Air Ambulance Department, Oslo University Hospital, Oslo, Norway; Department of Research, Norwegian Air Ambulance Foundation, Oslo, Norway.
Air Ambulance Department, Oslo University Hospital, Oslo, Norway.
Air Med J. 2021 Jan-Feb;40(1):60-64. doi: 10.1016/j.amj.2020.10.003. Epub 2020 Nov 7.
Patients with life- or limb-threatening severe injuries pose a challenge to prehospital services. Time-critical decision making and treatment are challenging because of occasional incomplete information, limited resources, adverse environments, and a range of basic and advanced technical skills available. To prepare for these infrequent critical situations, medical personnel from the helicopter emergency medical service at Oslo University Hospital developed a 1-day advanced trauma training course focusing on individual skills and teamwork during resuscitative procedures.
Participants were trained under supervision in teams on an established live tissue model with anesthetized pigs. A questionnaire-based evaluation was conducted before and after training to measure the feasibility of covering the allocated learning objectives in the time allotted and participants' perception of any change in their skills as a result of the course.
The self-reported skill level in all learning objectives improved significantly. Combining all learning objectives, the median self-reported skill level was significantly increased from 4 to 6 points (P < .001).
Experienced prehospital physicians and other health staff reported an increased level of skill and competence in lifesaving and limb-saving procedures after completing a brief, intense 1-day course using living anesthetized pigs and cadaver models.
危及生命或肢体的严重伤害患者对院前服务构成挑战。由于偶尔信息不完整、资源有限、恶劣环境以及可用的一系列基本和高级技术技能,时间关键的决策和治疗具有挑战性。为了应对这些罕见的危急情况,奥斯陆大学医院的直升机紧急医疗服务的医务人员开发了为期 1 天的高级创伤培训课程,重点关注复苏过程中的个人技能和团队合作。
参与者在监督下在带麻醉猪的既定活体组织模型上进行团队培训。在培训前后进行基于问卷的评估,以衡量在规定时间内涵盖分配的学习目标的可行性,以及参与者是否认为课程对其技能有任何提高。
所有学习目标的自我报告技能水平均显著提高。将所有学习目标结合起来,自我报告的技能水平从中位数 4 分显著提高到 6 分(P<.001)。
经验丰富的院前医生和其他卫生人员在使用活体麻醉猪和尸体模型完成简短而紧张的 1 天课程后,报告在救命和保肢手术方面的技能和能力水平有所提高。