临床儿科杂志 ›› 2015, Vol. 33 ›› Issue (4): 364-.doi: 10.3969 j.issn.1000-3606.2015.04.019

• 综合报道 • 上一篇    下一篇

儿童创伤生命支持培训课程的实践与思考

林强,杜奇容,潘曙明,赵洁,黄四平,牛磊   

  1. 上海交通大学医学院附属新华医院急诊科( 上海 200092)
  • 收稿日期:2015-04-15 出版日期:2015-04-15 发布日期:2015-04-15
  • 通讯作者: 杜奇容 E-mail:duqirong@hotmail.com

The practice and outlook of pediatric trauma life support curriculum

LIN Qiang, DU Qirong, PAN Shuming, ZHAO Jie, HUANG Siping, NIU Lei   

  1. Emergency Department, Shanghai Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200092, China
  • Received:2015-04-15 Online:2015-04-15 Published:2015-04-15

摘要: 目的 探讨儿童创伤生命支持(pediatric trauma life support,PTLS)培训课程对提高儿童创伤急救能力的作用。方法 采用国际创伤生命支持学会的PTLS课程对从事儿童创伤急救的医护人员进行培训,培训分为理论课和实践课,注重于提高学员的现场判断能力和急救技能。结果 培训后学员的理论测试成绩较培训前提高,合格率、优秀率也有提高,差异均有统计学意义(P<0.01)。学员的技能考核和仿真模拟考核均达到合格,其中优秀率依次为,转运固定技能42.62%,初级、高级气道管理81.97%,休克判断和处理70.49%,仿真模拟考核72.13%。院内组的培训前理论成绩显著高于院前组(P<0.01),培训后院内组仍高于院前组,差异有统计学意义(P<0.01)。结论 经PTLS培训后,学员的理论、实践和综合救治能力得到提高,团队合作精神得到加强。

Abstract:  Objectives To investigate the effect of pediatric trauma life support (PTLS) curriculum on the improvement of rescue skill for pediatric trauma patients. Methods PTLS course was introduced to train medical staff engaging in pediatric critical trauma care. The course included theoretical and practical part with main focus on enhancement of students’ decision on scene and rescue skill. Results Compared with pre-training, the students’ post-training written test scores improved significantly, and the rates of qualification and excellence were improved significantly (P<0.01). All students were qualified for the tests of skill stations and simulation scenario. The excellence rates of the tests were as follows: fixation and transportation 42.62%, basic and advanced airway management 81.97%, shock evaluation and management 70.49%, simulation scenario 72.13%. Both pre-training and post-training written test scores in hospital group were significantly higher than those in pre-hospital group (P<0.01). Conclusions After PTLS courses, the knowledge, practice and integrated life-saving skills of students are greatly improved and teamwork is strengthened.