在模拟的医院前环境中对创伤性心脏骤停进行紧急反射动作演练;一组干预前后干预研究
Irene Bijl1, Niek J Vianen2, Esther M M Van Lieshout2
1Nursing Sciences, Program in Clinical Health Sciences, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands; Trauma Research Unit Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam The Netherlands.
Intensive & critical care nursing
|June 1, 2024
概括
创伤性心脏骤停 (TCA) 的紧急反射动作演练 (ERAD) 显著减少可逆原因的治疗时间. 这种TCA-Drill提高了紧急医疗服务护士在高压情况下的表现和信心.
科学领域:
- 紧急医疗 紧急医疗
- 心脏病学 心脏病学
- 医疗模拟 医疗模拟
背景情况:
- 紧急反射动作练习 (ERADs) 旨在减少高紧急事件期间的认知负载.
- 创伤性心脏骤停 (TCA) 需要快速识别和治疗可逆原因.
- 这项研究开发和评估了一个ERAD,TCA-Drill,用于地面紧急医疗服务 (EMS) 护士.
研究的目的:
- 开发和测试TCA-Drill的有效性,以改善EMS护士在目击创伤性心脏骤停场景中的表现.
- 评估TCA-Drill对解决TCA可逆原因所需时间的影响.
- 为了评估EMS护士使用TCA-Drill的自我信心的变化.
主要方法:
- 采用了前性,实验性,一组前后干预研究设计.
- 地面的EMS护士参与了模拟的TCA场景,在会话之间接受了TCA-Drill的培训.
- 干预前后测量了坚持,解决可逆原因的时间和自信.
主要成果:
- TCA-Drill显著减少了整体中位时间来解决TCA的可逆原因 (132s vs 110s).
- 在坚持TCA-Drill.的参与者中,出血控制时间显著减少 (58s vs. 37s).
- 在13项调查项目的11项中,对临床实践的自信显著增加.
结论:
- 在模拟设置中,TCA-Drill有效地减少了管理TCA可逆原因的时间,而不会延迟胸部压缩.
- 这种TCA-Drill可以很容易地教给EMS护士.
- 实施TCA-Drill提高了EMS护士在管理TCA患者时的自信.
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