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Other Approaches to Prehospital Transesophageal Echocardiography

Other Approaches to Prehospital Transesophageal Echocardiography Darren Braude, MD, Paramedic, Jenna White, MD, Trenton Wray, MD PREHOSPITAL EMERGENCY CARE 2020;24:305–306 Dear Editor, We enjoyed reading the case report by Merlin et al. on their initial experience with prehospital transesophageal echocardiography (TEE) (1) and are pleased to know we are not the only ones working with this technology in austere environments. We used an internal University equipment grant to pur- chase a portable TEE system in 2018 and, since that time, have deployed it a number of times in both the air medical and ground EMS environments. The authors highlight several barriers to wider prehospital TEE use, including the noteworthy $80,000 cost of their 35lbs ultrasound machine and the $2,000 cost for each disposable probe. We took a different approach, purchasing a reusable Sonosite TEExi transducer for $34,000 and a rema- nufactured SonoSite M-turbo ultrasound machine weighing under 7lbs for $12,000. Advantages to this system include a much more portable and affordable ultrasound platform and negligible per use cost. This has allowed us to utilize TEE at the point of out-of-hospital cardiac arrest (Figure 1) and in the air medical environment. Disadvantages FIGURE 1. Transesophageal echocardiography (TEE) in use during include the need to handle an http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Prehospital Emergency Care Taylor & Francis

Other Approaches to Prehospital Transesophageal Echocardiography

Other Approaches to Prehospital Transesophageal Echocardiography

Prehospital Emergency Care , Volume 24 (2): 2 – Mar 3, 2020

Abstract

Darren Braude, MD, Paramedic, Jenna White, MD, Trenton Wray, MD PREHOSPITAL EMERGENCY CARE 2020;24:305–306 Dear Editor, We enjoyed reading the case report by Merlin et al. on their initial experience with prehospital transesophageal echocardiography (TEE) (1) and are pleased to know we are not the only ones working with this technology in austere environments. We used an internal University equipment grant to pur- chase a portable TEE system in 2018 and, since that time, have deployed it a number of times in both the air medical and ground EMS environments. The authors highlight several barriers to wider prehospital TEE use, including the noteworthy $80,000 cost of their 35lbs ultrasound machine and the $2,000 cost for each disposable probe. We took a different approach, purchasing a reusable Sonosite TEExi transducer for $34,000 and a rema- nufactured SonoSite M-turbo ultrasound machine weighing under 7lbs for $12,000. Advantages to this system include a much more portable and affordable ultrasound platform and negligible per use cost. This has allowed us to utilize TEE at the point of out-of-hospital cardiac arrest (Figure 1) and in the air medical environment. Disadvantages FIGURE 1. Transesophageal echocardiography (TEE) in use during include the need to handle an

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References (6)

Publisher
Taylor & Francis
Copyright
© 2019 National Association of EMS Physicians
ISSN
1545-0066
eISSN
1090-3127
DOI
10.1080/10903127.2019.1633000
Publisher site
See Article on Publisher Site

Abstract

Darren Braude, MD, Paramedic, Jenna White, MD, Trenton Wray, MD PREHOSPITAL EMERGENCY CARE 2020;24:305–306 Dear Editor, We enjoyed reading the case report by Merlin et al. on their initial experience with prehospital transesophageal echocardiography (TEE) (1) and are pleased to know we are not the only ones working with this technology in austere environments. We used an internal University equipment grant to pur- chase a portable TEE system in 2018 and, since that time, have deployed it a number of times in both the air medical and ground EMS environments. The authors highlight several barriers to wider prehospital TEE use, including the noteworthy $80,000 cost of their 35lbs ultrasound machine and the $2,000 cost for each disposable probe. We took a different approach, purchasing a reusable Sonosite TEExi transducer for $34,000 and a rema- nufactured SonoSite M-turbo ultrasound machine weighing under 7lbs for $12,000. Advantages to this system include a much more portable and affordable ultrasound platform and negligible per use cost. This has allowed us to utilize TEE at the point of out-of-hospital cardiac arrest (Figure 1) and in the air medical environment. Disadvantages FIGURE 1. Transesophageal echocardiography (TEE) in use during include the need to handle an

Journal

Prehospital Emergency CareTaylor & Francis

Published: Mar 3, 2020

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