针对EMS临床医生的远程支持的基于儿科模拟的程序培训课程:远程合作PECC和儿科专家
Sang Hoon Lee1, Lauren C Riney1, Brant Merkt2
1Department of Pediatrics, College of Medicine, University of Cincinnati School of Medicine, Cincinnati, 3333 Burnet Ave ML 2008, Cincinnati, OH 45229.
Prehospital emergency care
|January 21, 2026
概括
对于紧急医疗服务 (EMS) 临床医生而言,一个新的远程培训计划证明,对于儿科手术技能的传统现场方法来说,它并不逊色. 这种方法提高了EMS提供者对儿科急救护理教育的可访问性.
科学领域:
- 医学教育 医学教育
- 紧急医疗服务 紧急医疗服务
- 儿科重症监护中心儿童重症监护中心
背景情况:
- 紧急医疗服务 (EMS) 的临床医生很少进行关键的儿科手术,需要持续培训才能保持技能.
- 传统的基于模拟的培训 (SBT) 依赖于现场专家,这在可访问性和资源分配方面带来了挑战.
- 儿科紧急护理协调员 (PECC) 是在EMS机构内提供专业培训的关键.
研究的目的:
- 评估远程支持的SBT程序 (远程阶段2) 与现场专家领导的程序 (现场阶段1) 相比,是否不劣.
- 评估提供远程专家支持的儿科程序培训的PECC的有效性.
- 分析袋口罩 (BVM) 通风,Supraglottic装置 (SGD) 放置和骨内 (IO) 导管注射的程序性能.
主要方法:
- 这是一项非随机的前性研究,涉及三个机构的EMS技术人员和护理人员.
- PECC提供了SBT课程,将其纳入一年的定期培训计划.
- 参与者的第一人称视频被提交给两个会议的远程专家评估;数据被纵向分析.
主要成果:
- 在所有评估的程序 (p=1.0) 中,远程支持的程序 (远程阶段2) 与现场程序 (现场阶段1) 不逊色.
- 远程第二阶段的程序性能与现场第一阶段相当;BVM和SGD的性能在第二阶段得到改善 (p<0.05).
- 定性反表明,由于具有竞争性的任务,PECCs面临着日程安排方面的挑战.
结论:
- 远程支持的基于模拟的培训模型是EMS中儿科程序教育的可行替代方案.
- 这种方法证明了在医院前儿科教育中克服与时间,成本和可访问性相关的障碍的潜力.
- PECC可以有效地提供循环,基于证据的儿科培训,在远程专家支持下,保持高技能水平.
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