Dotson Marc P, Gustafson Mark L, Tager Alfred, Peterson Leslie M
Charleston Area Medical Center Graduate Medical Education, Charleston, WV.
Charleston Area Medical Center Graduate Medical Education, Charleston, WV.
Air Med J. 2018 Mar-Apr;37(2):131-137. doi: 10.1016/j.amj.2017.11.012. Epub 2018 Jan 12.
Simulation training is an integral part of the training of medical personnel. However, there are limited data on the use of simulation in the training of helicopter emergency medical services (HEMS).
In this study, we retrospectively compared the number of orientation flights needed to be released to a full crewmember and the cost of training in an air medical flight academy before and after implementation of a high-fidelity air medical simulator. A total of 13 participants in the air medical services flight academy were analyzed. Four of these participants went through the standard academy. Nine participants went through the standard academy but had additional training using the simulator.
There was no statistical difference in the number of orientation flights before release from training (P = .35). Also, although there was a trend that the simulator decreased the overall cost of training, there was no significant difference between the groups (P = .16).
This study found that the use of a high-fidelity simulator when training HEMS personnel does not significantly reduce the number of orientation flights needed to become a full crewmember. There was a trend toward a significant reduction in the total cost of training.
模拟训练是医务人员培训的一个组成部分。然而，关于在直升机紧急医疗服务（HEMS）培训中使用模拟训练的数据有限。
在本研究中，我们回顾性比较了在高保真空中医疗模拟器实施前后，需要向正式机组人员放行的入门飞行次数以及空中医疗飞行学院的培训成本。总共分析了13名空中医疗服务飞行学院的参与者。其中4名参与者完成了标准学院培训。9名参与者完成了标准学院培训，但还使用模拟器进行了额外培训。
培训结束前的入门飞行次数没有统计学差异（P = 0.35）。此外，尽管有趋势表明模拟器降低了总体培训成本，但两组之间没有显著差异（P = 0.16）。
本研究发现，在培训HEMS人员时使用高保真模拟器并不能显著减少成为正式机组人员所需的入门飞行次数。培训总成本有显著降低的趋势。
