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首页> 外文期刊>The Internet Journal of Emergency and Intensive Care Medicine >A Survey of Advanced Trauma Life-Support Training Amongst Doctors in Ireland
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A Survey of Advanced Trauma Life-Support Training Amongst Doctors in Ireland

机译：爱尔兰医生进行的高级创伤生命支持培训调查

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The objective of this study was to quantify the number of surgical trainees who were Advanced Trauma Life Support ( ATLS? ) trained in the Republic of Ireland and to assess waiting period to do a course, the effectiveness of the course and difficulties faced by the trainees to do such a course. In July 2000, we undertook a questionnaire based survey involving trainees in the general surgical, orthopaedic, accident and emergency and anaesthetic specialities working in 26 hospitals providing acute trauma care throughout the Irish Republic. Response rate of returned questionnaires was 48.5%. Of the respondents 34 % were ATLS? of which 52% were orthopaedic trainees, 32% were anaesthetic trainees and only 17 % were Accident and Emergency department trainees. Shortage of courses and course centres and long waiting periods, the longest being three years was identified as a cause of the low ATLS ? training numbers. Course numbers and centres have trebled since the study was undertaken hopefully addressing the issue. Introduction Advanced trauma life support (ATLS?) courses were devised by the American College of Surgeons in 1978. Participation in these training programmes is intended to help the medical staff improve the level of trauma care- in the management of polytrauma patients. The participating medical staff includes orthopaedic, general surgery, accident and emergency and anaesthetic subspecialties.All trainee doctors in acute surgical specialities and doctors who are part of the trauma team handling acute accidental emergencies should possess suitable trauma management skills. An advanced trauma life-support course, developed to train medical personnel, teaches a systematic approach to the care of the injured patient. ATLS? has become a desirable or even essential part of training for many surgeons and anaesthetists [1]. Existing studies deal with ATLS? courses that involving the junior residents at the Senior House Officer (SHO) level. Our study involved nonconsultant hospital doctors, including Senior House Officers, Registrars, and Specialist Registrars (SpR). Our aim was to survey the extent of ATLS? training in this group of doctors and to assess waiting period , the effectiveness of the course and difficulties faced by the trainees to do such a course throughout the Republic of Ireland. We also studied the demand for the course, problems obtaining study leave and funding as well as availability of places in the course. Material and Methods This study was undertaken during July 2000 in Waterford Regional Hospital. Questionnaires were sent to1008 trainee doctors in the specialities of accident and emergency, orthopaedics, surgery and anaesthesiology who held a training post in 26 hospitals providing trauma care in the Republic of Ireland. The Questionnaire is displayed in Table 1. Non-responders were contacted by telephone and electronic mails. Second-time non-responders were not contacted again.
机译：这项研究的目的是量化在爱尔兰共和国接受高级创伤生命支持（ATLS？）培训的外科手术学员的数量，并评估等待课程的时间，课程的有效性以及学员所面临的困难做这样的课程。 2000年7月，我们进行了问卷调查，调查对象涉及在爱尔兰共和国境内26家提供急性创伤护理服务的医院中的一般外科，骨科，事故和急诊以及麻醉专业的受训者。问卷回收率为48.5％。在受访者中，有34％是ATLS？其中52％为整形外科实习生，32％为麻醉学实习生，而只有17％为急诊科实习生。课程和课程中心短缺，等待时间长，最长的是三年，这被认为是导致ATLS低的原因？培训编号。自从这项研究有望解决该问题以来，课程编号和中心数量增加了两倍。简介高级创伤生命支持（ATLS？）课程是由美国外科医生学院于1978年设计的。参加这些培训计划的目的是帮助医务人员提高创伤护理的水平-多创伤患者的管理。参与的医务人员包括骨科，普外科，事故和急诊与麻醉亚专业。所有急性外科专业的实习医生和属于处理急性意外紧急情况的创伤小组的医生都应具备适当的创伤处理技能。为培训医务人员而开发的高级创伤生命支持课程，讲授了系统的方法来护理受伤的患者。 ATLS？对于许多外科医生和麻醉师来说，已经成为培训的理想甚至必要的部分[1]。现有研究涉及ATLS？涉及高级内政官（SHO）级别的初级居民的课程。我们的研究涉及非咨询医院的医生，包括高级内政官，注册服务商和专科医生注册服务商（SpR）。我们的目的是调查ATLS的程度？在这批医生中进行培训，并评估等待时间，课程的有效性以及受训者在整个爱尔兰共和国从事此类课程所面临的困难。我们还研究了对课程的需求，获得学习假和资金方面的问题以及课程中的名额。材料和方法这项研究于2000年7月在沃特福德地区医院进行。向事故和急诊，骨科，外科和麻醉学等专业的1008名受训医生发送了问卷，他们在爱尔兰共和国的26家提供创伤护理的医院中担任过培训。问卷调查表显示在表1中。通过电话和电子邮件联系了未答复者。再次没有联系第二次无响应者。

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