First aid skill retention of first responders within the workplace.

First aid skill retention of first responders within the workplace.
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DOI:
10.1186/1757-7241-19-11
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发表时间:
2011-02-08
期刊:
Scandinavian journal of trauma, resuscitation and emergency medicine
影响因子:
--
通讯作者:
Masse J
Masse J
中科院分区:
其他
文献类型:
--
作者:
Anderson GS;Gaetz M;Masse J

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最近的文献指出,许多必要的CPR和急救技能在认证后不久就被遗忘了。本研究的目的是确定技能和知识的衰减在急救那些谁支付在工作场所内的紧急情况下作出反应。使用窒息受害者的情况下,事件的顺序和准确性进行了观察和记录在257名参与者支付作为第一反应者在大型工业或服务业设置。还编写了多项选择考试以确定知识保留。急救知识在那些受过较高水平培训的人中较高,并且随着时间的推移没有显着下降。那些更新了一次或多次证书的人比那些只学习了一次信息的人表现得更好。在窒息的情况下,许多技能表现不佳,无论距离上次训练的时间,如手的放置和腹部的推力。受害者失去知觉后的昏迷在30天后也显示出典型的技能退化迹象。由于许多技能在最初的90天内迅速退化,改变认证频率不一定是增加技能和知识保留的最明显选择。或者,应该探索定期“更新”技能的方法,这种方法可以高频率地提供--例如每90天一次。
Recent literature states that many necessary skills of CPR and first aid are forgotten shortly after certification. The purpose of this study was to determine the skill and knowledge decay in first aid in those who are paid to respond to emergency situations within a workplace. Using a choking victim scenario, the sequence and accuracy of events were observed and recorded in 257 participants paid to act as first responders in large industrial or service industry settings. A multiple choice exam was also written to determine knowledge retention. First aid knowledge was higher in those who were trained at a higher level, and did not significantly decline over time. Those who had renewed their certificate one or more times performed better than those who had learned the information only once. During the choking scenario many skills were performed poorly, regardless of days since last training, such as hand placement and abdominal thrusts. Compressions following the victim becoming unconscious also showed classic signs of skill deterioration after 30 days. As many skills deteriorate rapidly over the course of the first 90 days, changing frequency of certification is not necessarily the most obvious choice to increase retention of skill and knowledge. Alternatively, methods of regularly "refreshing" a skill should be explored that could be delivered at a high frequency - such as every 90 days.
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