Ultrasound Applications for Emergency Medical Technicians in Taiwan
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorNational Taiwan University Hospital
About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
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.
Trial design
Design model
Single group
Treatments tested in this trial
POCUS education curriculum
Other interventionThe training includes a 4-hour curriculum consisting of a 1-hour didactic session covering ultrasound principles and key applications, followed by 3 hours of hands-on practice using standardized models or phantoms under instructor supervision. Core scanning topics include Focused Assessment with Sonography for Trauma (FAST), lung ultrasound for dyspnea, carotid Doppler for suspected stroke, and focused cardiac ultrasound for cardiac arrest. Post-training assessments include a written test and an Objective Structured Clinical Examination (OSCE).
Treatment groups
200 Participants
are divided into 1 treatment groupGroup A: EMT who receive POCUS curriculumExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Ultrasound Image Quality Score for Target Structure Visualization
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.
Time frame
From enrollment to one day after patient was sent to hospitalLocations
Sponsors and contacts
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Source ClinicalTrials.gov
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