以临床流程为导向的急诊气道管理课程培训实践

目的从培训角度改进急诊气道管理,探讨基于临床流程为导向的急诊气道管理培训模式。方法根据以病人安全为中心的临床处理原则,结合临床实际流程,设计气道管理培训课程。课程以气道管理的CHANNEL流程为主线,重点讲述人工通气和氧疗技术,快速诱导插管技术。授课过程以临床处理流程为主线,采用实物展示、视频演示和事物联系的方法进行讲解。以自由报名或定向招生开课。课后采用网络问卷的形式,收集急诊气道管理课程学员对课程的反馈意见,并进行分析。结果在全国13个城市举办了15场培训,参加学员566名。收到反馈问卷185份,单项课程内容,学员认为较难理解的部分前三位是氧疗(48人,25.9%)、CHANNEL流程讲解与演练(48人,25.9%)、快速诱导插管流程(47人,25.4%)。课后41人(22.2%)改变了急诊气道管理的工作流程,140人(75.7%)部分改变了急诊气道管理的工作流程,4人(2.2%)依然采用原来的工作流程。结论基于临床流程为导向的急诊气道管理课程符合目前临床需求,可以更好地实现临床岗位胜任力的培训。

Preliminary exploration on training of emergency airway management course guided by clinical procedure

Objective To promote emergency airway management from the perspective of training and to explore the training mode of emergency airway management based on clinical procedures.Methods Airway management training courses were designed according to the clinical treatment principle centered on patient safety in combination with actual clinical procedures.The course took the CHANNEL process of airway management as the main line and focused on artificial ventilation,oxygen therapy and rapid induction of intubation techniques.During the teaching,we took the clinical handling process as the main line,and adopted methods of equipment display,video presentation and on-site explanation.Courses were freely registered or oriental enrollment.Online questionnaires were used to collect feedback from the students after class and were then analyzed.Results A total of 15 training sessions were held in 13 cities across the country,with 566 participants,and 185 questionnaire responses were received.About the content of single course,participants thought that the first three parts were difficult to understand,including oxygen therapy(48,25.9%),CHANNEL process explanation and practice(48,25.9%)and rapid induction of intubation process(47,25.4%).After class,41 participants(22.2%)changed work procedures of emergency airway management,140(75.7%)partially changed work procedures of emergency airway management,and 4(2.2%)still used the original work procedure.Conclusion The course of emergency airway management based on clinical procedures meets the current clinical needs and can better improve the training of clinical competency.