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Published on: December 6, 2024
Comparison of two teaching methods for stopping the bleed: a randomized controlled trial
Shuangyi Chen1,2, Jinfei Li1,2, Michael A DiNenna3
1Department of Orthopaedic Surgery, The Third Xiangya Hospital of Central South University, Changsha, 410013, China.
The problem-, team-, and evidence-based learning (PTEBL) method combined with a trauma simulator improved "Stop the Bleed" (STB) skills more than traditional methods. This approach enhances confidence and willingness to rescue in doctoral candidates.
Area of Science:
- Medical Education
- Trauma Care
- Surgical Skills Training
Background:
- The
- Stop the Bleed
- (STB) campaign has improved trauma care since 2016.
- Limited research exists on teaching STB using trauma patient simulators.
- This study introduces a novel PTEBL teaching method with a trauma simulator for STB training.
Purpose of the Study:
- To compare the effectiveness of a new PTEBL teaching method combined with a trauma patient simulator (Caesar) against traditional methods for STB skills training.
- To evaluate the impact on doctoral candidates' confidence and willingness to perform haemostasis.
- To assess the role of simulation in enhancing learning and teacher-student interaction.
Main Methods:
- Seventy-eight doctoral candidates were randomly assigned to either a control group (traditional teaching) or an experimental group (PTEBL with Caesar simulator).
- Confidence in STB skills and willingness to rescue were measured before and after the course.
- Statistical analysis was used to compare outcomes between the groups.
Main Results:
- The experimental group showed significantly higher confidence in using bandages and tourniquets compared to the control group (P<0.05).
- More students in the experimental group believed the simulator improved learning (81.8% vs. 55.9%) and reported higher teacher-student interaction (97.7% vs. 85.3%).
- Overall teaching effectiveness was superior in the experimental group (97.7% vs. 85.3%, P=0.042), with a strong correlation between interaction and effectiveness.
Conclusions:
- The PTEBL method combined with the Caesar simulator effectively enhances STB skills mastery in doctoral candidates.
- This simulation-based approach overcomes limitations of traditional teaching methods.
- The findings suggest significant value in adopting this method for advanced STB training programs.
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