Lam N N, Huong H T X, Tuan C A
National Institute of Burns, Hanoi, Vietnam.
Ann Burns Fire Disasters. 2018 Dec 31;31(4):322-328.
The purpose of this study was to identify changes in the competence of healthcare providers who underwent training courses on the management of burns incidents. Theoretical and practical simulation training courses were conducted for 305 healthcare providers from emergency and trauma departments of general hospitals in Vietnam. Pre- and post-tests were conducted using questionnaires and with simulated practical skill evaluation by burns specialists. Results showed a significant improvement in knowledge of emergency management of burns incidents, with an increase in percentage of correct answers from 48.2% to 71.6% (p < .01). There was an average increase from 10.5% to 95.1% for the correct calculation of total body surface area involvement, and from 33.8% to 67.2% for using the Parkland formula. Increases in knowledge of resuscitation and management of inhalation injury were also noted (p < .01). For the management of major burns incidents, sufficient knowledge of the command system increased from 58.4% to 81.9%. A better understanding was gained of the missions of the Emergency Medical Team, triage and air evacuation after training (p < .001). Emergency practical skills such as CPR, ET intubation, splinting of bone fractures, burn wound dressing and using emergency medical devices also improved remarkably (p < .001) after practical simulation training. In conclusion, these results indicate that a significant improvement in the capabilities and competence of medical staff in the emergency management of burn injuries can be achieved by conducting training courses with combined theory components and practical simulation models.
本研究的目的是确定接受烧伤事故管理培训课程的医护人员的能力变化。对越南综合医院急诊科和创伤科的305名医护人员进行了理论和实践模拟培训课程。通过问卷调查以及由烧伤专家进行模拟实践技能评估来进行前后测试。结果显示，烧伤事故应急管理知识有显著提高，正确答案的百分比从48.2%提高到71.6%（p <.01）。总体表面积受累情况的正确计算平均从10.5%提高到95.1%，使用帕克兰公式的情况从33.8%提高到67.2%。复苏和吸入性损伤管理知识也有所增加（p <.01）。对于重大烧伤事故的管理，指挥系统的充分知识从58.4%提高到81.9%。培训后对紧急医疗队的任务、分诊和空中后送有了更好的理解（p <.001）。心肺复苏、气管插管、骨折固定、烧伤伤口包扎和使用急救医疗设备等应急实践技能在实践模拟培训后也有显著提高（p <.001）。总之，这些结果表明，通过开展结合理论内容和实践模拟模型的培训课程，可以显著提高医护人员在烧伤损伤应急管理方面的能力和水平。
