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 va
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.
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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
URN:urn:nbn:de:hebis:30:3-328356
DOI:http://dx.doi.org/10.1155/2013/312758
ISSN:2090-2859
ISSN:2090-2840
Pubmed Id:http://www.ncbi.nlm.nih.gov/pubmed?term=24369503
Parent Title (English):Emergency medicine international
Publisher:Hindawi
Place of publication:New York, NY [u.a.]
Document Type:Article
Language:English
Year of Completion:2013
Year of first Publication:2013
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2014/01/23
Volume:2013
Issue:Article ID 312758
Pagenumber:9
Note:
Copyright © 2013 Raoul Breitkreutz et al. This is an open access article distributed under the Creative Commons Attribution License http://creativecommons.org/licenses/by/3.0/ , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
HeBIS PPN:363659978
Institutes:Medizin
Dewey Decimal Classification:610 Medizin und Gesundheit
Sammlungen:Universitätspublikationen
Licence (German):License LogoCreative Commons - Namensnennung 3.0

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