Introduction: The use of telemedicine and ultrasound is emerging and novel in the field of community paramedicine. However, there is a paucity of data supporting its use and even less evidence that shows a morbidity and mortality benefit. This case highlights a unique way to diagnose a common medical emergency, which can lead to a good outcome.
\nCase Report: We describe the use of lung point-of-care ultrasound by a trained community paramedic that led to the identification of a pneumothorax in an 86-year-old male at a scheduled home visit. The images were interpreted over telehealth in real-time by an emergency physician, and the patient was transported to the emergency department where the diagnosis was confirmed by chest radiography. He underwent chest tube placement and was discharged five days later after returning to his baseline.
\nConclusion: Despite minimal data to support or refute the use of paramedic tele-ultrasound, this case highlights a unique opportunity to expand the use of telemedicine and ultrasound in community paramedicine to improve patient outcomes.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Telehealth"},{"word":"community paramedicine"},{"word":"Pneumothorax"},{"word":"point-of-care-ultrasound"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0062d06z","frozenauthors":[{"first_name":"Shriman","middle_name":"","last_name":"Balasubramanian","name_suffix":"","institution":"New York Presbyterian Hospital Cornell and Columbia, Department of Emergency Medicine, New York","department":"Emergency Medicine"},{"first_name":"Michael","middle_name":"","last_name":"Defilippo","name_suffix":"","institution":"New York Presbyterian Hospital Cornell and Columbia, Department of Emergency Medicine, New York","department":""},{"first_name":"Michael","middle_name":"","last_name":"Stone","name_suffix":"","institution":"New York Presbyterian Hospital Cornell and Columbia, Department of Emergency Medicine, New York","department":""},{"first_name":"Gabriela","middle_name":"","last_name":"Galli","name_suffix":"","institution":"New York Presbyterian Hospital Cornell and Columbia, Department of Emergency Medicine, New York","department":""},{"first_name":"Matthew","middle_name":"","last_name":"McCarty","name_suffix":"","institution":"Weill Cornell Medicine, Department of Emergency Medicine, New York","department":"Emergency Medicine"},{"first_name":"Brock","middle_name":"","last_name":"Daniels","name_suffix":"","institution":"Weill Cornell Medicine, Department of Emergency Medicine, New York","department":""}],"date_submitted":"2023-04-23T17:20:40.185000+02:00","date_accepted":"2023-09-20T20:00:04.619000+02:00","date_published":"2024-06-03T15:00:00+02:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1296/galley/10895/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1296/galley/2708/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1296/galley/10895/download/"}]}