RESCUE


Rapid Evaluation of the SCrotum with point of care Ultrasound prior to Exploration (RESCUE)

A diagnostic test accuracy study

RESCUE

Background

Testicular torsion is an important medical emergency. The rate of testicular salvage begins to fall after 6 hours from onset. Currently, patients suspected of having testicular torsion based on history and examination are taken directly to theatre for an emergency scrotal exploration which is both diagnostic and therapeutic. However 75-80% of these explorations do not find testicular torsion.

An ultrasound can be helpful to diagnose testicular torsion, but they can be difficult to access within the short time frames needed with this condition. Point of care ultrasound can be done at the bedside, by the clinician who sees the patient in the emergency department and may offer a solution.

 

Aims and Objectives

Research Question: Can using Point of Care Ultrasound (POCUS) reduce the number of negative scrotal explorations?

Primary aim: To report the specificity of POCUS for testicular torsion

Secondary aims: To report the sensitivity, positive predictive value, negative predictive value of POCUS. To report a health economic evaluation of POCUS in the diagnostic pathway for testicular torsion.

 

RESCUE Publications

Sharma A, Nathan A, Rossiter M et. al. Scrotal point-of-care ultrasonography: a UK cross-speciality pilot training course evaluation. 2023 BJUI. Online ahead of print. DOI 10.1111/bju.16146

 

RESCUE Study Flow Diagram

RESCUE Study Flow Diagram

Team

HW

Hannah Warren

Lead

AN

Arjun Nathan

Lead

VK

Veeru Kasivisvanathan

PI

RV

Raghav Varma

Project team

AS

Akash Sharma

Project team

AA

Aishah Azam

Project team

AA

Aqua Asif

Project team

ME

Marie Edison

Project team

MR

Marimo Rossiter

Project team

SK

Sinan Khadhouri

Project team

NM

Nick Mani

External advisor

PS

Paul Sidhu

External advisor

YT

Yemisi Takwoingi

External advisor

RA

Radhi Agarwal

External advisor

GM

Graeme MacLennan

External advisor

DK

Daniel Kelly

External advisor

CV

Cecilia Vindrola

External advisor

CC

Caroline Clarke

External advisor

SM

Susan Moug

External advisor

NH

Nigel Hall

External advisor

EZ

Eleanor Zimmermann

External advisor

PH

Peter Hulme

External advisor

JB

Julia Burkert

External advisor

JL

Jonathan Leese

External advisor

JL

Joanne Lawton

External advisor

SF

Simon Freeman

External advisor

Sponsors

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