Table 4.

Concerns about Prehospital Tele-Ultrasound

Concern	Possible Solutions
Risk to Patient Safety	Decrease scan time while optimizing scanning and interpretation accuracy
Insufficient Time	Common language for verbal communication of fanning probe and switching location; strong understanding of anatomical relationships
Complexity/Cost of Equipment	Adapt existing technology for medical diagnostics (eg, Live-U digital video stream 1 )
Absence of Remote Image Receiver or Interpreter at the Time of Examination	Train emergency department physicians to have more interpreters, minimize hospital crowding; if no interpreters available, ask paramedics to limit discussion to brief pre-alert
Uninterpretable Images or Equipment Failure 2	Use multiple broadband networks to prevent connection loss; use technology that controls image bit rate depending on network speed