100 Participants Needed

Ultrasound Training for Emergency Medicine Education

RG
AS
Overseen ByAbha Singh
Age: Any Age
Sex: Any
Trial Phase: Academic
Sponsor: Duke University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 1 JurisdictionThis treatment is already approved in other countries

Trial Summary

Will I have to stop taking my current medications?

The trial protocol does not specify whether participants must stop taking their current medications.

What data supports the effectiveness of the treatment Ultrasound-guided Nerve Block Training Model and Evaluation Method, Ultrasound-guided Serratus Anterior Plane Block, USG-SAPB?

Research shows that ultrasound-guided nerve blocks, like the serratus anterior plane block, can effectively reduce pain and decrease the need for intravenous opioids in patients with rib fractures. Additionally, training emergency medicine residents using cadaver-based models significantly increased their confidence in performing these procedures.12345

Is ultrasound-guided serratus anterior plane block (SAPB) safe for humans?

In a case series of six patients who received the ultrasound-guided serratus anterior plane block (SAPB) for pain management, no adverse events were reported, suggesting it is generally safe.12367

How does ultrasound training for emergency medicine education differ from other treatments?

This treatment is unique because it focuses on training emergency medicine residents to use ultrasound-guided techniques for pain management, which is not commonly emphasized in emergency settings. It uses a low-cost, simulation-based approach to improve confidence and competence in performing nerve blocks, which can reduce the need for intravenous opioids and improve patient outcomes.128910

What is the purpose of this trial?

The aim of this study is to assess emergency medicine physician knowledge and technical skill in performance of ultrasound-guided serratus anterior nerve block in a low-fidelity simulation model workshop and to determine the feasibility, acceptability, and usability of the training program. By performing this study, the investigators hope to create a standardized training model which could potentially facilitate POCUS and critical procedural performance and thereby improve patient care.

Eligibility Criteria

This trial is for emergency medicine attending and resident physicians looking to improve their skills in performing ultrasound-guided nerve blocks. Specifically, it's not open to ED nurses, technicians, or advanced practice physicians.

Inclusion Criteria

Emergency medicine attending and resident physicians

Exclusion Criteria

Advanced practice physicians (APPs)
I am a nurse working in the emergency department.
ED technicians

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Training Workshop

Emergency medicine physicians participate in a low-fidelity simulation model workshop to learn ultrasound-guided serratus anterior nerve block

1 month
1 visit (in-person)

Follow-up

Participants are monitored for knowledge and technical skill retention through surveys at 1 month pre-intervention, post-intervention, and 3 months post-intervention

4 months

Treatment Details

Interventions

  • Ultrasound-guided Nerve Block Training Model and Evaluation Method
Trial Overview The study tests a training program that teaches doctors how to do an ultrasound-guided serratus anterior nerve block using a low-fidelity simulation. It aims to standardize this training to enhance patient care through better use of point-of-care ultrasound (POCUS) and critical procedures.
Participant Groups
1Treatment groups
Experimental Treatment
Group I: Emergency Medicine attending physicians and residentsExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Duke University

Lead Sponsor

Trials
2,495
Recruited
5,912,000+

Findings from Research

A low-cost, simulation-based training program significantly improved emergency department physicians' knowledge and competence in performing ultrasound-guided nerve blocks (UGNBs), with scores rising from an average of 66.9 to 90.4 immediately after training.
While confidence in performing UGNBs increased after training, it tended to return to baseline levels after three months, indicating the need for ongoing training to maintain skills and confidence in using UGNBs in clinical practice.
Implementing ultrasound-guided nerve blocks in the emergency department: A low-cost, low-fidelity training approach.Walsh, CD., Ma, IWY., Eyre, AJ., et al.[2023]
A cadaver-based education model significantly increased emergency medicine residents' confidence in performing ultrasound-guided regional anesthesia (USGRA), with comfort levels rising from 8.7% to 91.3% for general USGRA and from 9.1% to 77.3% for both the serratus anterior plane block (SAPB) and fascia iliaca compartment block (FICB).
The training also allowed instructors to identify and correct common procedural errors, such as incorrect needle placement and improper anesthetic administration, enhancing the safety and efficacy of the training process.
Exploring a Cadaver-Based Model for Teaching Emergency Medicine Residents Ultrasound-Guided Serratus Anterior Plane Blocks.Wubben, BM., Wallum, MR., Wittrock, CA.[2023]
This study, which analyzed 420 ultrasound-guided nerve blocks performed by emergency practitioners over one year, found a very low complication rate, with only one minor incident reported (arterial puncture without further issues).
Patients experienced significant pain relief, with average pain scores dropping from 7.4 to 2.8 after the procedure, indicating that ultrasound-guided nerve blocks are effective for pain management in the emergency department.
Safety and Pain Reduction in Emergency Practitioner Ultrasound-Guided Nerve Blocks: A One-Year Retrospective Study.Merz-Herrala, J., Leu, N., Anderson, E., et al.[2023]

References

Implementing ultrasound-guided nerve blocks in the emergency department: A low-cost, low-fidelity training approach. [2023]
Exploring a Cadaver-Based Model for Teaching Emergency Medicine Residents Ultrasound-Guided Serratus Anterior Plane Blocks. [2023]
Safety and Pain Reduction in Emergency Practitioner Ultrasound-Guided Nerve Blocks: A One-Year Retrospective Study. [2023]
Sonographic identification of peripheral nerves in the forearm. [2022]
Teaching ultrasound guided femoral nerve block in the emergency department. [2021]
Serratus Anterior Plane Block in the Emergency Department: A Case Series. [2020]
Comparison of ultrasonography guided serratus anterior plane block and thoracic paravertebral block in video-assisted thoracoscopic surgery: a prospective randomized double-blind study. [2022]
High-Efficiency Ultrasound-Guided Regional Nerve Block Workshop for Emergency Medicine Residents. [2023]
A low cost, high fidelity nerve block model. [2022]
Comprehensive curriculum for phantom-based training of ultrasound-guided intercostal nerve and stellate ganglion blocks. [2022]
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