Efficiency of Simulation-Based Learning Using an ABC POCUS Protocol on a High-Fidelity Simulator

Abstract

Critically ill patients with rapidly deteriorating clinical status secondary to respiratory and cardio-vascular compromise are at risk for immediate collapse if the underlying pathology is not recognized and treated. Rapid diagnosis is of utmost importance regardless of the setting. Although there are data to support the use of point-of-care ultrasound in critical patients, there is no consensus about the best educational strategy to implement. We designed a curriculum based on the ABC (Airway, Breathing, Circulation) protocol that covers essential airway, lung, and cardiac ultrasound skills needed for fast diagnosis in critical patients and applied it in high-fidelity simulation-based medical education sessions for anesthesia and intensive care residents year one and two. After theoretical and practical assessments, our results show statistical differences in the theoretical knowledge and above-average results in practical assessment. Our proposed curriculum based on a simple ABC POCUS protocol, with an Airway, Breathing, and Circulation approach, is useful in teaching ultrasound basics regarding airway, lung, and cardiac examination using high-fidelity simulation training to anesthesia and intensive care residents, but further research is needed to establish the utility of Simulation-Based Medical Education in Point of Care Ultrasound in the critical patient.

Teaching Medical Students Rapid Ultrasound for shock and hypotension (RUSH): learning outcomes and clinical performance in a proof-of-concept study

“…This reveals current limitations of ultrasound simulators in refactoring real-world clinical conditions. However, while ultrasound simulators do not replace the real-world experience, they are useful tools to demonstrate principles of ultrasound examinations and gain early learners’ ultrasound skills before approaching real patients [ 24 – 30 ]. Training to mastery on the simulator was found to lower the repetitions needed to master abdominal ultrasound examinations on real patients in 25 first-year residents randomized to simulation-based or conventional clinical training [ 25 ].…”

Applications of Point-of-Care-Ultrasound in Neonatology: A Systematic Review of the Literature

“…However, the successful incorporation of this technology into clinical practice hinges on addressing several key challenges, notably in the realms of education and standardization. The development and implementation of robust, simulation-based training programs tailored specifically to neonatology are paramount [ 2 , 93 , 97 , 98 ]. Such programs, by simulating a wide array of clinical scenarios, can significantly enhance the proficiency of clinicians in using POCUS, ensuring that they are well-equipped to leverage this technology to its fullest potential.…”