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dc.contributor.authorOveland, Nils Petteren_US
dc.contributor.authorLossius, Hans Mortenen_US
dc.contributor.authorAagaard, Rasmusen_US
dc.contributor.authorConnolly, Jimen_US
dc.contributor.authorSloth, Eriken_US
dc.contributor.authorKnudsen, Larsen_US
dc.date.accessioned2014-03-20T09:57:10Z
dc.date.available2014-03-20T09:57:10Z
dc.date.issued2013-09eng
dc.identifier.issn0736-4679
dc.identifier.urihttps://hdl.handle.net/1956/7873
dc.description.abstractBackground: Although lung ultrasound (US) is accurate in diagnosing pneumothorax (PTX), the training requirements and methods necessary to perform US examinations must be defined. Objective: Our aim was to test whether animal laboratory training (ALT) improves the diagnostic competency and speed of PTX detection with US. Methods: Twenty medical students without lung US experience attended a 1-day course. Didactic, practical, and experimental lectures covered the basics of US physics, US machines, and lung US, followed by hands-on training to demonstrate the signs of normal lung sliding and PTX. Each student’s diagnostic skill level was tested with three subsequent examinations (at day 1, day 2, and 6-month follow-up) using experimentally induced PTX in porcine models. The outcome measures were sensitivity and specificity for US detection of PTX, self-reported diagnostic confidence, and scan time. Results: The students improved their skills between the initial two examinations: sensitivity increased from 81.7% (range 69.1% -90.1%) to 100.0% (range 94.3% -100.0%) and specificity increased from 90.0% (range 82.0%- 94.8%) to 98.9% (range 92.3%- 100.0%); with no deterioration 6 months later. There was a significant learning curve in choosing the correct answers (p = 0.018), a 1-point increase in the self-reported diagnostic confidence (7.8 8.8 on a 10-point scale; p < 0.05), and a 1-min reduction in the mean scan time per lung (p < 0.05). Conclusions: Without previous experience and after undergoing training in an animal laboratory, medical students improved their diagnostic proficiency and speed for PTX detection with US. Lung US is a basic technique that can be used by novices to accurately diagnose PTX.en_US
dc.language.isoengeng
dc.publisherElseviereng
dc.relation.ispartof<a href="http://hdl.handle.net/1956/7574" target="blank">Ultrasound Detection of Pneumothorax. Development of a porcine pneumothorax model to assess and teach lung ultrasound diagnostics</a>eng
dc.rightsAttribution-NonCommercial-NoDerivs CC BY-NC-NDeng
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/eng
dc.subjectLung ultrasoundeng
dc.subjectAnimal laboratory trainingeng
dc.subjectPneumothoraxeng
dc.titleAnimal Laboratory Training Improves Lung Ultrasound Proficiency and Speeden_US
dc.typePeer reviewed
dc.typeJournal article
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2013 Elsevier Inc.
dc.identifier.doihttps://doi.org/10.1016/j.jemermed.2013.03.029
dc.identifier.cristin1068756
dc.source.journalJournal of Emergency Medicine
dc.source.4045
dc.source.143
dc.source.pagenumbere71-e78


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