Table 2 Two-day schedule for POCUS training with the RUSH protocol for both CRUSH and conventional groups

No

Day 1: Lecture Modules

Duration

1

Pre-test

1 h

2

Lecture: Introduction to ultrasound physics and knobology

30 min

3

Lecture: Introduction to the RUSH Protocol

30 min

4

Lecture: Abdominal scan/FAST

30 min

CRUSH Group: Round 1 Team-based competition quiz

Conventional Group: Written-based quiz 1

15 min

5

Lecture: Lung ultrasound

30 min

6

Lecture: Cardiac ultrasound

30 min

CRUSH Group: Round 2 Team-based competition-based quiz

Conventional Group: Written-based quiz 2

15 min

7

Lecture: Vascular ultrasound (Inferior vena cava, Aorta, 2-point compression test)

30 min

8

Lecture: Putting it all together

30 min

CRUSH Group: Round 3 Team-based competition-based quiz

Conventional Group: Written-based question quiz 3

15 min

Station

Day 2: Hands-on Training

Duration

1

Demonstration session: Introduction to machine, probes and image acquisition

30 min

CRUSH Group: Team-based competition ultrasound game Round 1: Ultrasound Minefield

Conventional Group: Individual Skills Training: Acquiring image of water balloons

4 mins per team

1 min per individual

2

2A: Cardiac ultrasound in RUSH protocol

40 min

2B: Lung ultrasound in RUSH protocol

40 min

2C: Abdomen ultrasound/FAST in RUSH protocol

40 min

2D: Vascular ultrasound in RUSH protocol

40 min

CRUSH Group: Team-based competition-based ultrasound game Round 2: Ultrasound Pong

Conventional Group: Individual Skill Training: Anatomy

5 mins per team

1 min per individual

3

Simulated Case-based Scenarios of Undifferentiated Shock: Application of RUSH protocol.

CRUSH Group: Team competition-based ultrasound game Round 3 (10 min per team)

Conventional Group: Case-based classroom discussion

10 mins per team

3A: Case 1 - Cardiogenic Shock

10 mins

3B: Case 2 – Obstructive Shock

10 mins

3D: Case 3 – Hypovolemic Shock

10 mins

3E: Case 4 – Distributive Shock

10 mins

Post-test

1 h