在急诊室实施超声波引导的神经阻塞:一种低成本,低保真度的培训方法
Carrie D Walsh1, Irene W Y Ma2, Andrew J Eyre3
1Harvard Affiliated Emergency Medicine Residency Program, Department of Emergency Medicine Mass General Brigham Boston Massachusetts USA.
AEM education and training
|October 11, 2023
概括
模拟课程提高了急诊室 (ED) 提供者在超声波导向神经阻塞 (UGNBs) 的技能. 虽然观察到能力和信心的短期增长,但长期改善需要调整课程以持续临床应用.
科学领域:
- 紧急医疗 紧急医疗
- 医疗模拟 医疗模拟
- 超声波引导的程序 超声波引导的程序
背景情况:
- 急性疼痛管理是急诊室 (ED) 的一个重大挑战.
- 超声导向神经阻塞 (UGNBs),虽然在外科治疗中很常见,但在ED环境中未得到充分利用.
- 需要有效的培训来增加基于ED的UGNB采用.
研究的目的:
- 开发和评估一个低成本,低可靠性模拟为UGNBs基于培训课程.
- 提高紧急医生的程序能力和对执行UGNBs的信心.
- 评估模拟培训对UGNBs临床应用的影响.
主要方法:
- 为ED医生进行了为期2小时的面对面模拟培训课程.
- 培训包括教学指导和使用基于猪肉的UGNB模型的实践实践.
- 通过培训前,培训后和3个月后续的调查来评估知识,能力和信心.
主要成果:
- 知识和能力分数在培训后立即显著增加 (p < 0.001).
- 这些得分在3个月后下降,但仍然高于基线 (p = 0.03).
- 自我报告的对执行UGNB的信心在培训后增加 (p = 0.002),但在3个月后恢复到基线 (p = 0.30).
结论:
- 低成本的模拟课程有效地提高了对ED UGNBs的短期能力和信心.
- 知识和信心的持续改善显示出积极的趋势.
- 进一步完善课程是必要的,以确保长期的信心和增加在EDUUGNBs的临床使用.
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