abstract: 'PurposeThis study aims to facilitate access to vascular disease

  screening for low-income individuals living in remote and conflict areas

  based on the results of a pilot trial in Colombia. Also, to increase the

  amount of diagnosis training of vascular surgery (VS) in civilians.

  Design/methodology/approachThe operation method includes five stages:

  strategy development and adjustment; translation of the strategy into a

  real-world setting; operation logistics planning; strategy analysis and

  adoption. The operation plan worked efficiently in this study''s sample.

  It demonstrated high sensibility, efficiency and safety in a real-world

  setting. FindingsThe authors developed and implemented a flow model

  operating plan for screening vascular pathologies in low-income patients

  pro bono without proper access to vascular health care. A total of 140

  patients from rural areas in Colombia were recruited to a controlled

  screening session where they underwent serial noninvasive ultrasound

  assessments conducted by health professionals of different training

  stages in VS. Research limitations/implicationsThe plan was designed to

  be implemented in remote, conflict areas with limited access to VS care.

  Vascular injuries are critically important and common among civilians

  and military forces in regions with active armed conflicts. As this

  strategy can be modified and adapted to different medical specialties

  and geographic areas, the authors recommend checking the related

  legislation and legal aspects of the intended areas where we will

  implement this tool. Practical implicationsDifferent sub-specialties can

  implement the described method to be translated into significant areas

  of medicine, as the authors can adjust the deployment and execution for

  the assessment in peripheral areas, conflict zones and other public

  health crises that require a faster response. This is necessary, as the

  amount of training to which VS trainees are exposed is low. A simulated

  exercise offers a novel opportunity to enhance their current diagnostic

  skills using ultrasound in a controlled environment. Social

  implicationsEvaluating and assessing patients with limited access to

  vascular medicine and other specialties can decrease the burden of

  vascular disease and related complications and increase the number of

  treatments available for remote communities. Originality/valueIt is

  essential to assess the most significant number of patients and treat

  them according to their triage designation. This management is similar

  to assessment in remote areas without access to a proper VS consult. The

  authors were able to determine, classify and redirect to therapeutic

  interventions the patients with positive findings in remote areas with a

  fast deployment methodology in VS. Plain language summaryAccess to

  health care is limited due to multiple barriers and the assessment and

  response, especially in peripheral areas that require a highly skilled

  team of medical professionals and related equipment. The authors tested

  a novel mobile assessment tool for remote and conflict areas in a rural

  zone of Colombia.'
affiliation: 'Rocha, O (Corresponding Author), Univ Los Andes, Med Sch, Bogota, Colombia.

  Rocha, O (Corresponding Author), Fdn Santa Fe Bogota Univ Hosp, Div Vasc \& Endovasc
  Surg, Bogota, Colombia.

  Rocha, O (Corresponding Author), Univ Michigan, Dept Vasc Surg, Ann Arbor, MI 48109
  USA.

  Rocha, Oscar Moreno Y.; Pinto, Paula; Cifuentes, Sebastian; Ulloa, Jorge H., Univ
  Los Andes, Med Sch, Bogota, Colombia.

  Rocha, Oscar Moreno Y.; Pinto, Paula; Cifuentes, Sebastian; Ulloa, Jorge H., Fdn
  Santa Fe Bogota Univ Hosp, Div Vasc \& Endovasc Surg, Bogota, Colombia.

  Rocha, Oscar Moreno Y., Univ Michigan, Dept Vasc Surg, Ann Arbor, MI 48109 USA.

  Consuegra, Maria C., Univ Norte, Med Sch, Barranquilla, Colombia.'
author: Rocha, Oscar Moreno Y. and Pinto, Paula and Consuegra, Maria C. and Cifuentes,
  Sebastian and Ulloa, Jorge H.
author-email: 'oscar.md@icloud.com

  p.pinto@uniandes.edu.co

  cconsuegram@uninorte.edu.co

  js.cifuentes12@uniandes.edu.co

  vascuandes@icloud.com'
author_list:
- family: Rocha
  given: Oscar Moreno Y.
- family: Pinto
  given: Paula
- family: Consuegra
  given: Maria C.
- family: Cifuentes
  given: Sebastian
- family: Ulloa
  given: Jorge H.
da: '2023-09-28'
doi: 10.1108/JHLSCM-04-2022-0047
earlyaccessdate: JUL 2023
eissn: 2042-6755
files: []
issn: 2042-6747
journal: JOURNAL OF HUMANITARIAN LOGISTICS AND SUPPLY CHAIN MANAGEMENT
keywords: 'Flow assessment; Assembly line; Aortic aneurysm; Chronic venous disease;

  Ultrasound; Combat casualty care'
keywords-plus: 'ABDOMINAL AORTIC-ANEURYSMS; CARE; IMPLEMENTATION; POPULATION; MORTALITY;

  SURGERY; LESSONS; SYSTEM; WAR'
language: English
month: 2023 JUL 11
number-of-cited-references: '59'
papis_id: adfdfb9ce586847d9d7bfbf8f4154e6b
ref: Rocha2023mobileultrasound
times-cited: '0'
title: Mobile ultrasound vascular assessment (MUVA) for remote and conflict areas
type: Article; Early Access
unique-id: WOS:001023619300001
usage-count-last-180-days: '1'
usage-count-since-2013: '1'
web-of-science-categories: Management
year: '2023'