Thorax, Trachea, and Lung Ultrasonography in Emergency and Critical Care Medicine: Assessment of an Objective Structured Training ConceptReport as inadecuate




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Emergency Medicine InternationalVolume 2013 2013, Article ID 312758, 9 pages

Research Article

Frankfurter Institut für Notfallmedizin und Simulationstraining, Fachbereich Medizin der Johann Wolfgang Goethe-Universität, Klinikum der Johann Wolfgang Goethe-Universität, 60528 Frankfurt am Main, Germany

Zentrale Notaufnahme, Klinikum Frankfurt Höchst, Gotenstaße 6–8, 65929 Frankfurt am Main, Germany

Klinik für Anaesthesiologie, Operative Intensivmedizin und Schmerztherapie, Klinikum Hanau, 63450 Hanau, Germany

Klinik für Anaesthesiologie, Klinikum der Universität München, Campus Großhadern, 81377 München, Germany

II. Medizinische Klinik und Poliklinik, Universitätsmedizin Mainz, 55131 Mainz, Germany

Abteilung Pneumologie-Allergologie, Klinikum der Johann Wolfgang Goethe-Universität, 60528 Frankfurt am Main, Germany

Institut für Biostatistik und Mathematische Modellierung, Zentrum der Gesundheitswissenschaften, Klinikum der Johann Wolfgang Goethe-Universität, 60528 Frankfurt am Main, Germany

Abteilung Kardiologie, Klinikum der Johann Wolfgang Goethe-Universität, 60528 Frankfurt am Main, Germany

Abteilung Anästhesiologie, Intensiv- und Notfallmedizin, Diakonie Klinikum Siegen, 57074 Siegen, Germany

Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Klinikum der Johann Wolfgang Goethe-Universität, 60528 Frankfurt am Main, Germany

Received 13 July 2013; Accepted 26 August 2013

Academic Editor: Tobias Lindner

Copyright © 2013 Raoul Breitkreutz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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 to mean± SD; ; visual perception skills increased from to ; 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.





Author: Raoul Breitkreutz, Martina Dutiné, Patrick Scheiermann, Dorothea Hempel, Sandy Kujumdshiev, Hanns Ackermann, Florian Hartmu

Source: https://www.hindawi.com/



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