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首页> 外文期刊>Burns: Including Thermal Injury >Effect of training in the Emergency Management of Severe Burns on the knowledge and performance of emergency care workers as measured by an online simulated burn incident.
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Effect of training in the Emergency Management of Severe Burns on the knowledge and performance of emergency care workers as measured by an online simulated burn incident.

机译：通过在线模拟烧伤事件衡量，严重烧伤应急管理培训对应急护理人员的知识和绩效的影响。

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OBJECTIVE: To determine the value of training for the Emergency Management of Severe Burns (EMSB) for medical and nursing staff working in emergency care as measured by their performance in a simulated burn incident online program. METHODS: An Internet-based questionnaire, which included a simulated burn incident, was developed. All of the medical and nursing staff in hospital emergency departments and ambulance services in the Netherlands were invited to complete this questionnaire. The effect of EMSB training on the individual's knowledge of and performance in the emergency management of a burn victim was evaluated because some of the respondents had participated in EMSB training, whereas others had not. RESULTS: Of the 280 responses received, 198 questionnaires were included in the analysis. The analyzed questionnaires were submitted by nurses (43%), ambulance workers (33%), and physicians (23%). Only 14% of the people in the study had participated in EMSB training, whereas 78% had received other or additional life support training and 22% of respondents had no additional life support training. Medical and nursing staff who had participated in EMSB training performed better in the following subjects: mentioning hypothermia as a focus of attention (70% versus 53%, p=0.085), correct use of hand size (70% versus 36%, p=0.001) and use of the correct hand percentage in the estimation of total body surface area (TBSA, 82% versus 57%, p=0.015), suspicion of no airway obstruction in an outdoor trauma (93% versus 63%, p = 0.002) and referral of functional area burns to a burn center (22% versus 8%, p = 0.04). However, both groups overestimated the TBSA (34% of the total group overestimated >/= 20%) and did not know the correct formula for fluid resuscitation (87% of the total group). CONCLUSION: There is some evidence that medical staff members who have participated in EMSB training have a better knowledge of emergency management and are more effective in the management of a simulated burn case. However, both individuals who had participated in EMSB as well as those who had not participated in EMSB needed additional training in EMSB.
机译：目的：根据在模拟烧伤事故在线程序中的表现来确定对急诊工作的医护人员进行重度烧伤应急管理（EMSB）培训的价值。方法：开发了基于互联网的问卷，其中包括模拟的烧伤事件。荷兰医院急诊科和救护车服务部门的所有医护人员均应填写此调查表。评估了EMSB培训对个人对烧伤受害者应急管理知识和绩效的影响，因为一些受访者参加了EMSB培训，而其他受访者则没有。结果：在收到的280份答复中，分析了198份问卷。分析的问卷由护士（43％），救护人员（33％）和医生（23％）提交。该研究中只有14％的人参加了EMSB培训，而78％的人接受了其他或额外的生命支持培训，而22％的受访者没有额外的生命支持培训。参加EMSB培训的医护人员在以下主题中表现更好：提及体温过低（70％对53％，p = 0.085），正确使用手掌大小（70％对36％，p = 0.001），并使用正确的手部百分比估算身体总表面积（TBSA，82％对57％，p = 0.015），怀疑在室外创伤中无气道阻塞（93％对63％，p = 0.002） ），然后将功能区烧伤转移到烧伤中心（22％对8％，p = 0.04）。但是，两组都高估了TBSA（占总组的34％，高估了> / = 20％），并且不知道正确的液体复苏公式（占组的87％）。结论：有证据表明，参加过EMSB培训的医务人员对紧急情况的管理有更好的了解，并且在模拟烧伤病例的管理方面更有效。但是，既参加过EMSB的个人，也参加过未参加EMSB的个人都需要接受EMSB的额外培训。

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