Tele-guided Ultrasound Lung Imaging for Paramedics (TULIP)-An Acceptability Study.

Area of Science:

• Emergency Medicine
• Medical Imaging
• Paramedic Practice

Background:

• Point-of-care ultrasound (POCUS) offers real-time diagnostics for paramedics, particularly for respiratory distress.
• Barriers to out-of-hospital POCUS include limited training, supervision, and resources.
• Tele-ultrasound, using remote expert guidance, may overcome these limitations.

Purpose of the Study:

• To assess the acceptability of tele-ultrasound among specialist paramedic trainees.
• To explore factors influencing the adoption of tele-ultrasound in paramedic practice.

Main Methods:

• A mixed-methods interventional study involving an online learning module and workshop.
• Tele-guided lung ultrasound scans performed by trainees on volunteers, with remote sonographer guidance.
• Acceptability measured via the Usage Rating Profile-Intervention Revised (URP-IR) survey and qualitative content analysis of free-text responses.

Main Results:

• High acceptability scores (mean 5.33/6) in a small sample of nine participants.
• Favorable ratings for feasibility and confidence in the technology's diagnostic potential.
• Qualitative analysis identified concerns regarding system support, equipment reliability, and communication.

Conclusions:

• Tele-ultrasound guidance has the potential to enhance paramedic diagnostic capabilities in out-of-hospital settings.
• The intervention was well-received, indicating positive trainee reception.
• Optimizing remote communication and addressing technical barriers are crucial for successful implementation and wider adoption.