Timsit J-F, Paquin S, Pease S, Macrez A, Aim J L, Texeira A, Lefevre G, Scheuble A, Kermarrec N
Réanimation médicale, hôpital Bichat, 46, rue Henri-Huchard, 75018 Paris, France.
Ann Fr Anesth Reanim. 2006 Feb;25(2):135-43. doi: 10.1016/j.annfar.2005.09.003. Epub 2005 Nov 2.
Management of in-hospital cardiac arrest is now considered as a hospital quality indicator. Such management actually requires training health care workers (HCWs) for basic life support (BLS).
To assess the usefulness and efficacy of a short mandatory BLS training course amongst general ward HCWs in a 1,200 bed teaching hospital.
The in-hospital medical emergency team (MET) established a 45-min BLS training course comprising 10 goals for basic CPR and preparing for the arrival of the MET. Assessment was based on satisfaction questionnaires, cross-sectional evaluation of knowledge and skills of HCWs before and 1 year after the start of the training course. Efficacy of BLS performed on ward was assessed by the MET on scene.
One year after, 68 training sessions had been fulfilled and 522 HCWs had been trained (46.27% of total HCWs). HCWs were satisfied with the teaching course. Instant retention of objectives was over 90%. Cross-sectional surveys showed an improvement of BLS knowledge and skills. The knowledge of initial clinical assessment remained low. Knowledge and skills were significantly higher amongst HCWs who had been trained than amongst those who had not. Unfortunately, general ward BLS performance showed no improvement.
Short mandatory training courses are stimulating and well appreciated amongst HCWs. Although basic knowledge and skills improve dramatically, no improvement of on-scene BLS performance occurs.
医院内心脏骤停的管理现在被视为一项医院质量指标。这种管理实际上需要对医护人员进行基本生命支持（BLS）培训。
评估在一家拥有1200张床位的教学医院的普通病房医护人员中开展短期强制性BLS培训课程的实用性和有效性。
医院内医疗急救团队（MET）设立了一个45分钟的BLS培训课程，包括基本心肺复苏的10个目标以及为MET的到来做准备。评估基于满意度调查问卷、培训课程开始前和开始后1年对医护人员知识和技能的横断面评估。MET在现场评估病房内实施的BLS的有效性。
一年后，完成了68次培训课程，522名医护人员接受了培训（占医护人员总数的46.27%）。医护人员对教学课程感到满意。目标的即时保留率超过90%。横断面调查显示BLS知识和技能有所提高。初始临床评估的知识水平仍然较低。接受培训的医护人员的知识和技能明显高于未接受培训的人员。不幸的是，普通病房的BLS表现没有改善。
短期强制性培训课程对医护人员具有激励作用且广受好评。尽管基本知识和技能有显著提高，但现场BLS表现没有改善。
