在一家三级医院开发模拟程序,培训 COVID-19 大流行期间的气道管理。

IF 1.1 Q2 Social Sciences
Heung Yan Wong, Craig Johnstone, Gunjeet Dua
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引用次数: 0

摘要

对 COVID-19 患者进行气管插管不仅对患者,而且对所有相关医护人员来说都是一个高风险的过程,因此工作人员的焦虑是可以理解的。我们利用模拟技术帮助培训气道管理人员为 COVID-19 患者插管。根据我们部门开发的行动卡,我们设计了一系列情景,模拟 COVID-19 大流行期间的气道管理。我们要求各小组执行气管插管的快速顺序诱导。我们使用低仿真人体模型设计了原位情景,可在多个地点的手术室中设置。在为期 4 周的时间里,101 名麻醉顾问、58 名麻醉实习生和 30 名手术部从业人员接受了插管培训。这些成员组成了本医院的气道反应小组。30 名急诊科医生也接受了培训,以应对 COVID-19 进一步激增导致服务不堪重负的可能性。模拟培训是我们医院在 COVID-19 第一波大流行期间迅速提高医疗专业人员技能的宝贵工具。我们利用反馈意见和补充指南来改进我们的情景模拟,以便在随后的大流行中对员工进行再培训。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Developing a simulation programme to train airway management during the COVID-19 pandemic in a tertiary-level hospital.

Developing a simulation programme to train airway management during the COVID-19 pandemic in a tertiary-level hospital.

Tracheal intubation of a patient with COVID-19 is a high-risk procedure for not only the patient, but all healthcare workers involved, leading to an understandable degree of staff anxiety. We used simulation to help train airway managers to intubate patients with COVID-19. Based on action cards developed by our department, we designed a series of scenarios to simulate airway management during the COVID-19 pandemic. Teams were asked to perform a rapid sequence induction with tracheal intubation. We designed in situ scenarios with low-fidelity manikins that could be set up in operating theatres across multiple sites. Over a period of 4 weeks, 101 consultant anaesthetists, 58 anaesthetic trainees and 30 operating department practitioners received intubation training. These members made up the airway response team of our hospital. 30 emergency department doctors also received training in anticipation of further COVID-19 surges leading to the possibility of overwhelmed services. Simulation-based training was an invaluable tool for our hospital to rapidly upskill medical professionals during the first wave of the COVID-19 pandemic. We have used feedback and additional guidelines to improve our scenarios to retrain staff during subsequent waves.

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来源期刊
BMJ Simulation & Technology Enhanced Learning
BMJ Simulation & Technology Enhanced Learning HEALTH CARE SCIENCES & SERVICES-
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