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院前创伤护理:针对农村医疗服务提供者的模拟场景

Prehospital Trauma Care: A Simulation Scenario for Rural-Based Healthcare Providers.

作者信息

McCarthy Robert, Gino Bruno, Williams Kerry-Lynn, d'Entremont Philip, Renouf Tia S

机构信息

Family Medicine, Faculty of Medicine, Memorial University of Newfoundland, St. John's, CAN.

Emergency Medicine, Madrecor Hospital, Uberlândia, BRA.

出版信息

Cureus. 2020 Jun 25;12(6):e8834. doi: 10.7759/cureus.8834.

Abstract

Trauma is a major cause of premature death and disability worldwide, with a disproportionate number of deaths occurring in rural and remote areas. Prehospital care is a key link in the chain of trauma survival and its role may be currently underestimated. Therefore, addressing deficiencies in prehospital trauma care may help to improve outcomes. Several potential solutions have been proposed to address the disparities that exist in rural prehospital trauma care, some of which focus on educational endeavors. Simulation-based medical education (SBME) is one cost-effective strategy to train healthcare providers in high-acuity, low-opportunity (HALO) scenarios, such as those encountered during major trauma. The aim of this technical report is to present a mass casualty simulation scenario that is intended for healthcare providers in rural and remote locations to refine their skills and comfort level with such cases. It emphasizes prehospital trauma management and effective communication skills among healthcare teams, which are two key elements in improving trauma outcomes.

摘要

创伤是全球过早死亡和残疾的主要原因,在农村和偏远地区发生的死亡人数不成比例。院前护理是创伤救治链中的关键环节,其作用目前可能被低估。因此,解决院前创伤护理的不足可能有助于改善治疗结果。为解决农村院前创伤护理中存在的差异,已提出了几种潜在的解决方案,其中一些侧重于教育方面的努力。基于模拟的医学教育(SBME)是一种具有成本效益的策略,可在高急症、低机会(HALO)场景中培训医疗服务提供者,例如在重大创伤期间遇到的场景。本技术报告的目的是呈现一个大规模伤亡模拟场景,供农村和偏远地区的医疗服务提供者提高处理此类情况的技能和舒适度。它强调院前创伤管理以及医疗团队之间的有效沟通技巧,这是改善创伤治疗结果的两个关键要素。

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