Page 31 - JSOM Summer 2025

Finding/conclusion Described trends of use in 109 studies conducted by 29 18Ds over a single deployment. Found 18Ds primarily used for Military practitioners can perform PoCUS with acceptable sensitivity and specificity, particularly E-FAST and MSK PoCUS has potential to improve diagnostic accuracy and care with military operational field use Measurement of optic nerve sheath diameter may be a useful diagnostic tool for SOCMs Non-physician providers were able

US for superficial and MSK exams exams. 100% using swine model Combat medics can detect pneumothorax in human cadaver. Sensitivity 91% and specificity 80% using cadaver model Case description of pneumothorax diagnosis utilizing ultrasound imaging Increased level of training (MD>RN>SOCM) reduced procedure times Non-physician providers can learn to place REBOA on a synthetic model. There may be a role for REBOA in the field environment the procedure closer

No. exams/ participants 109 exams 29 18Ds NA NA 44 hemithoraces 22 participants 258 hemithoraces 43 participants NA 23 providers (10 SOCM) 11 medics (6 QRT-FF, 5 SOCM) 6 timed trials on model 11 IDMTs 6 timed trials on model (2 MD, 1PA, and 1 SOCM) 10 MDs 20 placement confirmations 2 cadavers 4 cases 15 human subjects 1 case 1 case 1 case 5 models 20 18Ds 1 case 2 cases 4 cases CV = cardiovascular; MSK = musculoskeleta

Ultrasound user category SOCM Mixed (Included SOCM) NA Mixed (Including SOCM) CCM NA Mixed (including SOCM) Mixed (including SOCM) USAF IDMT Mixed (including SOCM) Emergency medicine MDs USAF SOST (MDs) — Untrained first responder SOCM Emergency medicine MD SOCM Forward surgical team (MD) SOCM SOCM

Diagnostic (D) vs. procedural (P) P-Neurologic P-CV D-Abdominal D-MSK D D D D D P P P P P P- REBOA D- FAST P P D D D D and P D D QRT-FF = Quick Response Team Fire Fighters; USAF = United States Air Force; IDMT = Independent Duty Military Medical Technician; PA = physician assistant.

Operational use or advocating System for use category Operational Mixed: neurologic/CV/ Abd/MSK Advocating Mixed: abdominal and MSK Advocating Neurologic Advocating Respiratory Advocating Respiratory Advocating Respiratory Advocating CV Advocating CV Advocating CV Advocating CV Advocating CV Operational CV, abdominal Advocating CV Operational CV Operational CV, abdominal Operational MSK Advocating MSK Operational M

TABLE 1 Summary of Review Findings Article type Retrospective observational Review Review Prospective observational Prospective Meadows et al. observational Clinical prompt Prospective Borger van der observational Prospective Borger van der observational Prospective observational Prospective observational Prospective Lopachin et al. observational Case series Prospective observational Case report Case Report Case report Prospecti

Goudard et al.
McLeroy et al.
Morgan et al.
Manley et al.
Hubler et al.
Kirkpatrick
Snyder et al.
Heiner et al.
Pasley et al.
Teeter et al.
Monti et al.
Hightower
Savell et al.
Rapp and
Wall et al.
Burg et al.
Burg et al.
Hampton
Ball et al.
Article
et al.
et al.
A Review of JSOM Articles on Ultrasound Use by SOCM | 29