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Student paramedic experience with prehospital cardiac arrest cases in Johannesburg, South Africa.

机译:南非约翰内斯堡的院前心脏骤停病例的学生护理人员经验。

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OBJECTIVE: To describe the exposure of paramedic students studying at university level to prehospital cardiac arrest cases encountered during clinical learning. METHOD: Prehospital cardiac arrest cases included in an electronic clinical learning database between 2001 and 2007 were extracted and subjected to descriptive analysis in terms of student exposure and resuscitation-related procedures carried out by students. RESULTS: On average, approximately 50% of first-and second-year students had any exposure to adult cardiac arrest cases, whereas approximately 75% of third-year students did. Very few students had any exposure to pediatric cases. Students who were exposed to cardiac arrest cases averaged two cases in the first and second years and three cases in the third year. The average maximum exposure for first-and second-year students was four cases and the average for third-year students was six cases. Less than half of the students exposed to cardiac arrest cases in any academic year of study were able to practice basic adult or pediatric resuscitation-related procedures. Relatively few students had any experience of adult or pediatric venous cannulation or management of patients with return of spontaneous circulation. CONCLUSION: In general, the exposure of paramedic students to prehospital cardiac arrest cases was low, as was their opportunity to practice resuscitation procedures in this context.
机译:目的:描述在大学学习的医护人员学生在临床学习期间遇到的院前心脏骤停的情况。方法:提取2001年至2007年间电子临床学习数据库中包括的院前心脏骤停病例,并根据学生的暴露情况和学生进行的与复苏相关的程序进行描述性分析。结果:平均而言,大约50%的一年级和二年级学生有任何成年人心脏骤停病例的暴露,而大约75%的三年级学生有。很少有学生接触过小儿科病例。暴露于心脏骤停病例的学生在第一和第二年平均为2例,第三年平均为3例。一,二年级学生的平均最大暴露量为四例,三年级学生的平均最大暴露量为六例。在任何学习年中,只有不到一半的暴露于心脏骤停病例的学生能够进行基本的成人或小儿复苏相关程序。相对而言,很少有学生具有成人或小儿静脉插管或自发性循环恢复的患者管理经验。结论:一般而言,护理人员的学生在院前心脏骤停病例中的暴露率很低,在这种情况下他们实践复苏程序的机会也很低。

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