Effectiveness of short-term resuscitation training programming among medical trainees of a peripheral medical college and practicing professionals

Rohini Sharma, Arvind Kumar, U. Baitha, Neeraj Swarnkar, C. Unnikrishnan, Abhinav Kumar, U. Kumar, Vishwajeet Singh, V. Vishwakarma, P. Ranjan, N. Wig
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Abstract

Background: Resuscitation in trauma and nontrauma patients (RTNTP) is essential for prompt recognition, timely prevention, and effective management of life-threatening emergencies (LTEs). Optimal knowledge and skills of health-care providers (HCPs) are most important. Structured resuscitation training programs are lacking in peripheral districts and medical colleges to the best of our knowledge. Materials and Methods: A 3-day short training program on RTNTP was conducted in the month of February 2020 at the Bihar Orthopedic Association Conference, in which trainees from the peripheral medical colleges of the districts and practitioners participated. A preformed study questionnaire consisting of 20 questions on general awareness, knowledge, and skills was used for pre- and posttest training assessment in RTNTP among 37 participants. Results: The knowledge of resuscitation among participants improved from a score of 10.8–89.1% (range: 78.3, median: 51.3 with an interquartile range [IQR] of [16.2–68.8] 52.6) to 94.5%–100%. The same for general awareness and skill improved from scores of 5.4–91.8% (range: 86.4, median: 37.8 with an IQR of [27–72.9] 45.9) to 91.8%–100% and for skills 18.9%–67.5% (range: 48.6, median: 27 with an IQR of [67.5–18.9] 48.6) to 94.5%–100%, respectively. The availability and accessibility of RTNTP trainings are critically limited in India. Conclusion: By introducing short-term training courses regularly in the academics (wherever lacking, more so in peripheries) to HCPs, their skills for effectively managing the LTEs can be enhanced and stable changes can be made for quality care in LTEs.
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周边医学院实习生与执业人员短期复苏培训规划的效果分析
背景:创伤和非创伤患者的复苏(RTNTP)对于及时识别、及时预防和有效管理危及生命的紧急情况(lte)至关重要。卫生保健提供者(HCPs)的最佳知识和技能最为重要。据我们所知,外围地区和医学院缺乏结构化的复苏培训课程。材料与方法:于2020年2月在比哈尔邦骨科协会会议上开展了为期3天的RTNTP短期培训项目,来自各区周边医学院的学员和从业人员参加了该项目。采用一份包含20个问题的预编制研究问卷,对37名参与者进行RTNTP测试前和测试后的培训评估,问卷内容涉及一般意识、知识和技能。结果:参与者的复苏知识得分从10.8-89.1%(范围:78.3,中位数:51.3,四分位数间距[IQR][16.2-68.8] 52.6)提高到94.5%-100%。同样,一般意识和技能的得分分别从5.4-91.8%(范围:86.4,中位数:37.8,IQR为[27 - 72.9]45.9)提高到91.8%-100%,技能的得分从18.9%-67.5%(范围:48.6,中位数:27,IQR为[67.5-18.9]48.6)提高到94.5%-100%。在印度,RTNTP培训的可获得性和可获得性非常有限。结论:通过定期在学术机构(尤其是周边地区)为医护人员引入短期培训课程,可以提高他们有效管理ltte的技能,并为ltte的高质量护理做出稳定的改变。
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