Thorax, Trachea, and Lung Ultrasonography in Emergency and Critical Care Medicine: Assessment of an Objective Structured Training Concept
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...
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| Format: | Article |
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Wiley
2013-01-01
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| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2013/312758 |
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| author | Raoul Breitkreutz Martina Dutiné Patrick Scheiermann Dorothea Hempel Sandy Kujumdshiev Hanns Ackermann Florian Hartmut Seeger Armin Seibel Felix Walcher Tim Oliver Hirche |
| author_facet | Raoul Breitkreutz Martina Dutiné Patrick Scheiermann Dorothea Hempel Sandy Kujumdshiev Hanns Ackermann Florian Hartmut Seeger Armin Seibel Felix Walcher Tim Oliver Hirche |
| author_sort | Raoul Breitkreutz |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-781243b06b7248e7baf6cab426cf49df |
| institution | Kabale University |
| issn | 2090-2840 2090-2859 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-781243b06b7248e7baf6cab426cf49df2025-08-20T03:35:10ZengWileyEmergency Medicine International2090-28402090-28592013-01-01201310.1155/2013/312758312758Thorax, Trachea, and Lung Ultrasonography in Emergency and Critical Care Medicine: Assessment of an Objective Structured Training ConceptRaoul Breitkreutz0Martina Dutiné1Patrick Scheiermann2Dorothea Hempel3Sandy Kujumdshiev4Hanns Ackermann5Florian Hartmut Seeger6Armin Seibel7Felix Walcher8Tim Oliver Hirche9Frankfurter Institut für Notfallmedizin und Simulationstraining, Fachbereich Medizin der Johann Wolfgang Goethe-Universität, Klinikum der Johann Wolfgang Goethe-Universität, 60528 Frankfurt am Main, GermanyFrankfurter Institut für Notfallmedizin und Simulationstraining, Fachbereich Medizin der Johann Wolfgang Goethe-Universität, Klinikum der Johann Wolfgang Goethe-Universität, 60528 Frankfurt am Main, GermanyKlinik für Anaesthesiologie, Klinikum der Universität München, Campus Großhadern, 81377 München, GermanyII. Medizinische Klinik und Poliklinik, Universitätsmedizin Mainz, 55131 Mainz, GermanyAbteilung Pneumologie/Allergologie, Klinikum der Johann Wolfgang Goethe-Universität, 60528 Frankfurt am Main, GermanyInstitut für Biostatistik und Mathematische Modellierung, Zentrum der Gesundheitswissenschaften, Klinikum der Johann Wolfgang Goethe-Universität, 60528 Frankfurt am Main, GermanyFrankfurter Institut für Notfallmedizin und Simulationstraining, Fachbereich Medizin der Johann Wolfgang Goethe-Universität, Klinikum der Johann Wolfgang Goethe-Universität, 60528 Frankfurt am Main, GermanyFrankfurter Institut für Notfallmedizin und Simulationstraining, Fachbereich Medizin der Johann Wolfgang Goethe-Universität, Klinikum der Johann Wolfgang Goethe-Universität, 60528 Frankfurt am Main, GermanyFrankfurter Institut für Notfallmedizin und Simulationstraining, Fachbereich Medizin der Johann Wolfgang Goethe-Universität, Klinikum der Johann Wolfgang Goethe-Universität, 60528 Frankfurt am Main, GermanyAbteilung Pneumologie/Allergologie, Klinikum der Johann Wolfgang Goethe-Universität, 60528 Frankfurt am Main, GermanyBackground 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.http://dx.doi.org/10.1155/2013/312758 |
| spellingShingle | Raoul Breitkreutz Martina Dutiné Patrick Scheiermann Dorothea Hempel Sandy Kujumdshiev Hanns Ackermann Florian Hartmut Seeger Armin Seibel Felix Walcher Tim Oliver Hirche Thorax, Trachea, and Lung Ultrasonography in Emergency and Critical Care Medicine: Assessment of an Objective Structured Training Concept Emergency Medicine International |
| title | Thorax, Trachea, and Lung Ultrasonography in Emergency and Critical Care Medicine: Assessment of an Objective Structured Training Concept |
| title_full | Thorax, Trachea, and Lung Ultrasonography in Emergency and Critical Care Medicine: Assessment of an Objective Structured Training Concept |
| title_fullStr | Thorax, Trachea, and Lung Ultrasonography in Emergency and Critical Care Medicine: Assessment of an Objective Structured Training Concept |
| title_full_unstemmed | Thorax, Trachea, and Lung Ultrasonography in Emergency and Critical Care Medicine: Assessment of an Objective Structured Training Concept |
| title_short | Thorax, Trachea, and Lung Ultrasonography in Emergency and Critical Care Medicine: Assessment of an Objective Structured Training Concept |
| title_sort | thorax trachea and lung ultrasonography in emergency and critical care medicine assessment of an objective structured training concept |
| url | http://dx.doi.org/10.1155/2013/312758 |
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