Lester C A, Morgan C L, Donnelly P D, Assar D
Centre for Applied Public Health Medicine, University of Wales College of Medicine, Lansdowne Hospital, Canton, Cardiff, UK.
Resuscitation. 1997 Feb;34(1):43-9. doi: 10.1016/s0300-9572(96)01046-5.
The resuscitation community is now moving towards a set of basic life support guidelines but different countries and training centres have their own individual methods of instruction. It would be advantageous if a universal testing method were available to facilitate intercentre comparison. This could lead to an international course which had been rigorously assessed and evaluated. Taking this as a starting point, the Cardiff Assessment of Response and Evaluation (CARE) was developed. CARE is an innovative assessment technique using video recording for testing the preliminary steps of life support as outlined by the European Resuscitation Council. The assessment was validated by testing 67 members of the public who had been trained in cardiopulmonary resuscitation, 27 shortly after instruction and 40 between 6 and 18 months after instruction. All subjects were tested without prior warning and video recorded for independent scoring by two researchers and a paramedic training officer. Scores were compared using the k correlation which showed a high level of agreement between observers. Video recording and marking using the CARE schedule and guidelines is a reliable method for assessing the preliminary steps in life support.
复苏领域目前正朝着一套基本生命支持指南发展，但不同国家和培训中心有各自独特的教学方法。如果能有通用的测试方法来促进中心间的比较，那将大有裨益。这可能会催生一门经过严格评估的国际课程。以此为出发点，开发了加的夫反应与评估测评（CARE）。CARE是一种创新的评估技术，利用视频记录来测试欧洲复苏委员会概述的生命支持初步步骤。通过对67名接受过心肺复苏培训的公众进行测试来验证该评估，其中27人在培训后不久接受测试，40人在培训后6至18个月接受测试。所有受试者在没有事先通知的情况下接受测试，并进行视频记录，由两名研究人员和一名护理人员培训官进行独立评分。使用k相关性比较分数，结果显示观察者之间的一致性程度很高。使用CARE时间表和指南进行视频记录和评分是评估生命支持初步步骤的可靠方法。
