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首页> 外文期刊>Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine >What should be included in the assessment of laypersons’ paediatric basic life support skills? Results from a Delphi consensus study
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What should be included in the assessment of laypersons’ paediatric basic life support skills? Results from a Delphi consensus study

机译：外行人的儿科基本生活支持技能评估应包括哪些内容？ Delphi共识研究的结果

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Assessment of laypersons’ Paediatric Basic Life Support (PBLS) skills is important to ensure acquisition of effective PBLS competencies. However limited evidence exists on which PBLS skills are essential for laypersons. The same challenges exist with respect to the assessment of foreign body airway obstruction management (FBAOM) skills. We aimed to establish international consensus on how to assess laypersons’ PBLS and FBAOM skills. A Delphi consensus survey was conducted. Out of a total of 84 invited experts, 28 agreed to participate. During the first Delphi round experts suggested items to assess laypersons’ PBLS and FBAOM skills. In the second round, the suggested items received comments from and were rated by 26 experts (93%) on a 5-point scale (1?=?not relevant to 5?=?essential). Revised items were anonymously presented in a third round for comments and 23 (82%) experts completed a re-rating. Items with a score above 3 by more than 80% of the experts in the third round were included in an assessment instrument. In the first round, 19 and 15 items were identified to assess PBLS and FBAOM skills, respectively. The ratings and comments from the last two rounds resulted in nine and eight essential assessment items for PBLS and FBAOM skills, respectively. The PBLS items included: “Responsiveness”,” Call for help”, “Open airway”,” Check breathing”, “Rescue breaths”, “Compressions”, “Ventilations“, “Time factor” and “Use of AED”. The FBAOM items included: “Identify different stages of foreign body airway obstruction”, “Identify consciousness”, “Call for help”, “Back blows“, “Chest thrusts/abdominal thrusts according to age”, “Identify loss of consciousness and change to CPR”, “Assessment of breathing” and “Ventilation”. For assessment of laypersons some PBLS and FBAOM skills described in guidelines are more important than others. Four out of nine of PBLS skills focus on airway and breathing skills, supporting the major importance of these skills for laypersons’ resuscitation attempts. International consensus on how to assess laypersons’ paediatric basic life support and foreign body airway obstruction management skills was established. The assessment of these skills may help to determine when laypersons have acquired competencies. Not relevant.
机译：评估外行人的儿科基本生命支持（PBLS）技能对于确保获得有效的PBLS能力很重要。但是，关于PBLS技能对于非专业人员至关重要的证据有限。在评估异物气道阻塞管理（FBAOM）技能方面也存在同样的挑战。我们旨在就如何评估外行人的PBLS和FBAOM技能建立国际共识。进行了德尔福共识调查。在总共84位受邀专家中，有28位同意参加。在第一轮Delphi回合中，专家提出了一些建议来评估外行人的PBLS和FBAOM技能。在第二轮中，建议的项目收到了26位专家（93％）的评论，并以5分制进行了评分（1？=“与5？无关”）。修改后的项目在第三轮中匿名提交以征求意见，而23名（82％）专家完成了重新评级。在第三轮评估中，超过80％的专家将得分超过3的项目包括在内。在第一轮中，分别确定了19个和15个项目来评估PBLS和FBAOM技能。最近两轮的评级和评论分别得出了PBLS和FBAOM技能的九项和八项基本评估项目。 PBLS项目包括：“响应能力”，“寻求帮助”，“开放呼吸道”，“检查呼吸”，“救援呼吸”，“压缩”，“通气”，“时间因素”和“使用AED”。 FBAOM项目包括：“识别异物气道阻塞的不同阶段”，“识别意识”，“寻求帮助”，“反击”，“根据年龄的胸部推力/腹部推力”，“识别意识丧失和变化CPR”，“呼吸评估”和“通风”。对于外行人员的评估，指南中描述的某些PBLS和FBAOM技能比其他技能更为重要。 PBLS技能中有九分之四专注于呼吸道和呼吸技能，这支持了这些技能对非专业人员进行复苏的重要作用。建立了关于如何评估外行人的儿科基本生活支持和异物气道阻塞管理技能的国际共识。对这些技能的评估可能有助于确定外行何时获得能力。不相关。

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