Ahmadi Koorosh, Sedaghat Mohammad, Safdarian Mahdi, Hashemian Amir-Masoud, Nezamdoust Zahra, Vaseie Mohammad, Rahimi-Movaghar Vafa
Emergency Medicine, Alborz University of Medical Sciences, Karaj, Iran.
Chin J Traumatol. 2013;16(3):145-8.
Since appropriate and time-table methods in trauma care have an important impact on patients'outcome, we evaluated the effect of Advanced Trauma Life Support (ATLS) program on medical interns' performance in simulated trauma patient management.
A descriptive and analytical study before and after the training was conducted on 24 randomly selected undergraduate medical interns from Imam Reza Hospital in Mashhad, Iran. On the first day, we assessed interns' clinical knowledge and their practical skill performance in confronting simulated trauma patients. After 2 days of ATLS training, we performed the same study and evaluated their score again on the fourth day. The two findings, pre- and post- ATLS periods, were compared through SPSS version 15.0 software. P values less than 0.05 were considered statistically significant.
Our findings showed that interns'ability in all the three tasks improved after the training course. On the fourth day after training, there was a statistically significant increase in interns' clinical knowledge of ATLS procedures, the sequence of procedures and skill performance in trauma situations (P less than 0.001, P equal to 0.016 and P equal to 0.01 respectively).
ATLS course has an important role in increasing clinical knowledge and practical skill performance of trauma care in medical interns.
由于创伤护理中恰当且有时间安排的方法对患者的预后有重要影响，我们评估了高级创伤生命支持（ATLS）项目对医学实习生在模拟创伤患者管理中的表现的影响。
对从伊朗马什哈德伊玛目礼萨医院随机选取的24名本科医学实习生进行了培训前后的描述性和分析性研究。第一天，我们评估了实习生在面对模拟创伤患者时的临床知识和实践技能表现。在进行两天的ATLS培训后，我们开展了相同的研究，并在第四天再次评估他们的得分。通过SPSS 15.0版软件比较了ATLS培训前后的两项结果。P值小于0.05被认为具有统计学意义。
我们的研究结果表明，培训课程后实习生在所有三项任务中的能力都有所提高。在培训后的第四天，实习生对ATLS程序的临床知识、程序顺序以及在创伤情况下的技能表现均有统计学意义的显著提高（P分别小于0.001、等于0.016和等于0.01）。
ATLS课程在提高医学实习生创伤护理的临床知识和实践技能表现方面具有重要作用。
