Thorax, Trachea, and Lung Ultrasonography in Emergency and Critical Care Medicine: Assessment of an Objective Structured Training Concept
نویسندگان
چکیده
Background and Study objective. Focused lung ultrasound (LUS) examinations are important tools in critical care medicine. There is evidence that LUS can be used for the detection of acute thoracic lesions. However, no validated training method is available. The goal of this study was to develop and assess an objective structured clinical examination (OSCE) curriculum for focused thorax, trachea, and lung ultrasound in emergency and critical care medicine (THOLUUSE). Methods. 39 trainees underwent a one-day training course in a prospective educational study, including lectures in sonoanatomy and -pathology of the thorax, case presentations, and hands-on training. Trainees' pre- and posttest performances were assessed by multiple choice questionnaires, visual perception tests by interpretation video clips, practical performance of LUS, and identification of specific ultrasound findings. Results. Trainees postcourse scores of correct MCQ answers increased from 56 ± 4% to 82 ± 2% (mean± SD; P < 0.001); visual perception skills increased from 54 ± 5% to 78 ± 3% (P < 0.001); practical ultrasound skills improved, and correct LUS was performed in 94%. Subgroup analysis revealed that learning success was independent from the trainees' previous ultrasound experience. Conclusions. THOLUUSE significantly improves theoretical and practical skills for the diagnosis of acute thoracic lesions. We propose to implement THOLUUSE in emergency medicine training.
منابع مشابه
Assessment of a New E-Learning System on Thorax, Trachea, and Lung Ultrasound
Background. Lung ultrasound has become an emerging tool in acute and critical care medicine. Combined theoretical and hands-on training has been required to teach ultrasound diagnostics. Current computer technology allows for display, explanation, and animation of information in a remote-learning environment. Objective. Development and assessment of an e-learning program for lung ultrasound. Me...
متن کاملThe Critical-Care Pain Observation Tool: A useful tool for pain assessment in intensive care units
Pain is a major concern in all intensive care units (ICUs). The proper assessment and management of pain is one of the main goals of patient care in ICUs. Improper evaluation of pain and its over or under treatment can cause significant problems in the process of patient management in ICU. Since most ICU patients are unable to communicate correctly with the ICU team and explain their level of p...
متن کاملComparison of the bleeding cricothyrotomy model to SimMan for training students and residents emergency cricothyrotomy
Introduction: A cricothyroidotomy is an emergency procedurethat few emergency medicine residents see or perform duringtheir training. Therefore, there is a need for low cost, high fidelitymodels for training. In this study, we explore a new training modelfor cricothyroidotomies (the bleeding CRIC [cost-effective realisticinteractive cricothyroidotomy]) to determine...
متن کاملAn Overview of Hydrogen Sulfide Suicides Based on Police Data in Yamagata Prefecture, Japan
متن کامل
Risk Assessment of Clinical Care in Emergency Departments ByHealth Failure Modes and Effects Analysis
Introduction: Medical errors are among significant health system problems. The best method to detect errors is to identify the root and systemic causes of errors. Objective: This study aimed to investigate the failures of clinical care in emergency departments using the Healthcare Failure Modes and Effects Analysis (HFMEA). Materials and Methods: This was an analytical and cross-sectional stu...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 2013 شماره
صفحات -
تاریخ انتشار 2013