在基于模拟的掌握学习课程之后,在新手提供者中保留路线甲状腺切除术技能
Laura S Kraemer1,2, Joseph Lopreiato1, Haana McMurray1,3
1School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.
Military medicine
|April 23, 2024
概括
随着时间的推移,手术甲状腺切除术的技能显著下降. 定期的升级培训,理想情况下每6个月一次,对于战斗第一反应者来说至关重要,以保持这种救命程序的熟练程度.
科学领域:
- 紧急医疗 紧急医疗
- 进行外科手术技能培训.
- 医疗模拟 医疗模拟
背景情况:
- 呼吸道阻塞是可预防的战场死亡的主要原因之一.
- 手术甲状腺切除术 (SC) 是战斗急救人员的关键技能.
- 随着时间的推移,技能退化需要了解SC技能保留率.
研究的目的:
- 在基于模拟的掌握学习后,评估外科cricothyroidotomy (SC) 技能的持久性.
- 为了确定SC技能保留率在6,12和24个月的培训后.
- 评估复习培训对SC技能保留的影响.
主要方法:
- 一个随机前性试验,涉及参与者重新训练在SC.
- 在6,12和24个月,在模拟的路途MEDEVAC场景中进行了重复测试.
- 使用完成时间和标准化检查清单来评估绩效;24个月的队列接受了复习培训.
主要成果:
- 在6个月和12个月后,观察到程序时间的显著增加和检查清单分数的下降.
- 在6个月 (31.82%) 和12个月 (14.29%) 时,技能保留满足掌握标准 (≤40s,≥9/10清单) 低.
- 24个月的队列,经过复习培训,与初始培训没有显著差异,60%的人满足了掌握标准.
结论:
- 在初始掌握训练后,手术甲状腺切除术的技能显著下降.
- 简短的复习课程可以大大提高技能保留.
- 为了确保最佳的熟练程度,SC技能应至少每6个月更新一次.
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