Extreme musculo-skeletal ultrasound: training of non-physicians in the Arctic Circle

Extreme musculo-skeletal ultrasound: training of non-physicians in the Arctic Circle

  • نوع فایل : کتاب
  • زبان : انگلیسی
  • مؤلف : Kathleen O’Connell Antonio J. Bouffard Andrew Vollman Rosario Mercado-Young Ashot E. Sargsyan Ilan Rubinfeld Scott A. Dulchavsky
  • چاپ و سال / کشور: 2011

Description

Objective The purpose of this study was to compare if non-physician, inexperienced ultrasound subjects can take quality diagnostic images after watching a brief educational video and using reference cue cards (autonomous group) versus taking ultrasound images with expert guidance using a satellite connection. Methods Six non-medical, inexperienced ultrasound subjects from a rural area (Arctic Circle) obtained ultrasound images of target anatomic regions using a portable ultrasound device after receiving expert-guided training or autonomous training (educational video and cue cards). Real-time expert guidance was provided using an audiovisual tele-ultrasound connection with direct ultrasound video compression which was relayed to a remote expert via a secure satellite connection. The resultant images from all studies were blindly reviewed by imaging experts for determination of diagnostic adequacy. Results All of the examinations were completed in \15 min. The blinded expert identified 85.1% of autonomously acquired images and 86.2% of the images obtained by expert guidance to be of diagnostic quality; there was no statistical difference between the two groups (P = 0.6653). Conclusion Non-physician, inexperienced subjects can quickly educate themselves to retrieve diagnostic quality ultrasound images whether they are being expert-guided or trained autonomously
Crit Ultrasound J (2011) 3:19–24 DOI 10.1007/s13089-011-0062-7 Received: 4 November 2010 / Accepted: 3 February 2011 / Published online: 2 March 2011
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