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Point of care ultrasound is rapidly becoming the standard of care for many different clinical applications. The ACLS guidelines were recently updated to include ultrasound confirmation of endotracheal tube placement. While physicians sometimes utilize this in hospital, it is not commonly used in a pre-hospital setting. We proposed teaching this skill using a simulation approach including hands on teaching combined with simulation of pathology.
We propose to investigate the effectiveness of training air medics in ultrasound to assess endotracheal tube placement using simulation based learning. Currently, there is no training or formal education in place to train critical care paramedics in ultrasound, and on the job training is not feasible, as the instructor would have to be present at all times for when a learning situation arises. By moving the skills part of the instruction to simulation, it provides a way to give the basic ultrasound skills needed to apply to real clinical situations, such as ensuring endotracheal tube position after moving patients, after intubation, and in case of difficulty oxygenating or ventilating. Given the fact that physicians and residents can be easily trained in this skill as described in the literature, we feel this is a suitable method to train these learners. Our hypothesis is that we can effectively instruct air medics to ultrasound the neck and thorax to evaluate endotracheal tube location using simulators and hands on instruction.
Determine if a simulation based approach is feasible for training of tracheal and lung ultrasound to critical care paramedics.
Assess ability for retention of knowledge using a post-test study protocol.
Survey participants on barriers to implementation of this technique into real world practice.
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