Training paramedics in focussed echo in life support

Katherine L. Booth, Matthew J. Reed, Shirin Brady, Kristina R. Cranfield, Ravin Kishen, Katy Letham, Graeme McAlpine, Douglas B. Murray, Emma Beth Wilson, Mike Wilson, Steven Short, Gareth R. Clegg

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives The aim of this study was to determine whether paramedics can be trained to perform and interpret focussed Echo in Life Support (ELS) for the assessment of cardiac movement and the recognition of reversible causes of cardiac arrest. Methods This study is a prospective observational pilot study. Data were collected during a 1-day course training 11 paramedics to perform ELS scans on healthy volunteers. The students were assessed on image acquisition skills and theoretical knowledge (including interpretation). Level 1 ultrasound-trained emergency medicine physicians undertook the training and assessment. Results All paramedics could obtain images in the parasternal and subxiphoid views. When performing scans in the 10-s pulse check window, 88% of attempts in both views were successful (subxiphoid mean image quality 3.8 out of 5, parasternal 4.0). Theoretical knowledge improved (mean precourse score 54%, postcourse score 89%; P

Original languageEnglish
Pages (from-to)430-435
Number of pages6
JournalEuropean journal of emergency medicine : official journal of the European Society for Emergency Medicine
Volume22
Issue number6
DOIs
Publication statusPublished - 2015

Keywords

  • Cardiac arrest
  • Echo in life support
  • Emergency department
  • Prehospital medicine

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