Educational standards for training paramedics in ultrasound: a scoping review

Abstract Background Paramedic-performed out-of-hospital ultrasound is a novel skill that has gained popularity in some services in recent years. In this setting point-of care ultrasound (POCUS) can provide additional information that can assist with management and guide transport to the most appropr...

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Main Authors: Ben Meadley, Alexander Olaussen, Ashleigh Delorenzo, Nick Roder, Caroline Martin, Toby St. Clair, Andrew Burns, Emma Stam, Brett Williams
Format: Article
Language:English
Published: BMC 2017-06-01
Series:BMC Emergency Medicine
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12873-017-0131-8
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author Ben Meadley
Alexander Olaussen
Ashleigh Delorenzo
Nick Roder
Caroline Martin
Toby St. Clair
Andrew Burns
Emma Stam
Brett Williams
author_facet Ben Meadley
Alexander Olaussen
Ashleigh Delorenzo
Nick Roder
Caroline Martin
Toby St. Clair
Andrew Burns
Emma Stam
Brett Williams
author_sort Ben Meadley
collection DOAJ
description Abstract Background Paramedic-performed out-of-hospital ultrasound is a novel skill that has gained popularity in some services in recent years. In this setting point-of care ultrasound (POCUS) can provide additional information that can assist with management and guide transport to the most appropriate facility. We sought to explore the different educational approaches used for training paramedics in ultrasound in the out-of-hospital setting. Methods Ovid MEDLINE, EMBASE, EBM Reviews, The Cochrane Library, CINAHL plus, The Monash University Research Repository and the British Thesis Library were searched from the 1st of January 1990 to the 6th of April 2016. Google Scholar was searched and reference lists of relevant papers were examined to identify additional studies. Articles were included if they reported on out-of-hospital and POCUS educational approaches for paramedics. Results A total of 2002 unique articles were identified of which 18 articles met the inclusion criteria. Most articles reported combined cohorts of emergency providers with varying years of experience though most operators were POCUS naïve. The most common clinical assessment for which paramedic POCUS curricula was described was the focused assessment sonography for trauma (FAST) examination. Education programs varied from two-minutes to two-days with all studies including both didactic and practical training. Conclusion Education programs for POCUS for paramedics vary considerably, and do not appear to align with qualification level or clinical experience. Further research investigating education and subsequent clinical application of POCUS by paramedics is required, as well as prospective, outcome based studies in order to measure the clinical utility of out-of-hospital POCUS.
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spelling doaj.art-257f716e8fab4c34b5339892158c50d62022-12-21T20:26:01ZengBMCBMC Emergency Medicine1471-227X2017-06-0117111410.1186/s12873-017-0131-8Educational standards for training paramedics in ultrasound: a scoping reviewBen Meadley0Alexander Olaussen1Ashleigh Delorenzo2Nick Roder3Caroline Martin4Toby St. Clair5Andrew Burns6Emma Stam7Brett Williams8Department of Community Emergency Health and Paramedic Practice, Monash University – Peninsula CampusDepartment of Community Emergency Health and Paramedic Practice, Monash University – Peninsula CampusDepartment of Community Emergency Health and Paramedic Practice, Monash University – Peninsula CampusDepartment of Community Emergency Health and Paramedic Practice, Monash University – Peninsula CampusDepartment of Community Emergency Health and Paramedic Practice, Monash University – Peninsula CampusDepartment of Community Emergency Health and Paramedic Practice, Monash University – Peninsula CampusDepartment of Community Emergency Health and Paramedic Practice, Monash University – Peninsula CampusDepartment of Community Emergency Health and Paramedic Practice, Monash University – Peninsula CampusDepartment of Community Emergency Health and Paramedic Practice, Monash University – Peninsula CampusAbstract Background Paramedic-performed out-of-hospital ultrasound is a novel skill that has gained popularity in some services in recent years. In this setting point-of care ultrasound (POCUS) can provide additional information that can assist with management and guide transport to the most appropriate facility. We sought to explore the different educational approaches used for training paramedics in ultrasound in the out-of-hospital setting. Methods Ovid MEDLINE, EMBASE, EBM Reviews, The Cochrane Library, CINAHL plus, The Monash University Research Repository and the British Thesis Library were searched from the 1st of January 1990 to the 6th of April 2016. Google Scholar was searched and reference lists of relevant papers were examined to identify additional studies. Articles were included if they reported on out-of-hospital and POCUS educational approaches for paramedics. Results A total of 2002 unique articles were identified of which 18 articles met the inclusion criteria. Most articles reported combined cohorts of emergency providers with varying years of experience though most operators were POCUS naïve. The most common clinical assessment for which paramedic POCUS curricula was described was the focused assessment sonography for trauma (FAST) examination. Education programs varied from two-minutes to two-days with all studies including both didactic and practical training. Conclusion Education programs for POCUS for paramedics vary considerably, and do not appear to align with qualification level or clinical experience. Further research investigating education and subsequent clinical application of POCUS by paramedics is required, as well as prospective, outcome based studies in order to measure the clinical utility of out-of-hospital POCUS.http://link.springer.com/article/10.1186/s12873-017-0131-8Out-of-hospitalParamedicUltrasoundEducationTraining
spellingShingle Ben Meadley
Alexander Olaussen
Ashleigh Delorenzo
Nick Roder
Caroline Martin
Toby St. Clair
Andrew Burns
Emma Stam
Brett Williams
Educational standards for training paramedics in ultrasound: a scoping review
BMC Emergency Medicine
Out-of-hospital
Paramedic
Ultrasound
Education
Training
title Educational standards for training paramedics in ultrasound: a scoping review
title_full Educational standards for training paramedics in ultrasound: a scoping review
title_fullStr Educational standards for training paramedics in ultrasound: a scoping review
title_full_unstemmed Educational standards for training paramedics in ultrasound: a scoping review
title_short Educational standards for training paramedics in ultrasound: a scoping review
title_sort educational standards for training paramedics in ultrasound a scoping review
topic Out-of-hospital
Paramedic
Ultrasound
Education
Training
url http://link.springer.com/article/10.1186/s12873-017-0131-8
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