开发动静脉瘘出血任务培训器。

IF 1.2 4区 医学 Q3 EMERGENCY MEDICINE Journal of Emergency Medicine Pub Date : 2024-08-06 DOI:10.1016/j.jemermed.2024.07.010
Emily K. Pauw MD, Ryan Walsh MD
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引用次数: 0

摘要

背景:随着终末期肾病在美国越来越普遍,患有动静脉(AV)瘘的美国人也在不断增加。动静脉瘘最令人担忧的并发症之一是危及生命的大出血,因为患者可能在几分钟内就会失血过多:作为一线医护人员,急诊医学(EM)提供者需要能够对这种罕见的表现提供快速有效的治疗。我们开发了一个模拟动静脉瘘出血的任务训练器模型,用于培训急诊科住院医生:这个任务训练器模型是用现成的材料制作的,大约需要 30 分钟。21 名急诊科住院医师参加了培训课程。培训课程包括关于动静脉瘘出血控制的简短说教,然后是任务训练器模型的实际操作。培训结束后,学员们填写了一份匿名调查问卷,对该模型进行评分:结果:住院医师在课后填写了匿名调查问卷,以李克特五点量表对课程进行评分。整体教学课程和任务培训师都获得了很高的评价。与课程前的评分相比,课程后住院医师对处理动静脉瘘出血的信心水平有了统计学意义上的显著提高:据我们所知,这是首个针对急诊科住院医师发布的模拟动静脉瘘出血的任务训练器模型。该模型受到了学员们的欢迎,价格相对便宜,而且材料易于采购。我们相信,该模型可用于所有学科的受训人员,让他们为这种潜在的灾难性病人表现做好准备。
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Development of a bleeding arteriovenous fistula task trainer

Background

As end-stage renal disease becomes more prevalent in the United States, the number of Americans with arteriovenous (AV) fistulas continues to increase. One of the most feared complications of AV fistulas is life-threatening hemorrhage, as patients can exsanguinate within minutes.

Objectives

As frontline healthcare workers, emergency medicine (EM) providers need to be able to provide rapid and effective treatment for this rare presentation. We developed a task trainer model to simulate AV fistula hemorrhage to prepare and train EM residents.

Methods

This task trainer model was constructed with readily available materials and takes about 30 minutes to make. Twenty-one EM residents participated in the training session. The session consisted of a brief didactic on AV fistula hemorrhage control followed by hands on usage of the task-trainer model. The participants filled out an anonymous survey afterwards rating the model.

Results

Residents completed anonymous postcourse surveys rating the session on a five-point Likert scale. Both the overall teaching session and the task trainer were rated very highly. Compared to precourse ratings, residents reported statistically significant postcourse improvements in their level of confidence in managing AV fistula hemorrhage.

Conclusions

To our knowledge, this is the first published task trainer model to simulate a bleeding AV fistula for EM residents. The model was well received by our trainees, is relatively inexpensive, and made from easily sourced materials. We believe this model can be used for trainees of all disciplines to prepare them for this potentially catastrophic patient presentation.

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来源期刊
Journal of Emergency Medicine
Journal of Emergency Medicine 医学-急救医学
CiteScore
2.40
自引率
6.70%
发文量
339
审稿时长
2-4 weeks
期刊介绍: The Journal of Emergency Medicine is an international, peer-reviewed publication featuring original contributions of interest to both the academic and practicing emergency physician. JEM, published monthly, contains research papers and clinical studies as well as articles focusing on the training of emergency physicians and on the practice of emergency medicine. The Journal features the following sections: • Original Contributions • Clinical Communications: Pediatric, Adult, OB/GYN • Selected Topics: Toxicology, Prehospital Care, The Difficult Airway, Aeromedical Emergencies, Disaster Medicine, Cardiology Commentary, Emergency Radiology, Critical Care, Sports Medicine, Wound Care • Techniques and Procedures • Technical Tips • Clinical Laboratory in Emergency Medicine • Pharmacology in Emergency Medicine • Case Presentations of the Harvard Emergency Medicine Residency • Visual Diagnosis in Emergency Medicine • Medical Classics • Emergency Forum • Editorial(s) • Letters to the Editor • Education • Administration of Emergency Medicine • International Emergency Medicine • Computers in Emergency Medicine • Violence: Recognition, Management, and Prevention • Ethics • Humanities and Medicine • American Academy of Emergency Medicine • AAEM Medical Student Forum • Book and Other Media Reviews • Calendar of Events • Abstracts • Trauma Reports • Ultrasound in Emergency Medicine
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