Trauma Ultrasound Training for Latin American Countries

G. Estebanez, A. Rubiano, A. Sanchez, J. Ulloa, J. Puyana
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Abstract

Objective: The Pan-American Trauma Society (PTS) developed a Trauma and Emergency Ultrasound Course (USET) in response to the requirement for trauma ultrasound training for low-and middle-income countries. The objective of this study was to evaluate the efficiency of this course. Method: Pre- and post-course tests were used. And interval estimation of proportions was calculated at 95% CI. Theoretical and practical pre- and post-course knowledge were assessed with the Wilcoxon Signed Rank test at 0.05 level of statistical significance. Result: Between 2005 and 2007, 114 students, including general surgeons, emergency medicine physicians, anesthesiologists, critical care physicians, and residents of these specialties, were trained in seven countries (Uruguay, Peru, Mexico, Venezuela, Aruba, Colombia, and Ecuador). The difference on complete knowledge ranked scores before and after the course was statistically significant (p<0.001). After the course, almost all participants (97.4%) demonstrated complete knowledge in final evaluation. Conclusion: The USET course is an effective approach for trauma ultrasound training. Specific training programs for trauma care providers that work in low-and middle-income countries are necessary and could be performed with low cost training programs.
拉丁美洲国家创伤超声培训
目的:泛美创伤学会(PTS)根据中低收入国家对创伤超声培训的需求,制定了创伤和急诊超声课程(USET)。本研究的目的是评估该课程的有效性。方法:采用课前和课后测试。以95% CI计算比例的区间估计。采用Wilcoxon sign Rank检验评估课前和课后的理论和实践知识,在0.05水平上具有统计学意义。结果:2005年至2007年间,在7个国家(乌拉圭、秘鲁、墨西哥、委内瑞拉、阿鲁巴、哥伦比亚和厄瓜多尔)培训了114名学生,包括普通外科医生、急诊内科医生、麻醉师、重症监护医生和这些专业的住院医生。课程前后全知识排名得分差异有统计学意义(p<0.001)。课程结束后,几乎所有参与者(97.4%)在最终评估中表现出完整的知识。结论:USET课程是创伤超声训练的有效途径。为低收入和中等收入国家的创伤护理提供者提供专门的培训项目是必要的,并且可以通过低成本的培训项目来实施。
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