刘岩, 李晓雪, 郝昱文, 施凯文. 直升机应急医疗救援培训需求的横断面问卷调查研究及启示[J]. 解放军医学院学报. DOI: 10.12435/j.issn.2095-5227.2024.014
引用本文: 刘岩, 李晓雪, 郝昱文, 施凯文. 直升机应急医疗救援培训需求的横断面问卷调查研究及启示[J]. 解放军医学院学报. DOI: 10.12435/j.issn.2095-5227.2024.014
LIU Yan, LI Xiaoxue, HAO Yuwen, SHI Kaiwen. A cross-sectional questionnaire survey on training needs of helicopter emergency medical rescue and enlightenment[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL. DOI: 10.12435/j.issn.2095-5227.2024.014
Citation: LIU Yan, LI Xiaoxue, HAO Yuwen, SHI Kaiwen. A cross-sectional questionnaire survey on training needs of helicopter emergency medical rescue and enlightenment[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL. DOI: 10.12435/j.issn.2095-5227.2024.014

直升机应急医疗救援培训需求的横断面问卷调查研究及启示

A cross-sectional questionnaire survey on training needs of helicopter emergency medical rescue and enlightenment

  • 摘要:
    背景 直升机应急医疗救援在平战时都具有地面应急医疗救援无法替代的重要作用,但目前国内在直升机应急医疗救援方面的培训内容、模式、考核等尚无统一标准。
    目的 调查了解北京市某机构直升机医疗救援培训中参训对象对受训内容、时长、模式等方面的需求,为改进直升机医疗救援培训课程提供参考依据。
    方法  采用便利抽样方法,自制问卷开展横断面调查,主要内容包括人员基本信息、既往参与救援培训情况、直升机应急医疗救援培训需求三个方面。
    结果 接受调查的45名受访者中,从既往接受救援培训经历看,93.3%(42/45)的受访者参与过院前创伤救治培训并认为效果良好,但51.1%(23/45)受访者表示此前未参加过直升机应急医疗救援培训,且84.4%(38/45)的受访者反映工作中从未实际参与过空中救援行动。从直升机救援培训能力需求看,重症伤员医疗后送技能需求占比最高,为97.8%(44/45),创伤生命支持、救治流程培训、安全逃生训练、低氧适应训练的需求也较高,分别为95.6%(43/45)、93.3%(42/45)、93.3%(42/45)、75.6%(34/45),建议上述每一类技能培训不应低于3天。从培训模式上看,95.6%(43/45)的受访者表示空中环境和院内救治差异较大,愿意采用六自由度飞行器模拟运动平台、虚拟现实技术等新技术开展沉浸式训练。
    结论 直升机应急医疗救援培训需求明显,可利用新技术探索直升机应急医学救援人员能力生成新模式,并结合上机训练提升培训效果,相关部门也需要建设平急一体化的医学救援人员培训课程内容、统一培训时长、制定考核标准及装备使用规范。

     

    Abstract:
    Background Helicopter emergency medical rescue training plays an important role at both peacetime and wartime, and there is no uniform standard in terms of training content, mode and assessment in China.
    Objective To understand the needs of trainees in the training content, duration and mode of HEMS training in an institution in Beijing, so as to provide reference for improving HEMS training courses.
    Methods A cross-sectional survey was conducted by using a self-made questionnaire by convenience sampling method. The main content included three aspects: basic information of the personnel, previous participation in rescue training, and needs for helicopter emergency medical rescue training.
    Results Among the 45 respondents surveyed, 93.3% of the respondents had participated in pre-hospital trauma treatment training and thought that the results were good, but 51.1% (23/45) of the respondents said that they had not participated in helicopter emergency medical rescue training before, and 84.4% (38/45) of the respondents reported that they had never actually participated in air rescue operations in their work. From the perspective of helicopter rescue capacity demand, the medical evacuation skills of critically ill patients accounted for the highest proportion, 97.8% (44/45), and the demand for trauma life support, treatment process training, safe escape training, hypoxic adaptation training was also high. It is generally recommended that each of the above skills training should not be less than 3 days. From the perspective of training mode, 95.6% (43/45) respondents said that the air environment and hospital treatment are quite different, and they are willing to use new technologies such as six-degree-of-freedom aircraft simulation motion platform and virtual reality technology to carry out immersive training.
    Conclusion The demand for helicopter emergency medical rescue training is obvious, new technologies can be used to explore the ability of helicopter rescue personnel to generate a new model, and relevant departments also need to build training courses, equipment use and assessment standards for medical personnel integrated in emergency and emergency.

     

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