Department of Neuroscience and Cell Biology, Rutgers Robert Wood Johnson Medical School, 675 Hoes Lane West, Piscataway, NJ 08554.
New Jersey Army National Guard, 5 Camp Drive, Sea Girt, NJ 08750.
Mil Med. 2020 Feb 12;185(1-2):e23-e27. doi: 10.1093/milmed/usz153.
For the past few decades, there has been an emphasis on encouraging the partnership of civilian and military trauma care systems which would allow military personnel to maintain competency in life-saving skills and gain experience prior to or in between deployments. Currently, there are only five primary military-civilian training centers in the United States. Thus, the majority of service members do not get the opportunity to train at these facilities prior to scheduled deployments. To bridge this gap, a joint military-civilian hands-on supplemental training program was established to allow deploying National Guard Combat Medics to practice life-saving techniques on human cadaver tissue. The purpose of this report is to provide the feedback survey from this pilot training session in hopes to expand and improve the curriculum and encourage partnerships between military and civilian trauma centers.
Survey respondents include the 13 National Guard Combat Medic Specialists who attended the 6-hour voluntary training session. The survey asked qualitative and quantitative (using a 5-point Likert rating scale; 1 = insufficient/unacceptable/disagree; 5 = outstanding/exceeded expectations/strongly agree) questions regarding the structure of the session, likes and improvements about the classroom and cadaver lab portions, implementation into training, confidence in techniques before and after the session and overall rating of the session. This report has been reviewed and approved by the Institutional Review Board (IRB) at Rutgers University.
Most attendees (12 of 13) agreed that the 6-hour total time length and division of classroom versus lab time was appropriate. Most attendees (12 of 13) agreed that this type of supplemental hands-on cadaver training should be a mandatory part of their medical training. The attendees' rated confidence in covered techniques was significantly increased from 3.77 ± 0.73 to 4.85 ± 0.38 (p < 0.01) before and after the session, respectively. The overall satisfaction rating of the session was 4.92 ± 0.28.
This collaboration between military and civilian trauma care system was successful in giving National Guard combat medic specialists the opportunity to practice life-saving techniques on human tissue prior to deployment. This type of partnership can assist in maintaining readiness for trauma care and increasing the confidence of military pre-hospital providers in performing life-saving techniques.
在过去的几十年中，一直强调鼓励民用和军事创伤护理系统之间的合作关系，这将使军事人员能够在部署之前或部署期间保持救生技能的能力并获得经验。目前，美国只有五个主要的军民培训中心。因此，大多数军人在预定部署之前没有机会在这些设施接受培训。为了弥补这一差距，建立了一个军民联合实践补充培训计划，允许部署的国民警卫队战斗医疗兵在人体尸体组织上练习救生技术。本报告的目的是提供该试点培训课程的反馈调查结果，希望扩大和改进课程，并鼓励军事和民用创伤中心之间的合作关系。
调查对象包括参加 6 小时自愿培训课程的 13 名国民警卫队战斗医疗专家。该调查询问了有关课程结构、对课堂和尸体实验室部分的喜好和改进、实施培训、参加课程前后对技术的信心以及对课程的总体评价的定性和定量（使用 5 分李克特评分量表；1 = 不足/不可接受/不同意；5 = 出色/超出预期/强烈同意）问题。本报告已由罗格斯大学机构审查委员会（IRB）审查和批准。
大多数与会者（13 人中的 12 人）认为，6 小时的总时间长度和课堂与实验室时间的划分是合适的。大多数与会者（13 人中的 12 人）认为，这种补充性的尸体实践培训应该成为他们医疗培训的强制性部分。与会者对所涵盖技术的信心评分从 3.77 ± 0.73 显著增加到 4.85 ± 0.38（p < 0.01），分别在课程前后。课程的总体满意度评分为 4.92 ± 0.28。
军事和民用创伤护理系统之间的这种合作成功地使国民警卫队战斗医疗专家有机会在部署前在人体组织上练习救生技术。这种伙伴关系可以帮助维持创伤护理的准备状态，并提高军事前院提供者执行救生技术的信心。
