急诊科指导团队实战演练在心肺复苏培训中的作用

The role of emergency department guidance team in cardiopulmonary resuscitation training

目的通过开展心肺复苏团队实战演练提升医疗机构对心脏骤停患者的救治能力,进一步提高复苏成功率。方法将140个医护小组随机分为实验组和对照组各70队,两组的急诊小组各16队,非急诊小组各54队。实验组通过设计的院前2人组及院内3人组、4人组的救治流程进行训练,对照组先按照传统模式进行心肺复苏训练,3个月后考核两组的团队总成绩、首次除颤时间、建立静脉通道时间和首次静脉肾上腺素给药时间。考核后对照组再按实验组的方法进行训练,训练3个月后再次对两组进行考核。结果两组的团队总成绩、首次除颤时间、建立静脉通道时间和首次静脉肾上腺素给药时间比较,差异均有统计学意义(均P<0.05)。而急诊与非急诊团队比较,两组的团队总成绩、首次除颤时间、建立静脉通道时间和首次静脉肾上腺素给药时间上均有统计学意义(均P<0.05)。结论由急诊科负责指导开展的心肺复苏团队实战演练,能保证高质量的心肺复苏,对提高心脏骤停患者的救治成功率有临床指导意义。

Objective To improve the ability of medical institutions to treat cardiac arrest patients and the success rate of cardiopulmonary resuscitation.Methods 140 medical care groups were randomly divided into the experimental group and the control group,70 teams in each,both groups consisted of 16 emergency teams and 54 non-emergency teams.The experimental group was trained by the designed procedure of pre-hospital two-person group,in-hospital three-person or four-person group.The control group was first trained by the traditional mode of cardiopulmonary resuscitation.After three months,the total team score,the time of first defibrillation,the time of establishment of intravenous access and the time of first intravenous epinephrine administration was assessed.After the examination,the control group was trained in accordance with the methods of the experimental group.After three months of training,the two groups were assessed again.Results There were statistically significant differences in total team scores,the time of first defibrillation,the time of establishing venous access and the time of first intravenous epinephrine administration between the two groups(P<0.05 for each).Between emergency and non-emergency group,there were also statistically significant differences in total team scores,the time of first defibrillation,the time of establishing venous access and the time of first intravenous epinephrine administration(P<0.05 for each).Conclusion Training cardiopulmonary resuscitation(CPR)team practices in the emergency department guarantee high quality cardiopulmonary resuscitation(CPR),it is beneficial to improve the success rate of cardiac arrest.