学习者停止出血的结果在非专业教练和紧急医疗服务 (EMS) 培训的教练小组之间
Jeffrey L Pellegrino1, Stephen E Smith1, Abigail Nolan2
1Emergency Management and Homeland Security, The University of Akron, Akron, USA.
Cureus
|October 26, 2023
概括
非专业教师可以有效地教授拯救生命的出血控制技巧. 在"停止出血"课程中,经过非专业人员和紧急医疗服务 (EMS) 培训的教练都取得了相似的结果,证明经验不是有效指导的障碍.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
背景情况:
- "血流控制基础 (BCon) 课程v. 1.0"要求教师拥有特定的医疗保健资格,这限制了潜在的员工参加重要的血流控制培训.
- 替代性"停止出血"课程,如美国红十字会重创急救 (FAST) 课程,没有这些严格的教师要求.
- 这种差异引发了关于学习者成果的问题,当课程由具有不同级别的正式医疗保健或紧急医疗服务 (EMS) 资格证书的教师授课时.
研究的目的:
- 为了比较非专业教师和经过EMS培训的教师之间的技能 (带应用),知识 (认知评估) 和态度 (援助意图) 的学习者成果.
- 评估外教师在促进标准化"停止出血"课程的有效性.
主要方法:
- 在培训结束后,由非专业教师或在FAST计划中接受EMS培训的教师评估学习者的成果.
- 所有教练都接受了相同的培训,作为FAST计划中的新辅导员.
- 测量结果包括正确的带应用 (技能),停止流血教育评估工具 (SBEAT) (知识) 的得分,以及援助意图 (I2A) 调查 (态度).
主要成果:
- 所有的学习者 (n=135) 成功地应用了带,无论教练的背景如何,他们都表现出了相似的技能获得.
- 接受EMS培训的教师授课的学习者 (平均年龄25.5岁) 在SBEAT知识评估中得分明显高 (90.0比83.9分,p=0.001),与非专业教师授课的学习者 (平均年龄16.6分) 相比.
- 在两组学习者在出血紧急情况下提供帮助的意图中没有发现统计差异.
结论:
- 非专业教师和受过EMS培训的教师在提供标准化"停止出血"课程时效率相对较高.
- 之前使用带的经验不应该阻止个人成为停止流血教练.
- 标准化的课程和教师培养计划使不同背景的个人能够有效地教授拯救生命的出血控制能力.
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