Bukoski Alex, Uhlich Rindi, Bowling F, Shapiro Mark, Kerby Jeffrey D, Llerena Luis, Armstrong John H, Strayhorn Catherine, Barnes Stephen L
Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, 900 East Campus Drive, Columbia, MO 65211.
Department of Surgery, Division of Acute Care Surgery, School of Medicine, University of Missouri, 1 Hospital Drive, Columbia, MO 65212.
Mil Med. 2018 Mar 1;183(suppl_1):78-85. doi: 10.1093/milmed/usx136.
The relative effectiveness of live tissue (LT)- and inanimate simulation (SIM)-based training of combat medics is the subject of intense debate. A structured interview was utilized to determine the training modality preferences and the perceived value of LT- and SIM-based combat casualty care training of 25 senior special operations medics. Participant demographics and training experience, Likert scale-based assessment of training modality value, selection of preferred training modality for 11 combat casualty care procedures, and 12 open-ended questions probing opinions of the limitations and benefits of LT- and SIM-based training were collected from this convenience sample. All participants indicated significant combat medic experience and training. Of the 11 procedures questioned, LT was identified as superior for seven with mixed responses for the remaining four. LT was consistently identified as an essential training modality with tactile sensation and the physiologic responses of animal models to injury and therapy as primary benefits. Across procedures, 100% of participants felt that LT should be used in combat casualty care training and 96% felt that SIM should also be utilized. Repeatability and accuracy of size/weight were identified as key benefits of SIM training. Respondents reported that capability, self-confidence, success, and resilience of the combat medic all benefitted from LT training. The overriding theme was the general superiority of LT with recognition of the unique and complementary benefits of SIM.
基于活体组织（LT）和无生命模拟（SIM）的战斗医护人员培训的相对有效性是激烈辩论的主题。采用结构化访谈来确定25名高级特种作战医护人员对基于LT和SIM的战斗伤员护理培训的方式偏好和感知价值。从这个便利样本中收集了参与者的人口统计学和培训经验、基于李克特量表的培训方式价值评估、11种战斗伤员护理程序的首选培训方式选择，以及12个开放式问题，探讨基于LT和SIM培训的局限性和益处的意见。所有参与者都表示有丰富的战斗医护经验和培训经历。在被询问的11种程序中，7种程序中LT被认为更优，其余4种程序的反应不一。LT一直被认为是一种必不可少的培训方式，并以触觉以及动物模型对损伤和治疗的生理反应作为主要益处。在所有程序中，100%的参与者认为LT应用于战斗伤员护理培训，96%的参与者认为也应使用SIM。尺寸/重量的可重复性和准确性被确定为SIM培训的关键益处。受访者报告称，战斗医护人员的能力、自信、成功率和适应力都从LT培训中受益。首要主题是LT总体上更具优势，同时认识到SIM的独特和互补益处。
