Kawano Fumiaki, Munakata Shun, Tashiro Kousei, Ikenoue Makoto, Furukawa Koji, Ochiai Hidenobu, Nakamura Kunihide, Nanashima Atsushi
Department of Surgery, Miyazaki University Faculty of Medicine, Miyazaki, Japan.
Emergency and Critical Care Center, Miyazaki University Faculty of Medicine, Miyazaki, Japan.
Turk J Surg. 2022 Mar 28;38(1):74-80. doi: 10.47717/turkjsurg.2022.5537. eCollection 2022 Mar.
To improve knowledge about blast injury for medical student doctors or surgeons. In the modern uncertain era, education and training programs for blast injuries for medical student doctors or surgeons are recently necessary worldwide.
To understand primary corresponding ability to treat blast injuries, leading to improvement of the trauma education curriculum, a retrospective study by a knowledge survey was performed between 2018 and 2019. The subject had the title of Student Doctor (SD) at university.
The answers of 183 participants who answered the interview questionnaire with 16 questions were summarized. Although most SDs received basic lectures for trauma medicine and majority of SDs knew about mass casualty incidents and primary treatment, the existence of knowledge on soft targets is limited. One-fourth of the SDs knew the characteristics of blast wounds. Most SDs understood priority triage for a conscious person with massive bleeding from a limb with hemostasis to save lives. The 17% selected cardiopulmonary resuscitation first and 72% of SDs could explain hemorrhagic shock; however, only four could explain adequate hemostatic procedures. Most had no interest regarding necessity of their knowledge in the field of serious blast trauma wounds.
Experience in trauma surgery training from stages in SDs and authorized education are important for raising students' knowledge of unexpected serious blast incidents.
提高医学生或外科医生对爆炸伤的认识。在当今充满不确定性的时代，全球范围内最近都需要为医学生或外科医生开展爆炸伤教育和培训项目。
为了解治疗爆炸伤的主要相应能力，从而改进创伤教育课程，于2018年至2019年通过知识调查进行了一项回顾性研究。研究对象为大学中的医学生。
对183名回答了包含16个问题的访谈问卷的参与者的答案进行了总结。尽管大多数医学生接受过创伤医学基础讲座，且大多数医学生了解大规模伤亡事件及初步治疗，但对软目标的知识了解有限。四分之一的医学生知道爆炸伤伤口的特点。大多数医学生理解对四肢大量出血且意识清醒的人进行优先分诊以止血挽救生命。17%的人首先选择心肺复苏，72%的医学生能够解释失血性休克；然而，只有4人能解释适当的止血程序。大多数人对其在严重爆炸创伤伤口领域知识的必要性不感兴趣。
医学生阶段的创伤外科培训经验和权威教育对于提高学生对意外严重爆炸事件的认识很重要。
