目的 了解湖北省急诊医生基础生命支持技能的掌握情况。方法 分析湖北省急救技能竞赛中基础生命支持站点急诊医生的比赛情况、分析失分原因。结果 急诊医生的心肺复苏+自动体外除颤器操作中呼吸判断扣分最多,电击除颤操作前后的指征识别错误最多,正确率不到50%。急诊医生的心肺复苏+自动体外除颤器操作得分为(64.52±9.18)分、及格率72.7%(24/33),二级医院急诊医生的平均分和及格率低于三级医院;电除颤得分(62.55±10.42)分、及格率为57.6%(19/33),二级医院急诊医生平均分低于三级医院,而及格率高于三级医院急诊医生。二级医院和三级医院急诊医生得分的差异均无统计学意义(均P>0.05)。结论 湖北省急诊医生的基础生命支持技能并不理想,需建立相应培训及考核机制以提高急诊科医生的急救技能。
Objective To understand the basic life support skills of emergency doctors in Hubei Province. Methods To analyze the assessment of the basic life support site in the Hubei First Aid Skills Competition and the reasons for the loss of emergency doctors. Results The emergency doctors' breathing judgment during cardiopulmonary resuscitation (CPR) and automatic extracorporeal defibrillator (AED) operation has the highest deduction point. The identification of the indications before and after the electric defibrillation operation have most error, and the correct rate is less than 50%. The average score of CPR + AED operation of emergency doctors was (64.52±9.18) and the pass rate was 72.7%(24/33). The average score and pass rate of secondary hospitals were lower than those of tertiary hospitals. The average defibrillation score was (62.55±10.42) and the pass rate was 57.6%(19/33). The average score of the secondary hospitals was lower than that of the tertiary hospitals, and the pass rate was higher than that of the tertiary hospitals. Conclusions The basic life support skills of emergency doctors in Hubei Province are not ideal. The corresponding training and assessment mechanism should be established to improve the first-aid skills of emergency doctors.
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