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The Development and Evaluation of the Efficacy for Echo-assisted Advanced Life Support Advanced Life Support (eALS)

25. juli 2021 opdateret af: National Taiwan University Hospital

The Development and Evaluation of the Efficacy for Echo-assisted Advanced Life Support Advanced Life Support (eALS)

The investigators conduct this project for integrating the point-of care ultrasound skill (POCUS) in to the American Heart Association (AHA) Advanced Cardiopulmonary Life Support (ACLS) guidelines and other critical conditions. Through lecture, head-on practice and scenario simulations, junior physicians who are the participants would be more familiar with the practice of POCUS in the settings of resuscitation and on the critical condition patients. The investigators aimed to increased the success rate of resuscitation and improve the outcomes of critical condition patients.

The investigators also try to make a template of ultrasound education in the board of emergency medicine and critical care medicine.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Advanced life support (ALS) is an important training course for junior physicians to learn how to manage critical patients. Ultrasound is an indispensable and easily accessible tool in emergency departments and critical care settings. Current guidelines suggested that ultrasound could be an integral part of resuscitative medicine. However, structured training is needed for better efficacy of ultrasound use during clinical use. The aim of this project is to incorporate ultrasound into the ALS course, including common critical diseases, such as dyspnea, shock, major trauma and cardiac arrests. Junior physicians at the National Taiwan University Hospital will be enrolled in this study as participants. Through lectures and hand-on practice, the junior physicians could be familiar with managing critical patients with ultrasound assistance. This study will be lasted for two years. In the 1st year, the investigators will establish the echo-assisted ALS (eALS) training course, set up assessment modules and simulation scenarios. In the 2nd year, the investigators will provide the formal eALS training course for 4 to 6 times, analyze the data and establish on-line learning modules. In addition, the investigators will promote the eALS course to other hospitals and other countries.

This pioneer study can provide experience of eALS training course and contribute to current medical education. Moreover, it can improve decision-making process and quality of care of the participants. Furthermore, the integrated on-line learning programs can be used to lessen the maturation time of the participants and would provide them to other departments and hospitals to improve patients' care.

Undersøgelsestype

Interventionel

Tilmelding (Forventet)

120

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

  • Navn: Chih-Heng Chang, MD.

Studiesteder

  • Taiwan
      • Taipei, Taiwan, 100
        • Rekruttering
        • National Taiwan University Hospital
        • Kontakt:
        • Underforsker:
          • Chih-Heng Chang, MD.
        • Ledende efterforsker:
          • Chien-Hua Huang, MD., PhD.
        • Ledende efterforsker:
          • Pei-Chuan Huang, MD.

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Barn
  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • all physicians or health care providers who are not well-experienced in the board of any kind of ultrasound

Exclusion Criteria:

  • nil

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Diagnostisk
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Intervention group
Participants who join the class of eALS
Adfærdsmæssigt: echo-assisted advanced life support

Integrated point-of-care ultrasound skill in to the setting of resuscitation, and critical condition patients.

Educate the participants to use these protocols and monitoring if there were improvement of patient's outcomes

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
The improvement of performance of participant in the practicing of ultrasound
Tidsramme: 32 weeks
Compare the pre-lecture written test and a post-lecture written test results. There is also a hands-on examination after the lecture, to evaluate the participants skills, by using scoring sheets.
32 weeks

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Cardiac arrest patients ROSC rates
Tidsramme: 32 weeks
The rate of return of spontaneous circulation of cardiac arrest patients before and after the lecture
32 weeks
Length of stay (hours) in the emergency department
Tidsramme: up to 32 weeks
We proposed that the disposition of patient would be faster after the lecture. We would try to compare the length of stay (hours) in the ED before and after the lecture
up to 32 weeks
diagnostic accuracy of the participants after training
Tidsramme: 4 weeks
sensitivity and specificity for acute chest pain and dyspnea, comparing with the final diagnosis. The final diagnosis was made by the retrospective chart review by the experts.
4 weeks

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

National Taiwan University Hospital

Efterforskere

  • Studiestol: Department of Emergency medicine, National Taiwan University Hospital

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. november 2019

Primær færdiggørelse (Forventet)

31. juli 2021

Studieafslutning (Forventet)

31. juli 2021

Datoer for studieregistrering

Først indsendt

27. oktober 2019

Først indsendt, der opfyldte QC-kriterier

1. november 2019

Først opslået (Faktiske)

4. november 2019

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

29. juli 2021

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

25. juli 2021

Sidst verificeret

1. juli 2021

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Andre undersøgelses-id-numre

  • 201812023RINA

Plan for individuelle deltagerdata (IPD)

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