Point-of-Care Ultrasound Curriculum for Endotracheal Tube Confirmation for Pediatric Critical Care Transport Team Through Remote Learning and Teleguidance

Online educational interventions in pediatric intensive care medicine

“…No virtual or augmented reality interventions for healthcare professional education in pediatric intensive care were identified through this review. Three studies ( 9 , 12 , 13 ) included interventions aimed at residents rotating in the PICU, two studies ( 14 , 15 ) included interventions aimed at nurses, two studies ( 11 , 16 ) included interventions aimed at a multidisciplinary healthcare professionals, and one study ( 10 ) included an intervention aimed at transport nurses and paramedics. In terms of outcome measures analysed, the majority (6 of 8) of studies utilized participant surveys to assess satisfaction or change in attitudes ( 9 – 11 , 14 – 16 ), and nearly half (4 of 8) included pre- and post-intervention multiple-choice question tests ( 9 , 10 , 12 , 13 ).…”

“…This finding highlights the circumspection required when implementing blended learning curricula for trainees, particularly in the PICU environment, due to the risk of increasing total workload in a manner that risks interference with appropriate rest and recovery. One article ( 10 ) used video as part of a blended learning strategy for point-of-care ultrasound training (described in further detail below).…”

“…One article ( 9 ) provided a bundled educational intervention intended to be completed by pediatric residents during their PICU rotation with the support of supervising physicians competent in POCUS, including three modules for self-directed learning, pre- and post-curriculum test assessments, and guidelines for providing small group active learning experiences. The six residents who completed the curriculum reported satisfaction with the curriculum and demonstrated higher test scores compared to a peer cohort who completed the PICU rotation but not the POCUS curriculum, The second article ( 10 ) described the delivery of a multimodal curriculum to teach pediatric critical care transport nurses and paramedics how to perform POCUS targeted at confirming appropriate endotracheal tube position through both tracheal and thoracic ultrasound. The curriculum included videos, podcasts, readings, and videoconferencing sessions including case-based discussion and remote coaching and feedback on manual skills.…”

“…There are a variety of online learning modalities represented in the articles including: websites, self-study modules, videos, videoconferencing, online self-assessment with feedback, virtual patient cases, screen-based simulation, and podcasts. Three of the included studies (9)(10)(11) describe interventions that apply more than one of the presentation modalities listed. No virtual or augmented reality interventions for healthcare professional education in pediatric intensive care were identified through this review.…”

Paramedic-Performed Prehospital Tele-Ultrasound: A Powerful Technology or an Impractical Endeavor? A Scoping Review

“…54 Technology There was tremendous heterogeneity in technological equipment used across the studies (Table 3). For instance, methods of transferring the ultrasound image data included consumer-level smartphones, 20,[55][56][57] Live-U (LiveU Inc.; Hackensack, New Jersey USA) device, 58 MPEG-2 compression technology, 52,53 Skype (Skype Technologies; Luxembourg City, Luxembourg) streaming, 55 GrandTec (GrandTec USA; Dallas, Texas USA) frame grabber, 57 or the Lumify app (Philips; Amsterdam, The Netherlands) and React-Secure-app (Meta Platforms, Inc.; Menlo Park, California USA). 59 Studies involving tele-guidance through verbal communication utilized two-way radio, 54 Skype, or the React-Secure-app, which had interactive video conferencing capability.…”