General and GI Surgery Department, Royo Villanova Hospital, SALUD. Avenida de San Gregorio S/N, 50015, Zaragoza, Spain.
Department of General & Trauma Surgery, Catholic University of São Paulo PUC-Sorocaba and Hospital Moriah, Avenida Victor Civita, 235, Sao Paulo, Brazil.
World J Surg. 2021 Aug;45(8):2408-2414. doi: 10.1007/s00268-021-06149-6. Epub 2021 Apr 30.
Future navy officers require unique training for emergency medical response in the isolated maritime environment. The authors issued a workshop on extremity bleeding control, using four different commercial extremity tourniquets onboard a training sail ship. The purposes were to assess participants' perceptions of this educational experience and evaluate self-application simplicity while navigating on high seas.
A descriptive observational study was conducted as part of a workshop issued to volunteer training officers. A post-workshop survey collected their perceptions about the workshops' content usefulness and adequacy, tourniquet safety, self-application simplicity, and device preference. Tourniquet preference was measured by frequency count while the rest of the studied variables on a one-to-ten Likert scale. Frequencies and percentages were calculated for the studied variables, and application simplicity means compared using the ANOVA test (p < 0.05).
Fifty-one Spanish training naval officers, aged 20 or 21, perceived high sea workshop content's usefulness, adequacy, and safety level at 8.6/10, 8.7/10, and 7.5/10, respectively. As for application simplicity, CAT and SAM-XT were rated equally with a mean of 8.5, followed by SWAT (7.9) and RATS (6.9), this one statistically different from the rest (p < 0.01). Windlass types were preferred by 94%.
The training sail ship's extremity bleeding control workshop was perceived as useful and its content adequate by the participating midshipmen. Windlass types were regarded as easier to apply than elastic counterparts. They were also preferred by nine out of every ten participants.
未来的海军军官需要在孤立的海上环境中进行紧急医疗救援的特殊培训。作者在一艘训练帆船船上使用四种不同的商用四肢止血带举办了一次四肢出血控制研讨会。目的是评估参与者对这种教育体验的看法，并评估在公海上自我应用的简单性。
这是一项描述性观察研究，作为向志愿培训军官举办的研讨会的一部分进行。在研讨会结束后进行问卷调查，收集他们对研讨会内容有用性和充分性、止血带安全性、自我应用简单性以及设备偏好的看法。通过频率计数来衡量止血带偏好，而其余研究变量则采用 1 到 10 的李克特量表进行评估。对研究变量进行频率和百分比计算，并使用 ANOVA 检验比较应用简单性均值（p < 0.05）。
51 名西班牙海军培训军官，年龄为 20 或 21 岁，对海上研讨会内容的有用性、充分性和安全性的评价分别为 8.6/10、8.7/10 和 7.5/10。至于应用简单性，CAT 和 SAM-XT 的评分相同，均值为 8.5，其次是 SWAT（7.9）和 RATS（6.9），后者与其他评分有统计学差异（p < 0.01）。绞盘类型的偏好率为 94%。
参加实习的海军学员认为训练帆船的四肢出血控制研讨会是有用的，其内容也是充分的。绞盘类型被认为比弹性止血带更容易应用。它们也受到十分之九的参与者的青睐。
