Thomas Anita, Gray Megan M, Burns Brian, Umoren Rachel
Pediatrics, Seattle Children's Hospital, Seattle, USA.
Neonatology, Seattle Children's Hospital, Seattle, USA.
Cureus. 2020 May 26;12(5):e8302. doi: 10.7759/cureus.8302.
Disasters such as earthquakes can interrupt healthcare delivery by forcing the evacuation of intensive care patients. Critically ill neonates are particularly vulnerable due to their complexity and thus can be difficult to safely and efficiently evacuate in a disaster. In general, most education surrounding this is based on lectures. This technical report describes the creation and use of a simulation-based curriculum focusing on the evacuation of a critically ill, septic neonate by a single nurse participant in the setting of an earthquake. This simulation provides learners the experience of expediently assessing safety in the setting of a disaster and prioritizing equipment when evacuating a critically ill neonate, which may provide a more realistic training environment than traditional lectures.
地震等灾害可能会迫使重症监护患者撤离,从而中断医疗服务。危重新生儿因其病情复杂,格外脆弱,因此在灾难中很难安全、高效地撤离。总体而言,围绕这一主题的大多数培训都是基于讲座。本技术报告描述了一个基于模拟的课程的创建和使用,该课程聚焦于在地震场景中由一名护士参与者对一名患有败血症的危重新生儿进行撤离。此模拟为学习者提供了在灾难场景中迅速评估安全性以及在撤离危重新生儿时对设备进行优先排序的经验,这可能会提供一个比传统讲座更逼真的培训环境。