Simulation training on the emergency medical care

O.A. Lyovkin, V.I. Pertsov

Abstract


Background. The level of practical skills in providing emergency medical care remains low. Simulation training is most appropriate in such situation — this is the possibility of using manikins for completeness and realism of object simulation; working out practical skills according to a clear algorithm of action with the use of modern equipment and without causing harm to human health; working out teamwork in simulated specific situation. The purpose of this work is to conduct an analysis on the effectiveness of simulation training of emergency medical care of senior students at the department of disaster medicine, military medicine, anaesthesiology and intensive care of Zaporozhye State Medical University. Materials and methods. A retrospective analysis was performed of the effectiveness of simulation training for fifth- and sixth-year students at the department of disaster medicine, military medicine, anaesthesiology and intensive care of Zaporozhye State Medical University for the 2015–2017 academic year. The effectiveness of the stimulatory training was assessed through initial and final testing, сontrol of practical skills in manikins, dummies and questionnaires. Results. There was created a simulation class. The training was carried out in accordance with the work program using additional equipment. The training included theoretical knowledge and practical skills of the primary examination of a critical patient, airway mana­gement, chest compression, intravenous and intraosseous administration of drugs, work with automatic external and professional defibrillators, teamwork training, temporary stop of critical bleeding, modern methods of transport immobilization, triage. The assessment of knowledge and practical skills of the fifth-year students was conducted one year later, during their course of distance learning. The analysis of the training showed that fifth- and sixth-year students have sufficient theoretical knowledge about the algorithm of the basic cardiopulmonary resuscitation (82.2 ± 2.4 % and 89.2 ± 3.8 %, respectively); knowledge of essential drugs used during advanced life support (78.6 ± 2.4 % and 85.7 ± 2.4 %, respectively); ability to perform compression of the chest (88.2 ± 1.2 % and 89.4 ± 1.8 %, respectively). But analysis of the studies showed that fifth- and sixth-year students have the low level of practical skills on airway management (32.8 ± 2.2 %); using automatic external (18.5 ± 2.0 %) or professional (16.3 ± 2.0 %) defibrillators; catheterization of the peripheral vein or intraosseous access (17.3 ± 2.0 %). Conclusions. Simulation training enables students to acquire practical skills in the amount sufficient to demonstrate good knowledge and practical skills in final testing and surveys.


Keywords


simulation training; emergency medical care

References


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DOI: https://doi.org/10.22141/2224-0586.2.89.2018.126612

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