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Performance of resuscitation skills by paramedic personnel in chemical protective suits.

机译:医护人员在化学防护服中的复苏技能表现。

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Objectives. Determine whether wearing a chemical protective suit increases time to successful completion of four resuscitation skills. Methods. This prospective experimental study examined the ability of civilian paramedic personnel to complete four resuscitative skills (electrical defibrillation, administration of epinephrine subcutaneously, intravenous cannulation, and tracheal intubation) carried out using standard methods on mannequins under two test conditions (wearing the protective suit and not wearing the suit). Primary outcome was time to successful completion of each skill. Results. Sixteen paramedics were enrolled and completed each skill under two test conditions. Paramedics took longer to complete administration of epinephrine (87 vs. 60 seconds; p < 0.01) and intravenous cannulation (220 vs. 158 seconds; p < 0.01) tasks when wearing a protective suit. Wearing the suit did not impair electrical defibrillation (57 vs. 46 seconds) or tracheal intubation (79 vs 69 seconds). Conclusions. Chemical protective suit use increased time to successful completion of resuscitation skills where fine motor skills are required, namely administration of epinephrine subcutaneously and intravenous cannulation, but did not increase time to successful completion of resuscitation skills requiring gross motor skills, namely electrical defibrillation and tracheal intubation.
机译:目标。确定穿着化学防护服是否会增加成功完成四种复苏技能所需的时间。方法。这项前瞻性实验研究检查了民用医务人员完成四种复苏技能(电除颤,皮下注射肾上腺素,静脉内插管和气管插管)的能力,并在两种测试条件下(穿着防护服和不穿着防护服)对人体模型进行了标准方法穿着西装)。主要结果是成功完成每项技能的时间。结果。招募了十六名护理人员,并在两种测试条件下完成了每种技能。穿着防护服时,医护人员需要更长的时间才能完成肾上腺素的给药(87 vs. 60秒; p <0.01)和静脉插管(220 vs. 158秒; p <0.01)。穿着该套装不会损害除颤(57 vs. 46秒)或气管插管(79 vs 69秒)。结论。化学防护服的使用增加了成功完成需要精细运动技能的复苏技能的时间,即皮下注射肾上腺素和静脉内插管,但并没有增加成功完成需要总体运动技能(如电除颤和气管插管)的时间。

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