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Frances K Woodard¹, Angela S McKeta², Luke Schroeder²

¹Department of Pediatrics, Pediatric Nurse Practitioner, Medical University of South Carolina, 10 McClennan Banks Drive, Charleston, SC, 29425, USA. klinefl@musc.edu.

Pediatric cardiology

|August 21, 2024

概括

在现场模拟训练显著改善了儿科心脏骤停反应时间和生存率. 这项培训提高了代码团队的表现,导致重症监护病房患者的治疗结果更好.

科学领域:

儿童心脏病学儿童心脏病学
医疗模拟医疗模拟
紧急医疗紧急医疗

背景情况:

患有心脏病的儿童面临更高的医院内心脏骤停的风险.
在重症监护室 (ICU) 外的罕见心脏骤停可能会挑战代码团队的表现.
在心脏骤停期间,迅速给药上腺素对于存活和神经结果至关重要.

研究的目的:

评估现场模拟培训对儿科心脏急性护理单位 (PCACU) 代码团队绩效的影响.
评估模拟实施后对第一个上腺素剂量和生存率的时间变化.

主要方法:

从2015年8月开始,PCACU进行了中度保真现场模拟培训.
一个由护士,医生和高级实践提供者的跨专业团队为培训提供了便利.
对模拟和实际心脏骤停的上腺素时间的数据收集到2022年5月.

主要成果:

对于模拟无脉冲电活动 (PEA) 场景 (5到3分钟) 观察到上腺素的时间减少.
在模拟之后,PCACU中的实际心脏骤停显示,上腺素 (8到2分钟) 的时间显著减少.
在心脏骤停后,存活到出院的时间在训练后显著改善 (0%至64%,p=0.02).

结论:

在现场模拟练习有效地提高了代码团队的表现,特别是上腺素给药的时间.
通过模拟培训优化代码团队的响应,可以提高儿童心脏护理中的患者存活率和结果.

关键词:

心脏骤停是因为心脏停止了.心脏病学心脏病学儿科儿科儿科模拟模拟是为了模拟.

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