Sharifi Yaser, Nikravan Mofard Malahat, Jamsahar Maryam, Nasiri Malihe, Safari Mehdi
Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Arch Acad Emerg Med. 2020 Jan 26;8(1):e11. eCollection 2020.
External hemorrhage is a leading cause of preventable death due to trauma and Emergency Medical Services (EMS) staff members play a vital role in the frontline of trauma management. This study aimed to assess the knowledge, attitude and practice of EMS staff in bleeding control.
This knowledge, attitude and practice (KAP) study was conducted to assess the educational needs of EMS staff of Hormozgan province, Iran, regarding the bleeding control of trauma patients, during 2019. The participants were randomly selected and then their knowledge, attitude, and practice in management of hemorrhage and hemorrhagic shock were assessed using two researcher-made scenario-based questionnaires and one checklist.
The scores for knowledge of the EMS staff regarding actions during complete amputation, status of injured patients, and medical measures during transfer of injured patients were 3.22 ± 0.68, 2.28 ± 0.83, and 2.29 ± 0.62, respectively. The average participants' attitude scores regarding the fear of bleeding, the importance of bleeding control, and confidence in bleeding control were 2.09±0.56, 2.4±0.58, and 1.76±0.55, respectively. The findings indicated that mean practice score was 1.72 ± 0.46 in capillary hemorrhage control, 1.41 ± 0.25 in venous bleeding control, 1.47 ± 0.25 in arterial bleeding control, and 1.56±0.27 in control of bleeding in the amputee limb.
The knowledge, attitude, and practice of EMS staff regarding bleeding control were moderate, positive and appropriate, and incomplete, respectively. Since bleeding is a life threatening status and EMS staff skills are critical in this issue, it seems that we need to provide continuous education in this regard.
外出血是创伤可预防死亡的主要原因，紧急医疗服务（EMS）人员在创伤管理的前线发挥着至关重要的作用。本研究旨在评估EMS人员在出血控制方面的知识、态度和实践。
本知识、态度和实践（KAP）研究旨在评估2019年伊朗霍尔木兹甘省EMS人员在创伤患者出血控制方面的教育需求。参与者被随机选择，然后使用两份由研究人员制作的基于情景的问卷和一份检查表评估他们在出血和失血性休克管理方面的知识、态度和实践。
EMS人员在完全截肢期间的行动、受伤患者状况以及受伤患者转运期间的医疗措施方面的知识得分分别为3.22±0.68、2.28±0.83和2.29±0.62。参与者在对出血的恐惧、出血控制的重要性以及出血控制信心方面的平均态度得分分别为2.09±0.56、2.4±0.58和1.76±0.55。研究结果表明，毛细血管出血控制的平均实践得分为1.72±0.46，静脉出血控制为1.41±0.25，动脉出血控制为1.47±0.25，截肢肢体出血控制为1.56±0.27。
EMS人员在出血控制方面的知识、态度和实践分别为中等、积极和适当以及不完整。由于出血是危及生命的状况，且EMS人员的技能在这个问题上至关重要，因此似乎我们需要在这方面提供持续教育。
