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院前创伤生命支持(PHTLS)培训计划对现场时间间隔的影响。

The effects of Pre-hospital Trauma Life Support (PHTLS) training program on the on-scene time interval.

机构信息

Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.

English Department, Faculty of Medicine, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.

出版信息

BMC Emerg Med. 2022 Mar 19;22(1):45. doi: 10.1186/s12873-022-00591-y.

Abstract

BACKGROUND

Recent studies have shown that reducing pre-hospital time could improve the outcomes of trauma victims. Due to the importance of pre-hospital time management, this study aims to determine the effects of the Pre-hospital Trauma Life Support (PHTLS) training program on the on-scene time interval reduction.

METHODS

The PHTLS training program was implemented based on global standards for pre-hospital emergency technicians. The research tool was a questionnaire designed by the Ministry of Health and Medical Education in Iran. The mean on-scene time interval was calculated before, after and one month after the intervention in the control (n = 32) and experimental group (n = 32). The data were analyzed using SPSS.

RESULTS

The mean on-scene time interval in the target group (one month after intervention) has been significantly lower than that of the control group. Moreover, the mean and standard deviation from the on-scene time interval in the target group has been reduced from 17.6 ± 5.5 (before intervention) to 12 ± 3.8 min (one month after intervention) which was statistically significant.

CONCLUSION

The implementation of the PHTLS training program can lead to the reduction of on-scene time interval. Therefore, considering the role of reducing on-scene time intervals on victims' survival, the integration of the PHTLS training programs with pre-hospital emergency medical service systems seems inevitable.

摘要

背景

最近的研究表明,缩短院前时间可以改善创伤患者的预后。鉴于院前时间管理的重要性,本研究旨在确定创伤生命支持(PHTLS)培训计划对现场时间间隔缩短的影响。

方法

根据全球院前急救技术员标准实施 PHTLS 培训计划。研究工具是伊朗卫生部和医学教育部设计的问卷。对照组(n=32)和实验组(n=32)在干预前、干预后和干预后一个月分别计算现场时间间隔的平均值。使用 SPSS 对数据进行分析。

结果

目标组(干预后一个月)的现场时间间隔平均值明显低于对照组。此外,目标组的现场时间间隔平均值和标准差从干预前的 17.6±5.5 分钟降至干预后一个月的 12±3.8 分钟,具有统计学意义。

结论

实施 PHTLS 培训计划可以缩短现场时间间隔。因此,考虑到缩短现场时间间隔对受害者生存的影响,将 PHTLS 培训计划与院前紧急医疗服务系统相结合是必要的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/780e/8933874/94f1e2be1667/12873_2022_591_Fig1_HTML.jpg

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