2086585 Mobile Education for Emergency Ultrasound for Abdominal Aortic Aneurysm (AAA): A Pilot Study

Abstracts Methods: A 16 question IRB approved survey was sent to 2860 OB/ GYN physicians members of the AIUM; 746 opened the email and 89 answered. An additional 500 surveys were distributed to members at 2 meetings (including radiologist and sonographers) of which 88 were completed. Results: A total of 177 responses were obtained, which 89 answered positively to diagnosing/managing a CSP; resulting in 145 cases of CSP. -Demographics: 67% private practitioners; 50% practiced over 20 years; 45% managed only a single case. -GA at dx: 68% between 5-8 weeks. - Risk factors: 80% had CDs (1 CD550%; 2CD538% and 3CD511%). -Outcomes: 79.3% were electively treated; 8.3% had spontaneous abortion and 12.4% continued the pregnancy and delivered a viable infant. -Treatments: 30% single/multiple intramuscular methotrexate; 30% local intramniotic KCL/methotrexate. -Complications: 69% none, 21% bleeding, 8% hysterectomy and 1.5% perforation. Among the ‘bleeding’ group 42% had a TAH; 17% packing and 19% balloon placement. -Pregnancy outcomes: 89% had a CD (79% elective); 27% had no complications; 33% had a ‘‘placenta accreta’’ and 31% TAH. 52% delivered before 28 weeks and 81% delivered before 36 weeks. Conclusions: This survey identified 145 cases of CS, which may/may not have been published in American literature. Therefore, it’s important to ask the following questions: How many CSPs are being misdiagnosed or under diagnosed? Are guidelines regarding diagnosis and treatment of CSP needed? Is a national registry of CSP warranted? In summary, this survey sheds new light and reinforces that early diagnosis and elective treatment results in lower rates of complications, minimizes blood loss and TAH. Although, the numbers continuing the pregnancy and delivering live neonates are small, the survey reveals that all delivered preterm or near term and two-thirds had complications. 2086542 Mobile Education for Emergency Ultrasound for Hydronephrosis: A Pilot Study Wan-Ching Lien,1 Cheng-Yi Wu,1 Meng-Cher Wu,1 Phone Lin2 1 National Taiwan University Hospital, Taipei, Taiwan, 2National Taiwan University, Taipei, Taiwan Objectives: This study aims to investigate the feasibility and the effectiveness of sonographic education using a mobile platform for hydronephrosis. Methods: This prospective study is conducted from September, 2014 to March, 2015. Training methods included a combination of one-hour lecture and hand-on practice at the start, then image interpretation and senarios training using a mobile platform. In the platform, we use 20 images of hydronephrosis for training and further 20 images comprising normal kidney and hydronephrosis for testing and evaluation for learning efficacy. In addition, senarios regarding hydronephrosis are used for evaluation. On-site hand-on performance can be also a part for effectiveness for mobile education. Written consent is obtained from all course participants for their inclusion. Results: Junior emergency physicians at the National Taiwan University Hospital are enrolled in this study. The learning efficacy will be evaluated for multi-dimension, including learning curve, satisfication and on-site evaluation. Conclusions: This pioneer study can provide experience of mobile sonographic education and contribute to current medical education. Moreover, it can improve decision-making process and quality of care, and could lessen crowdedness at emergency departments. 2086574 Mobile Education for Emergency Ultrasound for Acute Cholecystitis: A Pilot Study Wan-Ching Lien,1 Cheng-Yi Wu,1 Meng-Cher Wu,1 Phone Lin2 1 National Taiwan University Hospital, Taipei, Taiwan, 2National Taiwan University, Taipei, Taiwan

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Objectives: This study aims to investigate the feasibility of sonographic education using a mobile plateform for acute cholecystitis. Methods: This prospective study is conducted from September, 2014 to March, 2015. Training methods included a combination of one-hour lecture and hand-on practice at the start, then image interpretation and senarios training using a mobile platform. In the platform, we use 40 images of acute cholecystitis for training and further 40 images comprising normal gall bladder and acute cholecystitis for testing and evaluation for learning efficacy. In addition, senarios regarding acute cholecystitis are used for evaluation. On-site hand-on performance can be also a part for effectiveness for mobile education. Written consent is obtained from all course participants for their inclusion. Results: Junior emergency physicians at the National Taiwan University Hospital will be enrolled in this study. The learning efficacy will be evaluated for multi-dimension, including learning time and location, learning curve, satisfication and on-site evaluation. Conclusions: This pioneer study can provide experience of mobile sonographic education and contribute to current medical education. Moreover, it can improve decision-making process and quality of care, and could lessen crowdedness at emergency departments. Furthermore, the integrated platform can be used in other educational programs in the future. 2086585 Mobile Education for Emergency Ultrasound for Abdominal Aortic Aneurysm (AAA): A Pilot Study Wan-Ching Lien,1 Cheng-Yi Wu,1 Meng-Che Wu,1 Phone Lin2 1 National Taiwan University Hospital, Taipei, Taiwan, 2National Taiwan University, Taipei, Taiwan Objectives: This study aims to investigate the feasibility of sonographic education using a mobile platform for AAA. Methods: This prospective study is conducted from September, 2014 to March, 2015. Training methods included a combination of one-hour lecture and hand-on practice at the start, then image interpretation and senarios training using a mobile platform. In the platform, we use 10 images of AAA for training and further 40 images comprising normal aorta and AAA for testing and evaluation for learning efficacy. In addition, senarios regarding AAA are used for evaluation. On-site hand-on performance can be also a part for effectiveness for mobile education. Written consent is obtained from all course participants for their inclusion Results: Junior emergency physicians at the National Taiwan University Hospital will be enrolled in this study. The learning efficacy will be evaluated for multi-dimension, including learning time and location, learning curve, satisfication and on-site evaluation. Conclusions: This pioneer study can provide experience of mobile sonographic education and contribute to current medical education. Moreover, it can improve decision-making process and quality of care, and could lessen crowdedness at emergency departments. 2086588 Improving Junior Medical Staffs Resuscitation Performance With Ultrasound in Circulation-Airway-Breathing (US-CAB) Management Wan-Ching Lien, Meng-Cher Wu, Cheng-Yi Wu National Taiwan University Hospital, Taipei, Taiwan Objectives: This study is conducted for integration of ultrasound for CAB evaluation in advanced life support for junior physicians. Methods: This study is conducted from August, 2014 to December, 2014. We introduce ultrasound application and start training for CAB management by formal curriculum and hand-on practice. The questionnaire is designed to evaluate the efficacy of ultrasound training and revise training programs. Additionally, we establish simulation modules for ultrasound A-B-C evaluation at resuscitation. The learning efficacy will be evaluated for multi-dimension, including pre- and