Improved triage using pointofcare echocardiography David Watkins UW Ross Keller UW Sara Nikravan UW Nick Johnson UW Sachita Shah UW James Town UW Randy Martin Caption Health Kilian ID: 916996
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Slide1
Ejection Fraction as the Sixth Vital Sign for Patients with COVID
Improved triage using point-of-care echocardiography
David Watkins (UW), Ross Keller (UW), Sara
Nikravan
(UW), Nick Johnson (UW), Sachita Shah (UW), James Town (UW), Randy Martin (Caption Health), Kilian Kepsell (Caption Health), Craig Sable (CNMC), Federico Asch (MedStar), Nicholas Ollberding (CCHMC), Roberto Lang (Chicago)
Cincinnati Children’s Hospital Medical Center
Slide2Background
Myocardial InjuryArrythmiaCardiac DysfunctionEarly identification of patients with myocardial dysfunction may improve management.
Slide3Background
Access to echocardiography is limited in many settings.Limited provider-to-patient contactPPE conservation
Lack of skilled human resources (LMICs)
Slide4Task sharing echocardiography with frontline healthcare providers may serve as a “6th vital sign” that can be integrated with POC testing
.Conserve resourcesImprove access to diagnosisChange outcomes
Background
Slide5Background
Prescriptive GuidanceProbe Positioning Diagram
Reference ImageQuality MeterSave Best Clip
AutoCapture
Caption Guidance™ provides real time feedback on probe
position and diagnostic quality
Rapid scale up of non-expert echo has challenges
Navigational guidance provides a technology solution
Slide6Compare the efficiency and quality of FoCUS with and without AI-assistance in the COVID EDDescribe the longitudinal pattern of EF in critically ill patients with COVID in the ICU Evaluate frontline provider experience with AI-guided FoCUS in the ED and ICU
Develop a simple risk prediction score that integrates EF to improve triage of patients with COVID infection.Specific Aims
Slide7n=100
n=25n > 300
Slide8n=100
n=25n > 300
Slide9n=100
n=25n > 300*FOCUS on POC findings that would be available in a low-resource environment
Slide10May
JuneJulyAugSeptOct
Nov DecJanFebMarAprilCOVID Research CommitteeIRBDUA
Trice Cloud PlatformAgreement
Aim 1 Recruitment
Aim 2 Recruitment
Aim 3 Recruitment
Overall Timeline
Slide11Ejection Fraction as the Sixth Vital Sign for Patients with COVID Improved triage using point-of-care echocardiography