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复苏教学与培训中的模拟:基于证据的实践综述

Simulation in resuscitation teaching and training, an evidence based practice review.

作者信息

Sahu Sandeep, Lata Indu

机构信息

Department of Anaesthesiology and Maternal and Reproductive Health, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, UP, India.

出版信息

J Emerg Trauma Shock. 2010 Oct;3(4):378-84. doi: 10.4103/0974-2700.70758.

Abstract

In the management of a patient in cardiac arrest, it is sometimes the least experienced provider giving chest compressions, intubating the patient, and running the code during the most crucial moment in that patient's life. Traditional methods of educating residents and medical students using lectures and bedside teaching are no longer sufficient. Today's generation of trainees grew up in a multimedia environment, learning on the electronic method of learning (online, internet) instead of reading books. It is unreasonable to expect the educational model developed 50 years ago to be able to adequately train the medical students and residents of today. One area that is difficult to teach is the diagnosis and management of the critically ill patient, specifically who require resuscitation for cardiac emergencies and cardiac arrest. Patient simulation has emerged as an educational tool that allows the learner to practice patient care, away from the bedside, in a controlled and safe environment, giving the learner the opportunity to practice the educational principles of deliberate practice and self-refection. We performed a qualitative literature review of the uses of simulators in resuscitation training with a focus on their current and potential applications in cardiac arrest and emergencies.

摘要

在心脏骤停患者的管理中,有时在患者生命中最关键的时刻进行胸外按压、为患者插管并主持抢救的却是经验最少的医护人员。使用讲座和床边教学等传统方法来培训住院医师和医学生已不再足够。如今这一代学员成长于多媒体环境中,他们通过电子学习方式(在线、互联网)学习,而非阅读书籍。期望50年前制定的教育模式能够充分培训当今的医学生和住院医师是不合理的。一个难以教授的领域是危重症患者的诊断和管理,特别是那些需要针对心脏急症和心脏骤停进行复苏的患者。患者模拟已成为一种教育工具,它使学习者能够在远离床边的可控安全环境中练习患者护理,让学习者有机会实践刻意练习和自我反思等教育原则。我们对模拟器在复苏培训中的应用进行了定性文献综述,重点关注其在心脏骤停和急症方面的当前及潜在应用。

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