在线模拟烧伤事件评估严重烧伤应急管理培训对急救人员知识和技能的影响。

Effect of training in the Emergency Management of Severe Burns on the knowledge and performance of emergency care workers as measured by an online simulated burn incident.

机构信息

Department of Surgery-Burn Center, Red Cross Hospital, 1940 EB Beverwijk, The Netherlands.

出版信息

Burns. 2011 Mar;37(2):281-7. doi: 10.1016/j.burns.2010.08.011. Epub 2010 Nov 11.

DOI:10.1016/j.burns.2010.08.011

PMID:21074330

Abstract

OBJECTIVE

To determine the value of training for the Emergency Management of Severe Burns (EMSB) for medical and nursing staff working in emergency care as measured by their performance in a simulated burn incident online program.

METHODS

An Internet-based questionnaire, which included a simulated burn incident, was developed. All of the medical and nursing staff in hospital emergency departments and ambulance services in the Netherlands were invited to complete this questionnaire. The effect of EMSB training on the individual's knowledge of and performance in the emergency management of a burn victim was evaluated because some of the respondents had participated in EMSB training, whereas others had not.

RESULTS

Of the 280 responses received, 198 questionnaires were included in the analysis. The analyzed questionnaires were submitted by nurses (43%), ambulance workers (33%), and physicians (23%). Only 14% of the people in the study had participated in EMSB training, whereas 78% had received other or additional life support training and 22% of respondents had no additional life support training. Medical and nursing staff who had participated in EMSB training performed better in the following subjects: mentioning hypothermia as a focus of attention (70% versus 53%, p=0.085), correct use of hand size (70% versus 36%, p=0.001) and use of the correct hand percentage in the estimation of total body surface area (TBSA, 82% versus 57%, p=0.015), suspicion of no airway obstruction in an outdoor trauma (93% versus 63%, p = 0.002) and referral of functional area burns to a burn center (22% versus 8%, p = 0.04). However, both groups overestimated the TBSA (34% of the total group overestimated ≥ 20%) and did not know the correct formula for fluid resuscitation (87% of the total group).

CONCLUSION

There is some evidence that medical staff members who have participated in EMSB training have a better knowledge of emergency management and are more effective in the management of a simulated burn case. However, both individuals who had participated in EMSB as well as those who had not participated in EMSB needed additional training in EMSB.

摘要

目的

通过在模拟烧伤事件在线程序中的表现来确定针对从事急救护理工作的医护人员的紧急管理严重烧伤培训（EMSB）的价值。

方法

开发了一个基于互联网的问卷，其中包括一个模拟烧伤事件。邀请荷兰所有医院急诊部门和救护服务的医护人员完成此问卷。评估 EMSB 培训对个人在烧伤患者急救管理方面的知识和表现的影响，因为有些受访者参加了 EMSB 培训，而有些则没有。

结果

在收到的 280 份回复中，有 198 份问卷被纳入分析。分析的问卷由护士（43%）、救护人员（33%）和医生（23%）提交。只有 14%的研究对象参加过 EMSB 培训，而 78%的人接受过其他或额外的生命支持培训，22%的受访者没有接受过额外的生命支持培训。参加过 EMSB 培训的医护人员在以下方面表现更好：提到低体温是关注焦点（70%对 53%，p=0.085）、正确使用手的大小（70%对 36%，p=0.001）和正确使用手的百分比来估计总体表面积（TBSA，82%对 57%，p=0.015）、怀疑户外创伤无气道阻塞（93%对 63%，p=0.002）和将功能区域烧伤转介至烧伤中心（22%对 8%，p=0.04）。然而，两组都高估了 TBSA（总组中有 34%高估了≥20%），并且不知道正确的液体复苏公式（总组中有 87%不知道）。