Page 103 - Ultrasonography in Prehospital and Emergency Medicine - Rein Ketelaars

Implementing ultrasound in Dutch emergency departments after a two-day training 101
We excluded EPs who already performed PREP or eFAST US examinations, at least once a month, preceding the course.
Included subjects received written information in more detail in advance and written in- formed consent was given prior to the interview. Further inclusion of subjects was continued until no more new codes were determined during the interview process and data saturation was reached.
Procedure
Subjects were interviewed at their own workplace by a trained interviewer (EvH). The in- terviews were conducted face-to-face in a secluded room without disturbances. Open-ended questions based on the initial topic list were used to initiate the conversations. The interviews were conducted in Dutch and audio-recorded. The mean duration of the interviews was 26 minutes. Notes on non-verbal communication were taken. Member checks were performed: every participant was invited to read and comment on a summary of the transcription.
Table 4.2 Categories and themes related to the initial topic list and newly identified categories
Theme
Category
Initial topic list or added
Development of EM spe- cialty
Recognition of Emergency Medicine as an official specialty
Added
Importance of US on the Emergency Department
Added
Quality assurance of US skills
Added
Incentives to start using US
Barriers
Experiences during the PREP course and motivation for signing up
US use by colleagues
Presence and usage of a US machine Cooperation with radiologists Confidence in own US diagnosis Additional barriers
Initial Initial
Initial Initial Initial Added
Practical application of US
Indication for application of the PREP protocol
Initial
Application of US beyond the scope of the PREP protocol
Added
Relation of US with other diagnostics
Initial
US, ultrasound; PREP, polytrauma rapid echo-evaluation program; EM, emergency medicine; EP, emergency physician.
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