E-FAST Ultrasound Training Curriculum for Prehospital Emergency Medical Service (EMS) Clinicians.
Audience and Type of Curriculum: Audience and type of curriculum: This hybrid, asynchronous curriculum is designed for prehospital clinician colleagues, including but not limited to emergency medical technicians (EMT), advanced EMTs (AEMT), EMT-paramedics (EMT-P), critical care EMT-Ps (CCEMTP), crit...
| Publicado en: | Journal of Education & Teaching in Emergency Medicine (JETem) Vol. 9; no. 1; pp. 41 - 98 |
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| Autores principales: | , , , |
| Formato: | diagnostic images exam questions questionnaire/scale research tables/charts Journal Article |
| Publicado: |
Regents of the U of CA on behalf of Dept. of Emergency Medicine, School of Medicine U of CA, Irvine
2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175929226&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175929226 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 24741949 MI2Y jtl: Journal of Education & Teaching in Emergency Medicine (JETem) issn: 24741949 maglogo: N pubinfo: dt: 2024 vid: 9 iid: 1 pid: 71976 pub: Regents of the U of CA on behalf of Dept. of Emergency Medicine, School of Medicine U of CA, Irvine place: Orange, California artinfo: ui: 175929226 175929226 175929226 10.21980/J8S060 175929226 ppf: 41 ppct: 57 formats: tig: atl: E-FAST Ultrasound Training Curriculum for Prehospital Emergency Medical Service (EMS) Clinicians. aug: au: Nguyen, Clever M. Hartmann, Krista Goodmurphy, Craig Flamm, Avram affil: Pennsylvania State University College of Medicine, Hershey, PA sug: subj: Curriculum Development Prehospital Care Education, Emergency Medical Services Ultrasonography Education Emergency Medical Technicians Education Course Content Human Pretest-Posttest Design Wilcoxon Rank Sum Test Descriptive Statistics Educational Measurement Summated Rating Scaling Self-Efficacy Teaching Methods Questionnaires ab: Audience and Type of Curriculum: Audience and type of curriculum: This hybrid, asynchronous curriculum is designed for prehospital clinician colleagues, including but not limited to emergency medical technicians (EMT), advanced EMTs (AEMT), EMT-paramedics (EMT-P), critical care EMT-Ps (CCEMTP), critical care transport nurses (CCTN), and certified flight registered nurses (CFRN) to learn and practice ultrasound fundamentals in the setting of a standardized extended focused assessment with sonography in trauma (EFAST) exam. Length of Curriculum: Over a five-month curriculum, learners will perform a pre-test, review online module lectures, attend an ultrasound scanning workshop, and perform post-test examinations. Introduction: The extended-focused assessment with sonography in trauma (E-FAST) exam can identify intrathoracic and intraabdominal free fluid, as well as pneumothoraces. The E-FAST ultrasound exam has previously been taught to clinicians of various backgrounds in healthcare including emergency medical service (EMS). However, an open-access, systemized curriculum for teaching E-FAST exams to EMS clinicians has not been published. Educational Goals: By the end of these training activities, prehospital EMS learners will be able to demonstrate foundational ultrasound skills in scanning, interpretation, and artifact recognition by identifying pertinent organs and anatomically relevant structures for an E-FAST examination. Learners will differentiate between normal and pathologic E-FAST ultrasound images by identifying the presence of free fluid and lung sliding. Learners will also explain the clinical significance and application of detecting free fluid during an EFAST scan. Educational Methods: The educational strategies used in this curriculum include a hybrid, asynchronous curriculum encompassing 2.5 hours of lectures derived from online learning modules and in-person review. In addition, learners will attend 2 hours of hands-on proctored ultrasound scanning practicing E-FAST examinations. Research Methods: An online 13-question pre-test was administered prior to the study. An online post-test and in-person scanning OSCEs were administered at least eight weeks after their scheduled workshop consisting of an online 13-question multiple-choice post-test, a confidence survey, and a hands-on E-FAST Objectively Structured Clinical Exam (OSCE) session. A non-parametric Wilcoxon signed-rank test was performed between each pre-test and post-test metric to examine the statistical differences of paired data. Results: Post-test scores demonstrated statistically significant improvement in both image interpretation exams and ultrasound self-efficacy from the pre-test. The mean pre-test and post-test scores were 55.46% (7.21 ± 1.99) and 84.23% (10.89 ± 1.59) correct out of 13 questions, respectively (p < 0.0001). Participants surveyed an increase in self-efficacy reflected by a Likert scale for ultrasound usage and image interpretation (p < 0.005). The average post-test OSCE E-FAST exam score was 37.89 ± 2.76 out of 42 points (90.21%). Discussion: This 4.5-hour hybrid asynchronous model demonstrates an effective curriculum for teaching EFAST ultrasound to prehospital clinicians. pubtype: Academic Journal doctype: diagnostic images exam questions questionnaire/scale research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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