临床程序指导下急诊气道管理课程培训初探

Feng Sun, Y. Wang, Yangyang Fu, J. Dai, Huadong Zhu, Xuezhong Yu, Jun Xu
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引用次数: 0

摘要

目的从培训的角度促进急诊气道管理,探索基于临床程序的急诊气道管理培训模式。方法按照以患者安全为中心的临床治疗原则,结合临床实际,设计气道管理培训课程。该课程以气道管理的CHANNEL过程为主线,重点介绍人工通气、氧气治疗和插管技术的快速诱导。在教学中,我们以临床处理过程为主线,采用设备展示、视频展示和现场讲解的方式。课程是免费注册或东方招生。使用在线问卷收集学生课后的反馈,然后进行分析。结果共在全国13个城市举办了15次培训,566人参加,共收到185份问卷回复。关于单项课程的内容,参与者认为前三部分很难理解,包括氧气治疗(48.25.9%)、通道过程解释和实践(48.25.4%)和插管过程快速诱导(47.25.4%),140人(75.7%)部分改变了紧急气道管理的工作程序,4人(2.2%)仍使用原工作程序。结论基于临床程序的急诊气道管理课程符合当前临床需要,可以更好地提高临床能力的培养。关键词:紧急气道管理;培训;能力
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Preliminary exploration on training of emergency airway management course guided by clinical procedure
Objective To promote emergency airway management from the perspective of training and to explore the training mode of emergency airway management based on clinical procedures. Methods Airway management training courses were designed according to the clinical treatment principle centered on patient safety in combination with actual clinical procedures. The course took the CHANNEL process of airway management as the main line and focused on artificial ventilation, oxygen therapy and rapid induction of intubation techniques. During the teaching, we took the clinical handling process as the main line, and adopted methods of equipment display, video presentation and on-site explanation. Courses were freely registered or oriental enrollment. Online questionnaires were used to collect feedback from the students after class and were then analyzed. Results A total of 15 training sessions were held in 13 cities across the country, with 566 participants, and 185 questionnaire responses were received. About the content of single course, participants thought that the first three parts were difficult to understand, including oxygen therapy (48, 25.9%), CHANNEL process explanation and practice (48, 25.9%) and rapid induction of intubation process (47, 25.4%). After class, 41 participants (22.2%) changed work procedures of emergency airway management, 140 (75.7%) partially changed work procedures of emergency airway management, and 4 (2.2%) still used the original work procedure. Conclusion The course of emergency airway management based on clinical procedures meets the current clinical needs and can better improve the training of clinical competency. Key words: Emergency airway management; Training; Competency
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