医院前急救医疗服务 (EMS) 临床医师的E-FAST超声波培训课程
Clever M Nguyen1, Krista Hartmann1, Craig Goodmurphy2
1Pennsylvania State University College of Medicine, Hershey, PA.
Journal of education & teaching in emergency medicine
|February 12, 2024
概括
这项研究表明,4.5小时的混合课程有效地教导医院前临床医生在创伤中使用超声波 (E-FAST) 考试进行扩展的集中评估. 参与者显著提高了他们的超声波解释技能,并对使用E-FAST进行创伤评估有信心.
科学领域:
- 紧急医疗 紧急医疗
- 医学教育 医学教育
- 护理中心超声波检查
背景情况:
- 在创伤中使用超声波 (E-FAST) 检查的扩展焦点评估对于识别胸内和腹内自由液体和肺胸至关重要.
- 虽然各种医疗保健专业人员都有E-FAST培训,但对于包括急诊医疗服务 (EMS) 在内的医院前临床医生而言,一直缺乏标准化,开放式的课程.
研究的目的:
- 开发和评估一种混合,非同步的课程,用于向医院前临床医生教授E-FAST超声波的基础知识.
- 提高学习者执行E-FAST扫描,解释发现和识别与创伤评估相关的文物的能力.
主要方法:
- 一个4.5小时的混合课程,结合在线讲座和面对面的研讨会,在五个月内实施.
- 学习者完成了前测试,在线模块,实践扫描研讨会和后测试,包括客观结构化临床考试 (OSCE).
- 使用非参数的Wilcoxon签名等级测试进行统计分析,比较测试前和测试后的分数.
主要成果:
- 测试后的分数显示,图像解释 (55.46%至84.23%,p < 0.0001) 和自我有效性在统计学上显著改善.
- 参与者报告了对超声波使用和图像解释的信心增加 (p < 0.005).
- 欧安组织测试后的平均得分为90.21%.
结论:
- 这项为期4.5小时的混合异步课程是教导医院前临床医生使用E-FAST超声波的有效模式.
- 这项标准化的培训增强了基础的超声波技能,解释能力,以及在医院前创伤护理中应用E-FAST的信心.
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