Getting It Right the First Time: Defining Regionally Relevant Training Curricula and Provider Core Competencies for Point-of-Care Ultrasound Education on the African Continent

Salmon, Margaret; Landes, Megan; Hunchak, Cheryl; Paluku, Justin; Kalisya, Luc Malemo; Salmon, Christian; Muller, Mundenga Mutendi; Wachira, Benjamin; Mangan, James; Chhaganlal, Kajal; Kalanzi, Joseph; Azazh, Aklilu; Berman, Sara; Zied, Elsayed Abdallah Elsayed Ahmed; Lamprecht, Hein

doi:10.1016/j.annemergmed.2016.07.030

Cited by 26 publications

(35 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Heller et al demonstrated that the FASH (focused assessment with sonography for HIV-associated tuberculosis) exam could be efficiently taught to ultrasound-naïve clinicians over a 2-day training period [51]. The FASH exam has now become widely established as an important ultrasound exam for clinicians working in African settings with a high burden of HIV [52]. Similar success in ultrasound training has been demonstrated with the application of the 10-point yes/no checklist for various point-of-care ultrasound applications in a tertiary referral hospital in Tanzania [53].…”

Section: Discussionmentioning

confidence: 99%

Cardiac ultrasound in resource-limited settings (CURLS): towards a wider use of basic echo applications in Africa

et al. 2019

View full text Add to dashboard Cite

Background: Point-of-care ultrasound is increasingly being used as a diagnostic tool in resource-limited settings. The majority of existing ultrasound protocols have been developed and implemented in high-resource settings. In sub-Saharan Africa (SSA), patients with heart failure of various etiologies commonly present late in the disease process, with a similar syndrome of dyspnea, edema and cardiomegaly on chest X-ray. The causes of heart failure in SSA differ from those in high-resource settings. Point-of-care ultrasound has the potential to identify the underlying etiology of heart failure, and lead to targeted therapy. Based on a literature review and weighted score of disease prevalence, diagnostic impact and difficulty in performing the ultrasound, we propose a context-specific cardiac ultrasound protocol to help differentiate patients presenting with heart failure in SSA. Results: Pericardial effusion, dilated cardiomyopathy, cor pulmonale, mitral valve disease, and left ventricular hypertrophy were identified as target conditions for a focused ultrasound protocol in patients with cardiac failure and cardiomegaly in SSA. By utilizing a simplified 5-question approach with all images obtained from the subxiphoid view, the protocol is suitable for use by health care professionals with limited ultrasound experience. Conclusions: The "Cardiac ultrasound for resource-limited settings (CURLS)" protocol is a context-specific algorithm designed to aid the clinician in diagnosing the five most clinically relevant etiologies of heart failure and cardiomegaly in SSA. The protocol has the potential to influence treatment decisions in patients who present with clinical signs of heart failure in resource-limited settings outside of the traditional referral institutions.

show abstract

Section: Discussionmentioning

confidence: 99%

Cardiac ultrasound in resource-limited settings (CURLS): towards a wider use of basic echo applications in Africa

et al. 2019

View full text Add to dashboard Cite

show abstract

“…The reasoning for selecting these specific countries was that each offers specialist training in EM, representing a regional, emergency care, research collaboration hub, as well as representing a different income group (high-middle, low-middle and low income, respectively). 10 , 11 The study received ethical approval through the University of Cape Town’s Human Research Ethics Committee.…”

Section: Methodsmentioning

confidence: 99%

Poor Access for African Researchers to African Emergency Care Publications: A Cross-sectional Study

Bruijns¹,

Maesela²,

Sinha³

et al. 2017

WestJEM

View full text Add to dashboard Cite

IntroductionBased on relative population size and burden of disease, emergency care publication outputs from low- and middle-income regions are disproportionately lower than those of high-income regions. Ironically, outputs from regions with higher publication rates are often less relevant in the African context. As a result, the dissemination of and access to local research is essential to local researchers, but the cost of this access (actual and cost-wise) remains unknown. The aim of this study was to describe access to African emergency care publications in terms of publisher-based access (open access or subscription) and alternate access (self-archived or author provided), as well as the cost of access.MethodsWe conducted a retrospective, cross-sectional study using all emergency medicine publications included in Scopus between 2011 and 2015. A sequential search strategy described access to each article, and we calculated mean article charges against the purchasing power parity index (used to describe out-of-pocket expense).ResultsWe included 666 publications from 49 journals, of which 395 (59.3%) were open access. For subscription-based articles, 106 (39.1%) were self-archived, 60 (22.1%) were author-provided, and 105 (38.8%) were inaccessible. Mean article access cost was $36.44, and mean processing charge was $2,319.34. Using the purchasing power parity index it was calculated that equivalent out-of-pocket expenditure for South African, Ghanaian and Tanzanian authors would respectively be $15.77, $10.44 and $13.04 for access, and $1,004.02, $664.36 and $830.27 for processing. Based on this, the corrected cost of a single-unit article access or process charge for South African, Ghanaian and Tanzanian authors, respectively, was 2.3, 3.5 and 2.8 times higher than the standard rate.ConclusionOne in six African emergency care publications are inaccessible outside institutional library subscriptions; additionally, the cost of access to publications in low- and middle-income countries appears prohibitive. Publishers should strongly consider revising pricing for more equitable access for researchers from low- and middle-income countries.

show abstract

“…The published literature on ultrasound training programmes for clinicians and non‐clinicians may be slightly misleading in suggesting that a short course, online or in person, and a completed logbook may be the only requirement to get appropriately trained in the delivery of PoCUS. Sonography is highly complex, takes rigorous training and assessment to master . Ultrasound must also be practiced regularly in order to maintain competency.…”

Section: Limitationsmentioning

confidence: 99%

Point‐of‐care ultrasound in obstetrics

Collins¹,

Collins

Kothari

2019

Australas J Ultrason Med

View full text Add to dashboard Cite

Point-of-care ultrasound, or PoCUS, where imaging is undertaken at the bedside, clinic or emergency department (ED) by the clinician overseeing treatment, is a rapid form of assessment that may be undertaken alongside or as an alternative to traditional, formal ultrasound performed by a radiology service. PoCUS reduces the time to diagnosis, thus allowing lifesaving treatment to be initiated. This is particularly relevant in Obstetrics and Gynaecology (OBGYN), where delayed diagnosis of pregnancy complications is often fatal or highly debilitating to the mother or fetus. The literature suggests that PoCUS is particularly useful in areas that are inadequately resourced, as it is relatively cheap and accessible. High-quality training is essential to ensure that the staff performing the scans are adequately qualified to deliver the service. Clinicians who perform PoCUS in their practice should be aware of the appropriate indications, as well as when to refer for formal imaging.

show abstract

Getting It Right the First Time: Defining Regionally Relevant Training Curricula and Provider Core Competencies for Point-of-Care Ultrasound Education on the African Continent

Cited by 26 publications

References 17 publications

Cardiac ultrasound in resource-limited settings (CURLS): towards a wider use of basic echo applications in Africa

Cardiac ultrasound in resource-limited settings (CURLS): towards a wider use of basic echo applications in Africa

Poor Access for African Researchers to African Emergency Care Publications: A Cross-sectional Study

Point‐of‐care ultrasound in obstetrics

Contact Info

Product

Resources

About