Burke D P, Bowden D F
Accident and Emergency Department, Royal Hospital, Wolverhampton.
BMJ. 1993 Apr 24;306(6885):1096-8. doi: 10.1136/bmj.306.6885.1096.
To determine whether a modified paediatric resuscitation reference chart improves the speed and accuracy of calculation of doses of drugs in simulated paediatric cardiopulmonary arrests when compared with the chart devised by Oakley.
A prospective study in which a series of randomly assigned questions was used to compare the performance of doctors using the two charts.
Accident and emergency departments in two hospitals.
31 senior house officers.
The speed and accuracy of calculation of volumes of drugs to be administered.
The modified chart significantly increased the accuracy of the calculations (62/62 v 43/62, p < 0.01 [corrected]), the speed of correct calculations (6.8 v 36.0 s, p < 0.0001), and the number of calculations that were completed (62/62 v 50/62, p < 0.001).
The modified paediatric resuscitation chart should supersede the existing chart.
与奥克利设计的图表相比,确定改良的儿科复苏参考图表在模拟儿科心肺骤停时是否能提高药物剂量计算的速度和准确性。
一项前瞻性研究,通过一系列随机分配的问题来比较使用这两种图表的医生的表现。
两家医院的急诊科。
31名高级住院医师。
给药剂量计算的速度和准确性。
改良图表显著提高了计算的准确性(62/62对43/62,P<0.01[校正])、正确计算的速度(6.8对36.0秒,P<0.0001)以及完成计算的数量(62/62对50/62,P<0.001)。
改良的儿科复苏图表应取代现有的图表。