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小贴士 - 大流行情况下的重症医疗支持培训

TIP - Training of Intensive medical support in the case of a Pandemic.

作者信息

Lütcke B, Günther J, Köhnen J, Puchinger A, Schmidt A

机构信息

Universitätsklinikum Erlangen, Klinik für Anästhesiologie, Simulations- und Trainings-Zentrum, Erlangen, Germany.

Friedrich-Alexander-Universität Erlangen-Nürnberg, Medizinische Fakultät, SkillsLab PERLE, Erlangen, Germany.

出版信息

GMS J Med Educ. 2021 Jan 28;38(1):Doc23. doi: 10.3205/zma001419. eCollection 2021.

DOI:10.3205/zma001419
PMID:33659628
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7899097/
Abstract

The COVID-19 pandemic has led to a short-term sharp increase in the demand for auxiliary staff in emergency rooms and intensive care units. Against this background student tutors of the Medical Faculty Erlangen have developed a training concept. The aim was to familiarize students in the clinical section quickly and effectively with skills that are particularly important in a clinical assignment as (student) assistant in the care of corona patients (e.g.: personal protective equipment, intubation assistance, arterial blood collection, assessment of blood gas values and ventilation parameters). In a blended learning concept, learning materials were prepared in advance and then implemented and deepened in a presence phase. The selection of learning materials and the low supervision ratio (1:2) made it possible to realize an internally differentiated approach. The offer met with great interest among students of all clinical semesters and was evaluated very positively. The skills learned can be applied widely even independently of a pandemic.

摘要

新冠疫情导致急诊室和重症监护室对辅助人员的需求短期内急剧增加。在此背景下,埃尔朗根医学院的学生导师制定了一项培训方案。其目的是让临床专业的学生迅速、有效地熟悉在作为(学生)助手护理新冠患者的临床任务中特别重要的技能(例如:个人防护装备、插管辅助、动脉采血、血气值评估和通气参数)。在混合式学习方案中,学习材料提前准备好,然后在面授阶段实施并深化。学习材料的选择和较低的监督比例(1:2)使得实现内部差异化教学成为可能。该课程受到了所有临床学期学生的极大关注,评价非常积极。所学技能即使在疫情之外也能广泛应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a2/7899097/18bcd66b59c6/JME-38-1-23-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a2/7899097/97ca59f5f64c/JME-38-1-23-t-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a2/7899097/c57be504e53b/JME-38-1-23-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a2/7899097/18bcd66b59c6/JME-38-1-23-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a2/7899097/97ca59f5f64c/JME-38-1-23-t-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a2/7899097/c57be504e53b/JME-38-1-23-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a2/7899097/18bcd66b59c6/JME-38-1-23-g-002.jpg

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本文引用的文献

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Invasive and Non-Invasive Ventilation in Patients With COVID-19.新型冠状病毒肺炎患者的有创和无创通气
Dtsch Arztebl Int. 2020 Aug 3;117(31-32):528-533. doi: 10.3238/arztebl.2020.0528.
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Peyton's 4-Steps-Approach in comparison: Medium-term effects on learning external chest compression - a pilot study.比较佩顿四步法:对学习体外心脏按压的中期影响——一项试点研究。
GMS J Med Educ. 2016 Aug 15;33(4):Doc60. doi: 10.3205/zma001059. eCollection 2016.
3
The anaesthetic management of patients with poliomyelitis and respiratory paralysis.
脊髓灰质炎合并呼吸麻痹患者的麻醉管理
Br Med J. 1954 Apr 3;1(4865):786-8. doi: 10.1136/bmj.1.4865.786.