管理医疗紧急情况:卢旺达可持续的院前医学教育

Q4 Medicine
A. Shustak, J. M. Uwitonze, J. Kabagema, M. Wojick, B. Asay, A. Louka, L. Wolfe, T. Dushime, S. Jayaraman
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引用次数: 0

摘要

& # x0D;& # x0D;& # x0D;导读:在卢旺达,截至2016年,非传染性疾病占报告死亡总数的44%。然而,关于中低收入国家紧急医疗条件的院前管理的数据非常有限。我们评估了院前医疗急救培训课程和急救医疗服务(SAMU)培训师培训计划对解决非传染性疾病负担的影响。方法:对25名SAMU工作人员进行100个问题的基线评估,评估他们的基本解剖学、生理学、医学、产科、儿科、创伤和现场安全知识。制定了为期两天的紧急医疗护理课程。两个队列(一个为指导员,另一个为工作人员)来自十个区级和省级医院。此外,我们还举办了为期一天的教师培训课程。然后他们教第二批受训人员(EMCC 2)。结果:在25名SAMU工作人员的基线评估中,总体得分中位数为56%,内科得分中位数为54%。对18名参与者进行配对分析,EMCC 1中位得分为43%对86%(前后),p< 0.001。对16名参与者进行配对分析,EMCC 2中位得分为45%对82%(术前对术后),p< 0.001。单因素方差分析均方分析显示,两组训练后得分相近,无统计学差异。 讨论:这项研究表明,该课程提高了地区和省级医院教员核心和工作人员的知识,证实了培训教员模式的有效性,这将使卢旺达的院前急救医疗培训具有可持续性。 & # x0D;& # x0D;
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Managing medical emergencies: Sustainable pre-hospital medical education in Rwanda
INTRODUCTION: In Rwanda, non-communicable diseases accounted for 44% of all reported deaths as of 2016. Yet, there is very limited data on pre-hospital management of emergency medical conditions in LMICs. We evaluated the impact of a pre-hospital medical emergencies training course and train-the-trainers program for Service d’Aide Medicale Urgente (SAMU) to address the burden of NCDs. METHODS: A 100-question baseline assessment was administered to 25 SAMU staff to assess knowledge of basic anatomy, physiology, medicine, obstetrics, pediatrics, trauma, and scene safety. A two-day Emergency Medical Care Course (EMCC) was developed. Two cohorts (one for instructors and another one for staff) from ten district and provincial hospitals. EMCC 1 and a one- day educator course were conducted for the instructor core. They then taught the second cohort of trainees (EMCC 2). RESULTS: In the baseline assessment of 25 SAMU staff, the median score was 56% overall and 54% in medical. EMCC 1 median scores were 43% vs 86% (pre vs post), p<0.001 using matched pair analysis of 18 participants. EMCC 2 median scores were 45% vs 82% (pre vs post), p<0.001 using matched pair analysis of 16 participants. A one-way ANOVA mean square analysis showed no statistically significant difference between the two cohorts post-training, with similar post- assessment scores. DISCUSSION: This study showed that the course improved knowledge for an instructor core and staff from district and provincial hospitals, confirming the effectiveness of a train-the-trainers model, which will allow for sustainability in pre-hospital emergency medical training in Rwanda.
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来源期刊
Rwanda Medical Journal
Rwanda Medical Journal Medicine-Medicine (all)
CiteScore
0.20
自引率
0.00%
发文量
31
审稿时长
7 weeks
期刊介绍: The Rwanda Medical Journal (RMJ), is a Not-For-Profit scientific, medical, journal that is published entirely online in open-access electronic format. The RMJ is an interdisciplinary research journal for publication of original work in all the major health disciplines. Through a rigorous process of evaluation and peer review, The RMJ strives to publish original works of high quality for a diverse audience of healthcare professionals. The Journal seeks to deepen knowledge and advance scientific discovery to improve the quality of care of patients in Rwanda and internationally.
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