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

2021年7月25日 更新者：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.

研究概览

地位

招聘中

条件

干预/治疗

详细说明

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.

研究类型

介入性

注册 (预期的)

120

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习联系方式

研究联系人备份

  • 姓名：Chih-Heng Chang, MD.

学习地点

  • 台湾
      • Taipei、台湾、100
        • 招聘中
        • National Taiwan University Hospital
        • 接触：
        • 副研究员：
          • Chih-Heng Chang, MD.
        • 首席研究员：
          • Chien-Hua Huang, MD., PhD.
        • 首席研究员：
          • Pei-Chuan Huang, MD.

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 孩子
  • 成人
  • 年长者

接受健康志愿者

是的

有资格学习的性别

全部

描述

Inclusion Criteria:

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

Exclusion Criteria:

  • nil

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：诊断
  • 分配：不适用
  • 介入模型：单组作业
  • 屏蔽：无（打开标签）

武器和干预

参与者组/臂
干预/治疗
实验性的：Intervention group
Participants who join the class of eALS
行为的：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

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
The improvement of performance of participant in the practicing of ultrasound
大体时间：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

其他结果措施

结果测量
措施说明
大体时间
Cardiac arrest patients ROSC rates
大体时间：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
大体时间：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
大体时间：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

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

National Taiwan University Hospital

调查人员

  • 学习椅：Department of Emergency medicine、National Taiwan University Hospital

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2019年11月1日

初级完成 (预期的)

2021年7月31日

研究完成 (预期的)

2021年7月31日

研究注册日期

首次提交

2019年10月27日

首先提交符合 QC 标准的

2019年11月1日

首次发布 (实际的)

2019年11月4日

研究记录更新

最后更新发布 (实际的)

2021年7月29日

上次提交的符合 QC 标准的更新

2021年7月25日

最后验证

2021年7月1日

更多信息

与本研究相关的术语

关键字

其他研究编号

  • 201812023RINA

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

不

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

在美国制造并从美国出口的产品

不

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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