Point of Care Ultrasound in Critical Care with Dan Nevin

In this conversation, we will examine the utility and functions
of ultrasound within air ambulance services. We look at how the
aggregation of data and familiarity with ultrasound is narrowing
down and assisting time to intervention and time to definitive
care. We look at the scans of preference and some of the data
around pneumothoraces, tamponade and positive findings under
ultrasound in the critical care patient. Importantly we will get
Dan’s perspective on where ultrasound is affecting patient care
and where he sees the future of ultrasound going within
pre-hospital care. 


 


Dan Nevin is a PHEM consultant with London’s Air Ambulance and an
Anaesthetist with Barts and the Royal London NHS Trust. Dan has
years of experience working in pre-hospital care in both South
Africa, where he originally trained, and in the UK. His special
interests include trauma, critical care anaesthesia and
PHEM. Dan is also the ultrasound lead for LAA and has been
leading the use of POC ultrasound within the service. In the
conversation we exam:


Why ultrasound has become a useful tool in trauma.

Data collected on scans and relationship with intervention
(surgical or otherwise).

The protocol that LAA prescribe to in practice.

The governance around image acquisition and decision



-making.


USS within Standard Operating Procedures (SOPs) and where it
should sit in practice.

KPIs and frequency of scanning.

Where ultrasound is going and the future of USS within
critical care.

Take home messages






My thanks to Dan for an insightful and engaging interview.