Table 1.
Remote telementored post-tube thoracostomy removal lung examinations
Case | Nurse location | Mentor location | Right lung field | Left lung field | Comment |
---|---|---|---|---|---|
1 |
Trauma ward |
Office |
True negative |
False negative |
Very tiny apical PTX on upright CXR, clinically insignificant |
2 |
Trauma ward |
Office |
True negative |
True positive |
PTX on US confirmed on upright CXR |
3 |
Trauma ward |
Office |
True negative |
True negative |
|
4 |
ICU |
Office |
True negative |
True negative |
Well-defined B-lines increased confidence in excluding PTX |
5 |
Neurosurgery ward |
Home |
True negative |
True negative |
|
6 |
Neurosurgery ward |
Office |
True negative |
True negative |
|
7 |
Trauma ward |
Hotel, UK |
False negative |
True negative |
Trans-Atlantic case reference standard result still uncertain |
8 |
Trauma ward |
Office |
True positive |
True negative |
Subcutaneous emphysema clearly noted and determined abnormal |
9 |
Trauma ward |
Office |
True negative |
True negative |
|
10 |
Trauma ward |
Office |
True negative |
True positive |
Final impression was sub-Q emphysema |
11 |
Trauma ward |
Office |
True negative |
True negative |
First case with M-mode capability |
12 |
Trauma ward |
Office |
True negative |
True negative |
|
13 | Trauma ward | Office | True negative | True positive | Bedside nurse was guided to make diagnosis the first time she ever held the ultrasound probe |