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Thirty-one participants completed post-course written and practical assessments with pre- and post-training scenarios, including an uninterpreted ultrasound clip to support decisions. 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Written scenarios included an uninterpreted ultrasound clip after training, and confidence was measured using a Likert scale.",{"name":70,"@type":61,"acceptedAnswer":71},"What improvements did the training produce according to the results?",{"text":72,"@type":64},"Training produced statistically significant increases in mean scenario scores and mean participant self-confidence across all assessed exam/decision types, with the focused pulmonary exam showing the largest score and confidence gains.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},367071,1790217859,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":123,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":144},962085564381,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","UC Irvine  \nWestern Journal of Emergency Medicine: Integrating Emergency Care with Population Health  \nTitle  \nImpact of Prehospital Ultrasound Training on Simulated Paramedic Clinical Decision-Making  \nPermalink  \n[https://escholarship.org/uc/item/0zj5g1p8](https://escholarship.org/uc/item/0zj5g1p8)  \nJournal  \nWestern Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 25(5)  \nISSN  \n1936-900X  \nAuthors  \nRoche, Andrea  \nWatkins, Evan Pettit, Andrew et al.  \nPublication Date  \n2024-06-28  \nDOI  \n10.5811/westjem.18439  \nSupplemental Material  \n[https://escholarship.org/uc/item/0zj5g1p8\\#supplemental](https://escholarship.org/uc/item/0zj5g1p8#supplemental)  \nCopyright Information  \nThis work is made available under the terms of a Creative Commons Attribution License, available at [https://creativecommons.org/licenses/by/4.0/](https://creativecommons.org/licenses/by/4.0/)  \nPeer reviewed  \n[eScholarship.org](eScholarship.org) Powered by the California Digital Library  \nUniversity of California  \nImpact of Prehospital Ultrasound Training on Simulated Paramedic Clinical Decision-Making  \nAndrea Roche, BS‡ Evan Watkins, BS, NRP* Andrew Pettit, BS* Jacob Slagle, BSME* Isain Zapata, PhD§ Andrew Seefeld, MD†  \nNena Lundgreen Mason, PhD*  \n*Dartmouth College, Geisel School of Medicine, Department of Medical Education, Hanover, New Hampshire  \n†Speare Memorial Hospital, Department of Emergency Medicine, Plymouth, New Hampshire  \n‡New England College of Osteopathic Medicine, Biddeford, Maine  \n§ Rocky Vista University, College of Osteopathic Medicine, Englewood, Colorado  \nSection Editor: Scott Goldstein, DO  \nSubmission history: Submitted August 21, 2023; Revision received March 8, 2024; Accepted March 22, 2024 Electronically published June 28, 2024  \nFull text available through open access at [http://escholarship.org/uc/uciem_westjem](http://escholarship.org/uc/uciem_westjem)  \n[DOI:](DOI: 10.5811/westjem.18439)[ 10.5811/westjem.18439](DOI: 10.5811/westjem.18439)  \nIntroduction: When used appropriately, focused limited-scope ultrasound exams could potentially provide paramedics with accurate and actionable diagnostic information to guide prehospital decisionmaking. In this study we aimed to investigate the impact of a 13-hour prehospital ultrasound training course on the simulated clinical decision-making of paramedics as well as their ultrasound skills, knowledge, and self-confidence.  \nMethods: We evaluated the ultrasound competence of 31 participants using post-course written and practical assessments. Written clinical decision scenarios were administered pre-and post-training. Post-training scenarios included an uninterpreted ultrasound clip to aid decision-making. Scenarios included extended focused assessment with sonography in trauma, pulmonary exam, and focused echocardiography combinedwith carotid pulse check exams. Correct answers to scenarios were defined as those selected by a veteran emergency physician. Participants also indicated their confidence in each of their decisions using a Likert scale.  \nResults: Training yielded a statistically significant increase in both mean scenario score (35 .5% absolute increase) and mean participant self-confidence (15.8% relative increase), across all exam/ decision types assessed (P ≤ 0 .001) . The focused pulmonary exam yielded the largest increase in both mean score improvement (59.7% absolute increase) and paramedic confidence in their decisions (28 .6% increase) .  \nConclusion: Trained paramedics can perform focused ultrasound exams and accurately interpret and apply actionable exam findings in the context of written scenarios. Analysis through our model characterized the theoretical clinical yield of each prehospital ultrasound exam and demonstrated how each exam may provide improved decision accuracy in several specific simulated clinical contexts. These results provide support for growing evidence that focused limited-scope ultrasound maybe an effective pr","cbCaimvz1XGXPobI","https://ap.wps.com/l/cbCaimvz1XGXPobI","pdf",712104,"English","# Introduction\n## Methods\n## Results\n## Conclusion","[{\"question\":\"What was the purpose of the study on prehospital ultrasound training?\",\"answer\":\"The study examined how a 13-hour prehospital ultrasound training course affects simulated paramedic clinical decision-making and related ultrasound skills, knowledge, and self-confidence.\"},{\"question\":\"How were participants evaluated during the training study?\",\"answer\":\"Ultrasound competence of 31 participants was assessed using written and practical evaluations administered before and after training. Written scenarios included an uninterpreted ultrasound clip after training, and confidence was measured using a Likert scale.\"},{\"question\":\"What improvements did the training produce according to the results?\",\"answer\":\"Training produced statistically significant increases in mean scenario scores and mean participant self-confidence across all assessed exam/decision types, with the focused pulmonary exam showing the largest score and confidence gains.\"}]","Impact of Prehospital Ultrasound Training on Simulated Paramedic Clinical Decision-Making | PDF",1790169134,25]