Seligman William H, Ganatra Sameer, England David, Black John J M
Severn Foundation School, UK University of Oxford Medical School, Oxford, UK.
University of Oxford Medical School, Oxford, UK Imperial College Healthcare NHS Trust, London, UK.
Emerg Med J. 2016 Feb;33(2):155-8. doi: 10.1136/emermed-2015-204638. Epub 2015 Aug 7.
Prehospital emergency medicine (PHEM) is a recently recognised subspecialty of emergency medicine, and anaesthetics, intensive care and acute medicine, in the UK, and yet it receives little to no mention in many undergraduate medical curricula. However, there is growing interest in PHEM among medical students and junior doctors. Several programmes are in existence across the UK that serve to provide teaching and exposure of prehospital care to medical students and junior doctors. However, relatively few students are able to gain significant first-hand experience of treating patients in the prehospital phase. In this short report, we discuss our experience of launching the student first responder (SFR) scheme across three counties in the Thames Valley. Medical students are trained by the regional ambulance service and respond to life-threatening medical emergencies in an ambulance response vehicle. The scheme is likely to benefit the ambulance service by providing a wider pool of trained volunteer first responders able to attend to emergency calls, to benefit patients by providing a quick response at their time of need, and to benefit medical students by providing first-hand experience of medical emergencies in the community. In its first 15 months of operation, SFRs were dispatched to 343 incidents. This scheme can serve as a training model for other ambulance services and medical schools across the UK.
院前急救医学（PHEM）在英国是急诊医学、麻醉学、重症监护和急症医学领域一个最近才被认可的亚专业，但在许多本科医学课程中却很少或根本没有被提及。然而，医学生和初级医生对院前急救医学的兴趣与日俱增。英国各地有几个项目，旨在为医学生和初级医生提供院前护理教学和实践机会。然而，相对较少的学生能够获得院前阶段治疗患者的重要第一手经验。在这份简短的报告中，我们讨论了我们在泰晤士河谷三个县推行学生急救员（SFR）计划的经验。医学生由地区救护车服务机构培训，并乘坐救护车响应车辆应对危及生命的医疗紧急情况。该计划可能会使救护车服务受益，因为能提供更多经过培训的志愿急救员来接听紧急呼叫；会使患者受益，因为在他们需要时能快速响应；还会使医学生受益，因为能提供社区医疗紧急情况的第一手经验。在其运营的最初15个月里，学生急救员被派往343起事件。该计划可以作为英国其他救护车服务机构和医学院校的培训模式。
