The impact of training and experience on EMS providers' feelings toward pediatric emergencies in a rural state

The impact of training and experience on EMS providers' feelings toward pediatric emergencies in a rural state
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DOI:
10.1097/01.pec.0000150982.96357.ca
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发表时间:
2005-01-01
影响因子:
1.4
通讯作者:
Alevander, JL
Alevander, JL
中科院分区:
医学4区
文献类型:
--
作者:
Stevens, SL;Alevander, JL

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目的:了解农村地区急诊医疗技术人员(EMTs)对儿科急诊感受的影响因素。方法:一份包含12个问题的调查改编自先前的研究,全国管理的问卷,并分发给缅因州所有注册的急救医生。收集的数据包括EMT水平、每月儿科呼叫次数和儿科继续教育(CE)接受时间。问题基于5分李克特量表,并探讨了不同领域的培训和教育,遇到的紧急情况类型和患者年龄的舒适度。结果:87%的受访者每月经历3次或更少(0-3次)儿科急诊电话,73%的受访者报告在过去两年中接受儿科主题的CE治疗时间为8小时或更少。高级训练水平(EMT-P或EMT-I vs. EMT-B)与除资源外所有领域的舒适度增加相关(P < 0.05)。额外的CE时间(4+ vs. 0-3)与所有领域舒适度的提高相关(P < 0.05)。增加的通话量(4+ vs. 0- 3)与儿童舒适度的提高有关
Objective: To determine which factors of training and education influence emergency medical technicians' (EMTs) feelings toward pediatric emergencies in a rural state.Methods: A 12-question survey was adapted from a previously studied, nationally administered questionnaire and distributed to all registered EMTs in the state of Maine. Data collected included level of EMT, number of pediatric calls per month, and hours of pediatric continuing education (CE) received. Questions were based upon a 5-point Likert scale and explored level of comfort with various areas of training and education, types of emergencies encountered, and ages of patients.Results: Eighty-seven percent of all respondents experienced 3 or less (0-3) calls for pediatric emergencies per month, and 73% of all respondents reported receiving 8 or fewer hours of CE in pediatric topics over the previous 2 years. Advanced level of training (EMT-P or EMT-I vs. EMT-B) was associated with increased comfort levels in all areas except Resources (P < 0.05). Additional hours of CE (4+ vs. 0-3) was associated with increased comfort levels in all areas queried (P < 0.05). Increased call volume (4+ vs. 0- 3) was associated with increased comfort levels for: children