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tele-ultrasound consultant could offer assistance with 11. Backlund BH, Bonnett CJ, Faragher JP, et al. Pilot study to
image interpretation 35,36 and resultant medical decision- determine the feasibility of training Army National Guard
making or even lifesaving interventions. 37 medics to perform focused cardiac ultrasonography. Prehosp
Emerg Care. 2010;14:118–123.
12. Roline CE, Heegaard WG, Moore JC, et al. Feasibility of bed-
Conclusion side thoracic ultrasound in the helicopter emergency medical
services setting. Air Med J. 2013;32:153–157.
Neither SOLCUS nor PFC is a new concept, yet we 13. Monti JD, Younggren B, Blankenship R. Ultrasound detec-
are facing a new challenge to empower the SOF Medic tion of pneumothorax with minimally trained sonographers:
a preliminary study. J Spec Oper Med. 2009;9:43–46.
with PFC-relevant ultrasound skills. As we propose cur- 14. Brooke M, Walton J, Scutt D, et al. Acquisition and interpre-
riculum adjustments, flip the SOLCUS classroom, and tation of focused diagnostic ultrasound images by ultrasound-
transition to open-access digital learning venues, we naive advanced paramedics: trialling a PHUS education
welcome your questions and concerns. We hope to stim- programme. Emerg Med J. 2012;29:322–326.
ulate a debate on tele-ultrasound capabilities in support 15. Heegaard W, Hildebrandt D, Spear D, et al. Prehospital ultra-
sound by paramedics: results of field trial. Acad Emerg Med.
of training, QA, and patient-care missions. 2010;17:624–630.
16. Broudo M, Walsh C. MEDICOL: online learning in medicine
PFC is a broad interservice concept. Therefore, the re- and dentistry. Acad Med. 2002;77:926–927.
vitalized SOLCUS program must maintain an SOF-wide 17. Moraros J, Islam A, Yu S, et al. Flipping for success: evaluat-
level of PFC relevance. For this reason, we encourage ing the effectiveness of a novel teaching approach in a gradu-
ate level setting. BMC Med Educ. 2015;15:27.
the SOF Medics and their leadership across the re- 18. Galway LP, Corbett KK, Takaro TK, et al. A novel integration
spective Special Operations commands to share their of online and flipped classroom instructional models in public
experiences and suggestions. We also invite the civil- health higher education. BMC Med Educ. 2014;14:181.
ian providers with prehospital POCUS expertise to the 19. Platz E, Goldflam K, Mennicke M, et al. Comparison of Web-
SOLCUS roundtable. versus classroom-based basic ultrasonographic and EFAST
training in 2 European hospitals. Ann Emerg Med. 2010;56:
660–667.
Disclosures 20. Cuca C, Scheiermann P, Hempel D, et al. Assessment of a new
e-learning system on thorax, trachea, and lung ultrasound.
The authors have nothing to disclose. Emerg Med Int. 2013;2013:145361.
21. Kang TL, Berona K, Elkhunovich MA, et al. Web-based
teaching in point-of-care ultrasound: an alternative to the
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60 Journal of Special Operations Medicine Volume 16, Edition 1/Spring 2016