儿科难以呼吸道模拟日 儿科难以呼吸道模拟日
Sarah Chen1, Abha Athale1, Anne Runkle1,2
1Nationwide Children's Hospital, Division of Emergency Medicine, Columbus, OH.
Journal of education & teaching in emergency medicine
|February 9, 2026
概括
这次模拟研讨会提高了儿科急诊医学研究员在管理困难的儿科呼吸道方面的信心和技能. 实习生在不经常进行的手术中显示出显著的收益,例如布吉辅助输管.
科学领域:
- 医学教育 医学教育
- 紧急医疗 紧急医疗
- 儿科重症监护 儿科重症监护
背景情况:
- 儿科输管是一种高急性,低频的事件,由各种患者因素复杂化.
- 以前的基于模拟的气道教育专注于一般EM,麻醉和重症监护学员.
- 之前没有一项研究报告过专门针对儿科急诊医学 (PEM) 实习生的困难呼吸道过程.
研究的目的:
- 提高学习者对关键儿科气道手术的信心和技能.
- 开发和评估一个专注的,为期一天的模拟研讨会,用于PEM奖学员.
- 为了涵盖ED特异性的儿科难以呼吸的气道内容.
主要方法:
- 为期一天的,为期六个站的模拟研讨会,面向PEM研究员.
- 包括各种困难的气道场景 (新生儿,吸入伤害,污染,肥胖,失败的气道) 的高和低保真模拟.
- 整合了一个基于讨论的站点,讨论生理上困难的输管术和研讨会前后的调查.
主要成果:
- 在PEM同学知识和对bougie辅助输内管和超角度视频喉腔镜使用的信心显著改善.
- 改善了管理解剖学上困难,生理上困难和失败的呼吸道的知识.
- 直接喉镜,视频喉镜或喉口罩呼吸道放置的信心没有显著改善.
结论:
- 一天的专注模拟研讨会可以有效地提高PEM研究员在关键气道管理方面的技能和信心.
- 研讨会成功地解决了在不经常执行的儿科紧急情况中的知识差距.
- 气道外体管理被确定为需要进一步培训的领域.
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