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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >An Online Training Intervention on Prehospital Stroke Codes in Catalonia to Improve the Knowledge Pre-Notification Compliance and Time Performance of Emergency Medical Services Professionals
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An Online Training Intervention on Prehospital Stroke Codes in Catalonia to Improve the Knowledge Pre-Notification Compliance and Time Performance of Emergency Medical Services Professionals

机译：在加泰罗尼亚的预孢子中风代码对急诊医疗服务专业人员的知识前通知合规性和时间绩效的在线培训干预

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Strokes are a time-dependent medical emergency. The training of emergency medical service (EMS) professionals is essential to ensure the activation of stroke codes with pre-notification, as well as a rapid transfer to achieve early therapy. New assessment scales for the detection of patients with suspected large vessel occlusion ensures earlier access to endovascular therapy. The aim of this study was to evaluate the impact on an online training intervention focused on the Rapid Arterial oCclusion Evaluation (RACE) scoring of EMS professionals based on the prehospital stroke code in Catalonia from 2014 to 2018 in a pre–post intervention study. All Catalonian EMS professionals and the clinical records from primary stroke patients were included. The Kirkpatrick model guided the evaluation of the intervention. Data were collected on the knowledge on stroke recognition and management, pre-notification compliance, activated stroke codes and time performance of EMS professionals. Knowledge improved significatively in most items and across all categories, reaching a global achievement of 82%. Pre-notification compliance also improved significantly and remained high in the long-term. Increasingly higher notification of RACE scores were recorded from 60% at baseline to 96.3% in 2018, and increased on-site clinical care time and global time were also observed. Therefore, the online training intervention was effective for increasing EMS professionals’ knowledge and pre-notification compliance upon stroke code activation, and the wide adoption of a new prehospital scale for the assessment of stroke severity (i.e., the RACE scale) was achieved.
机译：笔画是一个时间依赖的医疗紧急情况。应急医疗服务（EMS）专业人员培训至关重要，以确保使用前通知，以及实现早期治疗的快速转移。用于检测疑似大血管闭塞患者的新评估尺度可确保早期获得血管内疗法。本研究的目的是评估在2014年至2018年在术后干预研究中，根据加泰罗尼亚的急性中风代码，对EMS专业人员的快速动脉闭塞评估（比赛）评估的影响。所有加泰罗尼亚EMS专业人士和初级中风患者的临床记录都被包括在内。 KirkPatrick模型引导了对干预的评估。关于关于中风识别和管理的知识，预先通知遵守，激活的笔划代码和EMS专业人员的时间表现的数据收集了数据。知识在大多数物品和所有类别中具有重要意义，达到了全球成就82％。通知合规性也在长期内显着提高，仍然很高。越来越高的种族评分通知从基线的60％记录到2018年的96.3％，并且还观察到增加的现场临床监护时间和全球时间。因此，在线培训干预措施对提高EMS专业人员的知识和通知遵守对中风守则激活的遵守，以及为评估中风严重程度评估的新的预孢子规模而采用了广泛的采用。

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