在为大规模伤亡事件做准备的分诊训练中教学概念的类型和效果:一项prism - scr试点研究。

IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Benedict Oldenburg, Clara Wichtmann, Matthias Boldt, Martin Dirksen-Fischer, Lena Ehlers, Sinan Bakir, Axel Ekkernkamp, Volker Harth, Marcus Oldenburg
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引用次数: 0

摘要

目的:大规模伤亡事件(MCI)是当今灾害医学中一个非常重要的问题。在这种情况下,专业的急救人员在为伤者提供准备和初步护理方面发挥着重要作用。本综述的目的是描述在分诊练习中不同教学概念的形式和影响,为MCI反应做准备。方法:在PubMed, Medline和Psyndex数据库中进行范围审查搜索,作为对该主题的初步检查。结果:本综述纳入了17项研究。在回顾的研究中,52.9%采用干预前后测量的随机对照试验设计。研究中实施的干预措施与知识和/或实践技能的增加有关。在基于媒体的干预措施中,42.9%的培训效果与传统教学方法相当,57.1%的培训效果优于传统教学方法。根据4项研究,技术和非技术辅助可以提高分诊的准确性。结论:基于媒体的干预措施以及技术和非技术援助的益处应通过随后的系统评价,并使用更广泛的数据库和研究搜索条件进行评估。不同分类算法之间的差异需要在未来的研究中进一步研究。必须指出,干预比不干预更可取。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Types and Effects of Didactic Concepts During Triage Exercises to Prepare for a Mass Casualty Incident: A PRISMA-ScR Pilot Study.

Objectives: Mass-casualty incidents (MCI) are a highly important issue in disaster medicine today. In this context, professional first responders play a fundamental role as they provide preparedness and initial care to the injured. The aim of this review is to describe the form and impact of different didactic concepts in triage exercises to prepare for an MCI response.

Methods: A Scoping review search was conducted in the databases PubMed, Medline, and Psyndex as an initial examination of this topic.

Results: Seventeen studies were included in this review. Of the reviewed studies, 52.9% followed a randomized controlled trial design with pre-post intervention measurement. The interventions implemented in the studies were associated with an increase in knowledge and/or practical skills. Of media-based interventions, 42.9% show a comparable and 57.1% greater training effect than conventional teaching methods. According to 4 studies, technical and non-technical aids increase the triage accuracy.

Conclusions: The benefits of media-based interventions and of technical and non-technical aids should be evaluated by a subsequent systematic review with a broader database and search terms of studies. The differences between different triage algorithms need to be investigated in future studies. It must be noted that intervention is preferable to non-intervention.

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来源期刊
Disaster Medicine and Public Health Preparedness
Disaster Medicine and Public Health Preparedness PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.40
自引率
7.40%
发文量
258
审稿时长
6-12 weeks
期刊介绍: Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. With the events of September 11, the subsequent anthrax attacks, the tsunami in Indonesia, hurricane Katrina, SARS and the H1N1 Influenza Pandemic, all health care and public health professionals must be prepared to respond to emergency situations. In support of these pressing public health needs, Disaster Medicine and Public Health Preparedness is committed to the medical and public health communities who are the stewards of the health and security of citizens worldwide.
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