None listed
Conditions
Brief summary
Respiratory illness is a common presentation among the paediatric population and many will have multiple presentations during their lifetime. Bronchiolitis is one of the common viral-induced lower respiratory tract infections (LRTI), particularly during Winter, and can often result in hospital admission. This project proposes to demonstrate the use of pre-hospital point-of-care lung ultrasound is practical in the diagnosis of bronchiolitis and the ultrasound images can be reliably interpreted by Retrieval Doctors.
Interventions
Pre-hospital point-of-care ultrasound of the lungs will be performed by Central Australian Retrieval Doctors at the clinic/remote health centre/site of retrieval prior to transport to Alice Springs Hospital. The participants will have warmed ultrasound gel applied to four areas on the chest (2 right and 2 left) and bedside ultrasound scanning carried-out. The de-identified images will then be saved and the performing medical officer will record their findings on the study proforma. The intervention fidelity and any difficulties encountered will be recorded by the performing doctor on the study proforma. If inadequate images are obtained, this will be recorded as such.
Sponsors
Study design
Eligibility
Inclusion criteria
Children <18 months of age with symptoms consistent with a respiratory illness, including shortness of breath, increased work of breathing, coryza, fever and/or cough requiring retrieval via the Central Australian Retrieval Service for management in hospital
Exclusion criteria
Age > 2 years (as per diagnostic criteria for Bronchiolitis) No symptoms of respiratory illness Refusal of guardian/parents to assent to study participation