在医学院校开展止血®活动：早期宣传和可喜成果

Q3 Medicine

American journal of disaster medicine Pub Date : 2024-04-01 DOI:10.5055/ajdm.0477

Jeremy Fridling, Brad Chernock, Tessa Goebel, Alyssa Tutunjian, Adam D. Fox, Jane Keating, Lenworth Jacobs

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引用次数: 0

摘要

目的：我们假设，医科学生将从止血培训中获得力量，并支持将止血® (STB) 纳入医学教育。设计：这是一项多机构调查研究。课程结束后立即进行调查，课程结束 6 个月后进行调查。设置：本研究在美国医学院协会认证的美国医学院进行。参与者：参与者为参与院校的一年级医学生。共有 442 名学生完成了课程后调查，213 名学生（48.2%）还完成了 6 个月的跟踪调查。干预：1小时的STB面授课程。主要结果测量：通过李克特量表评分（1 分（非常不同意）至 5 分（非常同意））来衡量学生的能力。此外，还测量了出血控制技能的使用情况。结果：共有 419 名学生（95.9%）肯定该课程教授了控制出血的基础知识，169 名学生（79.3%）在后续调查中做出了积极回应，Likert 反应显著下降（4.65, 3.87, p < 0.001）。423 名学生（97.0%）确认他们会在病人身上应用止血技能，192 名学生（90.1%）在随访时做出了积极回应（4.61, 4.19, p < 0.001）。361名学生（82.8%）认为他们有能力挽救生命，109名学生（51.2%）在随访时做出了积极回应（4.14，3.56，P <0.001）。425名学生（97.0%）会向其他医科学生推荐该课程，196名学生（92.0%）在后续调查中做出了积极回应（4.68，4.31，p < 0.001）。六名学生（2.8%）在病人身上使用了技能，其中五次取得了成功。结论：STB 增强了医科学生的能力，他们在活体患者身上使用了止血技能。医学生支持将 STB 纳入医学教育。

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Stop the Bleed® in medical schools: Early advocacy and promising results

Objective: We hypothesized that medical students would be empowered by hemorrhage-control training and would support efforts to include Stop the Bleed® (STB) in medical education. Design: This is a multi-institution survey study. Surveys were administered immediately following and 6 months after the course. Setting: This study took place at the Association of American Medical Colleges-accredited medical schools in the United States. Participants: Participants were first-year medical students at participating institutions. A total of 442 students completed post-course surveys, and 213 students (48.2 percent) also completed 6-month follow-up surveys. Intervention: An 1-hour, in-person STB course. Main outcomes measures: Student empowerment was measured by Likert-scale scoring, 1 (Strongly Disagree) to 5 (Strongly Agree). The usage of hemorrhage- control skills was also measured. Results: A total of 419 students (95.9 percent) affirmed that the course taught the basics of bleeding control, and 169 (79.3 percent) responded positively at follow-up, with a significant decrease in Likert response (4.65, 3.87, p < 0.001). Four hundred and twenty-three students (97.0 percent) affirmed that they would apply bleeding control skills to a patient, and 192 (90.1 percent) responded positively at follow-up (4.61, 4.19, p < 0.001). Three hundred and sixty-one students (82.8 percent) believed that they were able to save a life, and 109 (51.2 percent) responded positively at follow-up (4.14, 3.56, p < 0.001). Four hundred and twenty-five students (97.0 percent) would recommend the course to another medical student, and 196 (92.0 percent) responded positively at follow-up (4.68, 4.31, p < 0.001). Six students (2.8 percent) used skills on live patients, with success in five of the six instances. Conclusions: Medical students were empowered by STB and have used hemorrhage-control skills on live victims. Medical students support efforts to include STB in medical education.

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来源期刊

American journal of disaster medicine Medicine-Medicine (all)

CiteScore

1.10

自引率

0.00%

发文量

期刊介绍： With the publication of the American Journal of Disaster Medicine, for the first time, comes real guidance in this new medical specialty from the country"s foremost experts in areas most physicians and medical professionals have never seen…a deadly cocktail of catastrophic events like blast wounds and post explosion injuries, biological weapons contamination and mass physical and psychological trauma that comes in the wake of natural disasters and disease outbreak. The journal has one goal: to provide physicians and medical professionals the essential informational tools they need as they seek to combine emergency medical and trauma skills with crisis management and new forms of triage.