Department of Anaesthesia, General Intensive Care and Pain Control, Division of Cardiothoracic and Vascular Anaesthesia and Intensive Care, Medical University Vienna, Austria.
Resuscitation. 2012 Feb;83(2):227-31. doi: 10.1016/j.resuscitation.2011.09.014. Epub 2011 Oct 1.
Out-of-hospital emergency physicians in Austria need mandatory emergency physician training, followed by biennial refresher courses. Currently, both standardized ERC advanced life support (ALS) provider courses and conventional refresher courses are offered. This study aimed to compare the retention of ALS-knowledge of out-of-hospital emergency physicians depending on whether they had or had not participated in an ERC-ALS provider course since 2005.
Participants (n=807) from 19 refresher courses for out-of-hospital emergency physicians answered eight multiple-choice questions (MCQ) about ALS based on the 2005 ERC guidelines. The pass score was 75% correct answers. A multivariate logistic regression analyzed differences in passing scores between those who had previously participated in an ERC-ALS provider course and those who had not. Age, gender, regularity of working as an out-of-hospital emergency physician and the self-reported number of real resuscitation efforts within the last 6months were entered as control variables.
Out-of-hospital emergency physicians who had previously attended an ERC-ALS provider course had a significantly higher chance of passing the MCQ test (OR=1.60, p=0.015). Younger age (OR=0.95, p<0.001), regular work as an out-of-hospital emergency physician (OR=2.66, p<0.001) and a higher number of self-reported resuscitations within the last 6months (OR=1.08, p=0.002) were also significant predictors of passing the test.
Out-of-hospital emergency physicians that had attended an ERC-ALS provider course since 2005 had a higher retention of ALS knowledge compared to non-ERC-ALS course participants.
奥地利的院外急救医师需要接受强制性的急诊医师培训，并每两年参加一次进修课程。目前，提供标准化的 ERC 高级生命支持（ALS）提供者课程和常规进修课程。本研究旨在比较自 2005 年以来是否参加过 ERC-ALS 提供者课程的院外急救医师对 ALS 知识的保留程度。
19 次院外急救医师进修课程的 807 名参与者根据 2005 年 ERC 指南回答了 8 个关于 ALS 的多项选择题（MCQ）。通过分数为 75%的正确答案。采用多变量逻辑回归分析了过去曾参加过 ERC-ALS 提供者课程的人与未参加过的人之间在通过分数上的差异。将年龄、性别、作为院外急救医师的工作频率以及自我报告的过去 6 个月内真实复苏次数作为控制变量输入。
过去曾参加过 ERC-ALS 提供者课程的院外急救医师通过 MCQ 测试的机会显著更高（OR=1.60，p=0.015）。年龄较小（OR=0.95，p<0.001）、定期作为院外急救医师工作（OR=2.66，p<0.001）和过去 6 个月内自我报告的复苏次数较高（OR=1.08，p=0.002）也是通过测试的显著预测因素。
自 2005 年以来参加过 ERC-ALS 提供者课程的院外急救医师与未参加过 ERC-ALS 课程的参与者相比，对 ALS 知识的保留程度更高。
