Jan Andrew L
School of Medicine, University of Notre Dame, Fremantle, Australia.
Emergency Department, St. John of God Murdoch Hospital, Murdoch, Australia.
Med Acupunct. 2020 Oct 1;32(5):253-262. doi: 10.1089/acu.2020.1436. Epub 2020 Oct 19.
Acupuncture, in general, is being proclaimed as an alternative analgesic amid the opioid crisis, and along with this, within emergency departments (EDs) there is a specific interest in a form of ear acupuncture called Battlefield Acupuncture (BFA). It is expected that BFA will be used more widely in emergency medicine as it is easy to learn and can be applied both promptly and easily. Teaching programs will be required to sustain this increased demand and upskill emergency clinicians in this skill. This article provides experiences and recommendations, based on faculty experiences from teaching BFA in Australia to ED clinicians combined with formal participant feedback. BFA courses were adjusted to suit ED doctors and nurses, along with their unique case mix and associated challenging environment. The content of the BFA courses included evidence, pain indications, contraindications, application, safety, mechanism of action, and how to negotiate barriers of credentialing. Workshops used the latest and most effective teaching methods that encompassed problem-based learning, infotainment, simulation, "four stage skills teaching," and "teaching on the run." It is hoped that the experiences gained, and lessons learned in educating this new frontier of BFA to emergency clinicians will assist others in teaching BFA and its related techniques as a viable analgesic alternative in emergency medicine.
总体而言，在阿片类药物危机期间，针灸被宣称为一种替代镇痛方法，与此同时，在急诊科，人们对一种名为战地针灸（BFA）的耳针疗法有着特别的兴趣。预计BFA将在急诊医学中得到更广泛的应用，因为它易于学习，且能迅速、简便地应用。需要开展教学项目以满足这种不断增长的需求，并提升急诊临床医生的这项技能。本文基于在澳大利亚向急诊临床医生教授BFA的教员经验以及正式参与者的反馈，提供了相关经验和建议。BFA课程进行了调整，以适应急诊医生和护士，以及他们独特的病例组合和相关的具有挑战性的环境。BFA课程的内容包括证据、疼痛适应症、禁忌症、应用、安全性、作用机制，以及如何应对资质认证方面的障碍。工作坊采用了最新、最有效的教学方法，包括基于问题的学习、信息娱乐、模拟、“四阶段技能教学”和“即时教学”。希望在向急诊临床医生教授BFA这一新领域过程中所获得的经验和吸取的教训，将有助于其他人教授BFA及其相关技术，使其成为急诊医学中一种可行的镇痛替代方法。
