Clinical trial NCT02952768: The Novel US-C-A-B Protocol: Curriculum Implementation and Evaluation of Proficiency
Official title: The Novel US-C-A-B Protocol: Curriculum Implementation and Evaluation of Proficiency
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Ultrasound Therapy; Complications
Lead sponsor: National Taiwan University Hospital
Sponsor class: OTHER
First posted: 2016-11-02
Enrollment: 100
Sex: ALL
Minimum age (years): 25
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: OTHER

Brief summary: Ultrasound is a frequently used diagnostic tool in the emergency department and suggested to have a role during resuscitation. The aims of this study were to develop a novel, resuscitative ultrasound-circulation-airway-breathing (US-C-A-B) protocol, to implement a short curriculum and to assess the feasibility.

The US-C-A-B protocol was built in an advanced life support-compliant manner. It involved a 3-part assessment: (1) C: subxiphoid 4-chamber view of the heart; (2) A: tracheal ultrasound; and (3) B: bilateral lung sliding. It could be used for direct confirmation for the C-A-B and searching the possible cause of cardiac arrest.

A half-day curriculum was designed, and comprised of one-hour didactics and 3-hour small-group hand-on training. Assessments were performed, including a written test, the US image acquisition and a satisfaction survey. From August 1, 2014 to March 31, 2016, the multi-center emergency physicians who attended the US-C-A-B curricula were enrolled prospectively.

Detailed description: Ultrasound is a frequently used diagnostic tool in the emergency department and suggested to have a role during resuscitation. The aims of this study were to develop a novel, resuscitative ultrasound-circulation-airway-breathing (US-C-A-B) protocol, to implement a short curriculum and to assess the feasibility.

The US-C-A-B protocol was built in an advanced life support-compliant manner. It involved a 3-part assessment: (1) C: subxiphoid 4-chamber view of the heart; (2) A: tracheal ultrasound; and (3) B: bilateral lung sliding. It could be used for direct confirmation for the C-A-B and searching the possible cause of

Eligibility criteria: Inclusion Criteria:

* The enrolled participants were emergency physicians of the National Taiwan University Hospital (NTUH), the Far-Eastern Memorial Hospital (FEMH) and the Chang-Kung Memorial Hospital (CKMH), three teaching hospitals in Taiwan.

Exclusion Criteria:

* Not emergency physicians.

Primary outcomes:
measure: The time of the US image acquisition
timeFrame: 6 months
Secondary outcomes:
measure: Learning efficacy was assessed with a written test with 10 multi-choice questions.
timeFrame: through study completion, an average of 1 year
measure: A satisfaction survey with a 5-point Likert scale.
timeFrame: through study completion, an average of 1 year
measure: The time of the US image acquisition
timeFrame: through study completion, an average of 1 year
Other outcomes:
Locations:
city: Taipei
country: Taiwan
facility: National Taiwan University Hospital
Study officials:
affiliation: National Taiwan University Hospital
name: Wan-Ching Lien, Ph.D.
role: STUDY_DIRECTOR
References: