Ultrasound Applications for Emergency Medical Technicians in Taiwan

NCT ID: NCT06950333

Last Updated: 2025-04-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-08-01

Study Completion Date

2028-12-31

Brief Summary

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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.

Detailed Description

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Conditions

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Prehospital Emergency Medical Services Point-of-care Ultrasound

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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EMT who receive POCUS curriculum

This arm includes certified advanced emergency medical technicians (EMT-P) who are enrolled in a structured point-of-care ultrasound (POCUS) education program developed specifically for prehospital providers in Taiwan. Participants receive a four-hour training module composed of didactic instruction and hands-on practice focused on trauma (FAST), dyspnea (lung ultrasound), suspected stroke (carotid Doppler), and cardiac arrest (focused cardiac ultrasound). Post-training assessments include written exams and objective structured clinical examinations (OSCEs). Participants will also complete follow-up assessments at six months and participate in supervised prehospital ultrasound scanning during real-world EMS missions.

Group Type EXPERIMENTAL

POCUS education curriculum

Intervention Type OTHER

The 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).

Interventions

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POCUS education curriculum

The 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).

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients presenting with one of the following conditions in the prehospital setting:

Trauma Dyspnea (shortness of breath) Suspected stroke Out-of-hospital cardiac arrest (OHCA)

Exclusion Criteria

* 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.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Taiwan University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Central Contacts

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Wan-Ching Lien, M.D., Ph.D.

Role: CONTACT

+886-2-23123456 ext. 262831

References

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Nations JA, Browning RF. Battlefield applications for handheld ultrasound. Ultrasound Q. 2011 Sep;27(3):171-6. doi: 10.1097/RUQ.0b013e31822b7c14.

Reference Type BACKGROUND
PMID: 21873854 (View on PubMed)

Brun PM, Chenaitia H, Gonzva J, Bessereau J, Bobbia X, Peyrol M; WINFOCUS (World Interactive Network Focused On Critical UltraSound) Group France. The value of prehospital echocardiography in shock management. Am J Emerg Med. 2013 Feb;31(2):442.e5-7. doi: 10.1016/j.ajem.2012.05.021. Epub 2012 Aug 4. No abstract available.

Reference Type BACKGROUND
PMID: 22867834 (View on PubMed)

Fitzgibbon JB, Lovallo E, Escajeda J, Radomski MA, Martin-Gill C. Feasibility of Out-of-Hospital Cardiac Arrest Ultrasound by EMS Physicians. Prehosp Emerg Care. 2019 May-Jun;23(3):297-303. doi: 10.1080/10903127.2018.1518505. Epub 2018 Oct 17.

Reference Type BACKGROUND
PMID: 30192687 (View on PubMed)

Mercer CB, Ball M, Cash RE, Rivard MK, Chrzan K, Panchal AR. Ultrasound Use in the Prehospital Setting for Trauma: A Systematic Review. Prehosp Emerg Care. 2021 Jul-Aug;25(4):566-582. doi: 10.1080/10903127.2020.1811815. Epub 2020 Sep 17.

Reference Type BACKGROUND
PMID: 32815755 (View on PubMed)

Other Identifiers

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202412164RINC

Identifier Type: -

Identifier Source: org_study_id

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