The Development and Evaluation of the Efficacy for Echo-assisted Advanced Life Support Advanced Life Support (eALS)
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.
調査の概要
詳細な説明
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.
研究の種類
入学 (予想される)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前:Wan-Ching Lien, MD., PhD.
- 電話番号:65637 +886-23123456
- メール:wangchinglien@ntu.edu.tw
研究連絡先のバックアップ
- 名前:Chih-Heng Chang, MD.
研究場所
-
-
-
Taipei、台湾、100
- 募集
- National Taiwan University Hospital
-
コンタクト:
- Chih-Heng Chang, MD.
- メール:herman90021@msn.com
-
副調査官:
- Chih-Heng Chang, MD.
-
主任研究者:
- Chien-Hua Huang, MD., PhD.
-
主任研究者:
- Pei-Chuan Huang, MD.
-
-
参加基準
適格基準
就学可能な年齢
- 子
- 大人
- 高齢者
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- all physicians or health care providers who are not well-experienced in the board of any kind of ultrasound
Exclusion Criteria:
- nil
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:診断
- 割り当て:なし
- 介入モデル:単一グループの割り当て
- マスキング:なし(オープンラベル)
武器と介入
参加者グループ / アーム |
介入・治療 |
---|---|
実験的:Intervention group
Participants who join the class of eALS
|
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 |
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
---|---|---|
The improvement of performance of participant in the practicing of ultrasound
時間枠: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
|
その他の成果指標
結果測定 |
メジャーの説明 |
時間枠 |
---|---|---|
Cardiac arrest patients ROSC rates
時間枠: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
時間枠: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
時間枠: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
|
協力者と研究者
捜査官
- スタディチェア:Department of Emergency medicine、National Taiwan University Hospital
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (予想される)
研究の完了 (予想される)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- 201812023RINA
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
米国で製造され、米国から輸出された製品。
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