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Abstract P-063: CHILDREN’S ACUTE ULTRASOUND (CACTUS) TRAINING THE DEVELOPMENT OF A POINT OF CARE ULTRASOUND CURRICULUM FOR PAEDIATRIC CRITICAL CARE IN THE UK

Griksaitis, M.J.1,2; Raffaj, D.3; Stephens, J.4; Davies, P.3

Pediatric Critical Care Medicine: June 2018 - Volume 19 - Issue 6S - p 67–68
doi: 10.1097/01.pcc.0000537520.76485.56
Poster Abstracts
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1University Hospital of Southampton NHS Foundation Trust, Southampton Children’s Hospital, Southampton, United Kingdom

2University of Southampton, Faculty of Medicine, Southampton, United Kingdom

3Nottingham Children’s Hospital, Paediatric Critical Care Unit, Nottingham, United Kingdom

4Royal Cornwall Hospitals NHS Trust, Critical Care Unit, Cornwall, United Kingdom

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Aims & Objectives:

Point of care ultrasound (POCUS) has an established evidence base for its use. Adult emergency medicine and intensive care trainees have to display POCUS competencies. However, there is no curriculum for paediatric trainees, and no UK standardised training specifically orientated to paediatric patients. This project aimed to design and test a paediatric POCUS curriculum.

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Methods

We reviewed the literature on POCUS for paediatrics, the adult curriculum, expert opinion and review of international paediatric courses. We then produced a curriculum document and a pilot ultrasound course. Feedback was collected on the course and competency document from attendees from a variety of specialities, and appropriate modifications made.

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Results

There was widespread interest for paediatric specific training. We used the above data to produce a curriculum document around paediatric competencies in: (1) Generic Ultrasound (2) Lung Ultrasound (3) Cardiac Ultrasound (4) Abdominal Ultrasound (5) Cranial Ultrasound and (6) Vascular Ultrasound.

A one-day introduction programme was created called ‘CACTUS’ (Children’s Acute Ultrasound). This covered: (1) Introduction to Ultrasound (2) ‘The Child in Shock’ (3) ‘The Child in Respiratory Failure’ (4) Ultrasound Guided Procedures. Work is on going to develop this model into basic skills and advanced skills, allowing for the introduction of a spiral learning method to POCUS in paediatric practice.

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Conclusions

We provided the first paediatric specific POCUS curriculum for the UK. This has been well received and is a feasible. Further work is needed with appropriate stakeholders to endorse and integrate this training into the national sub-speciality curriculums and create a mentoring system.

©2018The Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies