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对儿童进行院前水上干预培训:在模拟水上救援中使用传统材料和替代材料评估投掷技能。

Training Children for Prehospital Aquatic Interventions: Assessing Throwing Skills Using Traditional and Alternative Materials in a Simulated Water Rescue.

作者信息

Peixoto-Pino Lucía, Barcala-Furelos Roberto, Lorenzo-Martínez Miguel, Gómez-Silva Adrián, Rico-Díaz Javier, Rodríguez-Núñez Antonio

机构信息

Faculty of Education Sciences, University of Santiago de Compostela, A Coruña, Spain.

CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department; University of Santiago de Compostela, A Coruña, Spain.

出版信息

Prehosp Disaster Med. 2024 Oct;39(5):358-363. doi: 10.1017/S1049023X24000554. Epub 2024 Dec 23.

DOI:10.1017/S1049023X24000554
PMID:39713854
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11802203/
Abstract

BACKGROUND

Drowning remains a significant cause of mortality among children world-wide, making prevention strategies crucial. The World Health Organization (WHO) recommends training children in safe rescue techniques, including the use of basic skills such as throwing floating objects. This study aims to address a knowledge gap regarding the throwing capabilities of children aged six to twelve using conventional and alternative water rescue materials.

METHOD

A total of 374 children aged six to twelve years participated in the study, including both males and females. A randomized crossover approach was used to compare throws with conventional rescue material (ring buoy and rescue tube) to an alternative material (polyethylene terephthalate [PET]-bottle). Throwing distance and accuracy were assessed based on age, sex, and the type of rescue tools used.

RESULTS

Children of all ages were able to throw the PET-bottle significantly farther than both the ring buoy (P <.001; d = 1.19) and the rescue tube (P <.001; d = 0.60). There were no significant differences (P = .414) in the percentage of children who managed to throw each object accurately.

CONCLUSION

Conventional rescue materials, particularly the ring buoy, may not be well-suited for long-distance throws by children. In contrast, lighter and smaller alternatives, such as PET-bottles, prove to be more adaptable to children's characteristics, enabling them to achieve greater throwing distances. The emphasis on cost-effective and easily accessible alternatives should be implemented in drowning prevention programs or life-saving courses delivered to children.

摘要

背景

溺水仍是全球儿童死亡的一个重要原因,因此预防策略至关重要。世界卫生组织(WHO)建议对儿童进行安全救援技术培训,包括使用如投掷漂浮物等基本技能。本研究旨在填补关于6至12岁儿童使用传统和替代水上救援材料的投掷能力方面的知识空白。

方法

共有374名6至12岁的儿童参与了该研究,包括男性和女性。采用随机交叉方法,将使用传统救援材料(环形浮标和救援管)的投掷与使用替代材料(聚对苯二甲酸乙二酯[PET]瓶)的投掷进行比较。根据年龄、性别和所使用的救援工具类型评估投掷距离和准确性。

结果

所有年龄段的儿童将PET瓶投掷得都明显比环形浮标(P <.001;d = 1.19)和救援管(P <.001;d = 0.60)更远。在能够准确投掷每个物体的儿童百分比方面没有显著差异(P =.414)。

结论

传统救援材料,尤其是环形浮标,可能不太适合儿童进行远距离投掷。相比之下,更轻、更小的替代品,如PET瓶,被证明更能适应儿童的特点,使他们能够实现更远的投掷距离。在针对儿童的溺水预防计划或救生课程中,应强调具有成本效益且易于获取的替代品。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe9/11802203/c53008541030/S1049023X24000554_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe9/11802203/ed664ae5178a/S1049023X24000554_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe9/11802203/28f4407b41a4/S1049023X24000554_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe9/11802203/c53008541030/S1049023X24000554_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe9/11802203/ed664ae5178a/S1049023X24000554_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe9/11802203/28f4407b41a4/S1049023X24000554_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe9/11802203/c53008541030/S1049023X24000554_fig3.jpg

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本文引用的文献

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Public rescue tube deployment in Hawaii: protective association with rescuer drownings.夏威夷的公共救援管部署:与救援人员溺水相关的保护关联。
Inj Prev. 2022 Aug;28(4):330-334. doi: 10.1136/injuryprev-2021-044467. Epub 2022 Jan 24.
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Prevention of Drowning.溺水预防。
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Do-it-yourself PET-bottle manikin: An understudied means for enhancing massive CPR training in a simple and affordable way.自制PET瓶人体模型:一种未被充分研究的方法,可通过简单且经济实惠的方式加强大规模心肺复苏培训。
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Cochrane Database Syst Rev. 2021 Apr 22;4(4):CD014955. doi: 10.1002/14651858.CD014955.
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Lay-rescuers in drowning incidents: A scoping review.溺水事件中的非专业救援者:范围综述。
Am J Emerg Med. 2021 Jun;44:38-44. doi: 10.1016/j.ajem.2021.01.069. Epub 2021 Jan 31.
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Dying to help: Fatal bystander rescues in Australian coastal environments.舍己救人:澳大利亚沿海环境中的致命旁观者救援。
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A Lack of Aquatic Rescue Competency: A Drowning Risk Factor for Young Adults Involved in Aquatic Emergencies.缺乏水上救援能力:涉及水上突发事件的年轻成年人溺水的一个风险因素。
J Community Health. 2018 Aug;43(4):688-693. doi: 10.1007/s10900-018-0472-6.
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Unintentional Child and Adolescent Drowning Mortality from 2000 to 2013 in 21 Countries: Analysis of the WHO Mortality Database.2000年至2013年21个国家儿童和青少年意外溺水死亡率:对世界卫生组织死亡率数据库的分析
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