomas S, Taylor RA. Emergency physician focused cardiac ultrasound improves diagnosis of ascending aortic dissection. The American Journal Of Emergency Medicine 2015, 34: 486-492. PMID: 26782795, DOI: 10.1016/j.ajem.2015.12.005.Peer-Reviewed Original ResearchMeSH KeywordsAortic Aneurysm, ThoracicAortic DissectionAutopsyDiagnostic ErrorsEchocardiography, TransesophagealEmergency Medical ServicesEmergency MedicineFemaleHumansMaleMedical RecordsMiddle AgedMulticenter Studies as TopicMulti-Institutional SystemsOutcome Assessment, Health CareRetrospective StudiesTime FactorsTomography, X-Ray ComputedConceptsAortic dissectionCardiac ultrasoundEmergency departmentEmergency physiciansAscending aortic dissectionPrimary outcome measureFocus groupsNonspecific presentationED visitsSecondary outcomesAortic dilationMedian timeRetrospective reviewResuscitate statusMedical recordsThoracic aortaDeadly diagnosisOutcome measuresAutopsy reportsPatientsMisdiagnosis rateDissectionUltrasoundMortalityPhysicians
2013
Point-of-Care Focused Cardiac Ultrasound for Prediction of Pulmonary Embolism Adverse Outcomes
Taylor RA, Davis J, Liu R, Gupta V, Dziura J, Moore CL. Point-of-Care Focused Cardiac Ultrasound for Prediction of Pulmonary Embolism Adverse Outcomes. Journal Of Emergency Medicine 2013, 45: 392-399. PMID: 23827166, DOI: 10.1016/j.jemermed.2013.04.014.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overEchocardiographyEmergency Service, HospitalFemaleHemorrhageHospital MortalityHumansMaleMiddle AgedPoint-of-Care SystemsPredictive Value of TestsPrognosisPulmonary EmbolismRecurrenceRespiratory InsufficiencyRetrospective StudiesRisk FactorsShockVenous ThromboembolismVentricular Dysfunction, RightConceptsRight ventricular strainHospital adverse outcomesRetrospective chart reviewPulmonary embolismAdverse outcomesEmergency departmentChart reviewCardiac ultrasoundHighest positive likelihood ratioRecurrent venous thromboembolismLow negative likelihood ratioSignificant predictorsEmergency care practitionersFocused cardiac ultrasoundFOCUS examinationPositive likelihood ratioNegative likelihood ratioMajor bleedingLikelihood ratioRespiratory failureVenous thromboembolismTransthoracic echocardiographyHospital admissionIndependent predictorsVentricular strain