The Development and Assessment of the Core Ultrasound Applications for Emergency Medical Technicians in Taiwan
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 200
- 主要终点
- Ultrasound Image Quality Score for Target Structure Visualization
研究概览
简要总结
The goal of this prospective observational study is to develop and assess the core ultrasound applications for emergency medical technicians (EMTs) in Taiwan. The study focuses on advanced emergency medical technicians (EMT-Ps) and their ability to perform point-of-care ultrasound (POCUS) in prehospital settings.
The main questions it aims to answer are:
Can a standardized POCUS training program improve EMT-Ps' competency in ultrasound applications? What is the reliability and validity of the newly established POCUS assessment modules for EMT-Ps? Researchers will compare trained EMT-Ps' ultrasound proficiency and clinical decision-making before and after training to see if structured POCUS education enhances diagnostic accuracy and patient care in prehospital settings.
Participants will:
Attend a structured POCUS training program, including lectures and hands-on practice with standardized patients and simulation models.
Undergo competency assessments, including written exams, objective structured clinical examinations (OSCEs), and image interpretation tests.
Perform ultrasound scans on actual patients in prehospital settings, focusing on trauma, respiratory distress, stroke, and cardiac arrest cases.
Receive feedback and participate in follow-up assessments to evaluate knowledge retention and clinical application.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients presenting with one of the following conditions in the prehospital setting:
- •Trauma Dyspnea (shortness of breath) Suspected stroke Out-of-hospital cardiac arrest (OHCA)
排除标准
- •Patients with hemodynamic instability or critical conditions requiring immediate resuscitation, making them unsuitable for focused prehospital ultrasound performed by EMT-Ps.
- •Patients under the age of 18.
研究组 & 干预措施
EMT who receive POCUS curriculum
This arm includes certified advanced emergency medical technicians (EMT-P) who are enrolled in a structured point-of-care ultrasound (POCUS) education program developed specifically for prehospital providers in Taiwan. Participants receive a four-hour training module composed of didactic instruction and hands-on practice focused on trauma (FAST), dyspnea (lung ultrasound), suspected stroke (carotid Doppler), and cardiac arrest (focused cardiac ultrasound). Post-training assessments include written exams and objective structured clinical examinations (OSCEs). Participants will also complete follow-up assessments at six months and participate in supervised prehospital ultrasound scanning during real-world EMS missions.
干预措施: POCUS education curriculum (Other)
结局指标
主要结局
Ultrasound Image Quality Score for Target Structure Visualization
时间窗: From enrollment to one day after patient was sent to hospital
The score of ultrasound images assessing the visualization quality of target anatomical structures (e.g., blood vessels, Morrison's pouch, spleno-renal recess, cul-de-sac), evaluated using a standardized 10-point image quality rating scale (1 = Poor, 10 = Excellent). Each ultrasound image receives an overall score reflecting the adequacy of target structure visualization, as rated by trained reviewers.
次要结局
未报告次要终点