tailieunhanh - Báo cáo y học: " Standards of resuscitation during inter-hospital transportation: the effects of structured team briefing or guideline review - A randomised, controlled simulation study of two microinterventions"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Standards of resuscitation during inter-hospital transportation: the effects of structured team briefing or guideline review - A randomised, controlled simulation study of two microinterventions | Hoyer et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2011 19 15 http content 19 1 15 SCANDINAVIAN JOURNALOF Et emergency medicine ORIGINAL RESEARCH Open Access Standards of resuscitation during inter-hospital transportation the effects of structured team briefing or guideline review - A randomised controlled simulation study of two microinterventions Christian B Hpyer1 Erika F Christensen2 Berit Eika1 Abstract Background Junior physicians are sometimes sent in ambulances with critically ill patients who require urgent transfer to another hospital. Unfamiliar surroundings and personnel time pressure and lack of experience may imply a risk of insufficient treatment during transportation as this can cause the physician to loose the expected overview of the situation. While health care professionals are expected to follow complex algorithms when resuscitating stress can compromise both solo-performance and teamwork. Aim To examine whether inter-hospital resuscitation improved with a structured team briefing between physician and ambulance crew in preparation for transfer vs. review of resuscitation guidelines. The effect parameters were physician team leadership requesting help delegating tasks time to resuscitation key elements chest compressions defibrillation ventilations medication or a combination of these termed the first meaningful action and hands-off ratio. Methods Participants 46 physicians graduated within 5 years. Design A simulation intervention study with a control group and two interventions structured team briefing or review of guidelines . Scenario Cardiac arrest during simulated inter-hospital transfer. Results Forty-six candidates participated 16 control 13 review and 17 team briefing . Reviewing guidelines delayed requesting help to 162 seconds compared to 21 seconds in control and team briefing groups p . Help was not requested in 15 of cases never requesting help was associated with an increased .