An Analysis Of The Improvement Of A Standardized Training On Emergency Skills In LiuYang City

Objective:To understand the epidemiology of pre-hospital first aid in Hunan county-level areas, to observe and compare the pre-hospital medical treatment and diagnostic levels of the emergency professionals before and after a standardized training, and to establish a pre-hospital emergency care training system adaptive to China’s country conditions.Method:To establish the standardized training courses and to prepare the questionnaire of pre-hospital first aid, a number of domestic and international research literatures were collected and analyzed. With cooperation the Department of Emergency Medicine, the University of Maryland School of Medicine, the questionnaire and pre-hospital first aid training courses were standardized. Based on the time point of emergency skill training, all collected data from the participants were divided into two groups of pre-and post-emergency training. During two different periods of November1,2010-January10,2011(before training) and November01,2011to January10,2012(after training), the researchers accompanied with the first aid providers of120Emergency Center, Liuyang City to collect the complaint samples on-the-spot and subsequently compare the difference of emergency diagnosis and intervention between two groups. First aid knowledge mastery of pre-hospital medical staff and pass the examination before and after training.2010Annual emergency admissions records derived from the120center’s computer system to conduct epidemiological analysis. For the2010the Liuyang full-year emergency admissions record using descriptive statistical methods, the use of the frequency table describes the time distribution of emergency admissions, disease distribution, the geographical distribution of population distribution. Sociodemographic differences and complained of emergency patients before and after the training, the difference of the emergency interventions in patients using the chi-square test, differences on test scores in medical pre-hospital emergency pre-hospital care before and after training using a paired t-test.Result:The whole year in2010out of the bus the total number of8157cases of patients, male to female ratio of2.25:1, the average age of about50.6±0.354years old, a high incidence of ages35-64years old, had41.2percents; pre-hospital emergency care of diseases of the top five were trauma, cardiovascular disease, nervous system diseases, respiratory diseases, digestive diseases; out of the bus number of times ranked the top three for November, September, July, the number of sunrise car was irregular distribution; pre-hospital first aid training to collect cases of315cases, of which36cases of chest pain,53cases of abnormal consciousness, shortness of breath49cases,126cases of trauma, poisoning,51cases; training to collect cases of336cases, of which20cases of chest pain,84cases of abnormal consciousness, shortness of breath64cases,101cases of trauma, poisoning,67cases; training only one measurement of vital signs before9cases (2.9%),51cases (15.2%) of the training, both more significant difference (P=0.000); training before the vital signs of the three measurements37cases (11.7%), after training for148cases (44.0%), two more significant difference (P=0.000); Heart rate, blood pressure monitoring, accounting for27.8%(10/36) patients with chest pain before the training, after training accounted for75%(15/20) There were significant differences (P=0.002) between the two groups; for patients with chest pain before the training2.8%(1/36) of patients given an EKG, and50%(10/20) after training, a significant difference (P=0.000) between the two groups; all chest pain patients before and after training with no "ECG1.9%of the trans-shipment "; training before a person diagnosed as" ST-segment elevation myocardial infarction ", there are three training between the two groups no significant difference (P=0.077); mind training in patients with abnormal (1/53) of patients given a "fast blood glucose,14.3%(12/84) after training, a significant difference (P=0.035) between the two groups;"The diagnosis of hypoglycemia0(0/53) before training, after training,2.4%(2/84) between the two groups no significant difference (P=0.689); shortness of breath patients before and after training were not refers to the oxygen saturation monitoring; patients with COPD before training a person to give the (3-agonist treatment, there are three training, no statistically significant difference (P=0.225) between the two groups; trauma patients before the training10.3%(13/126) blood pressure monitoring, training,38.6%(39/101), a significant difference (P=0.000) between the two groups; training before the trauma patient is a person GCS score, post-training35.6%(36/101), between the two groups were significantly different (P=0.000); training suspicious fracture patients20%(11/55) be the splint, after training,66.7%(14/21), two There were significant differences (P=0.004) between the two groups; training before the trauma bleeding patients68.8%(53/77) to be the trauma bandage to stop bleeding after training100%(61/61) between the two groups statistically significant (P=0.000); medical staff training before the average test scores of60.14points, after training, the average Score of72.72points between the two groups have significant difference (P=0.000).Conclusion:(1) Cardiovascular diseases and respiratory diseases in elderly patients with pre-hospital emergency disease, attention should be paid to the trauma and its death;(2)In Liuyang City, pre-hospital first aid equipment, the relative lack of and backward, medical personnel, lack of uniform evaluation criteria in the pre-service training and induction, there is no uniform pre-hospital first aid process;(3)Throngh pre-hospital first aid training, diagnosis and intervention levels in the pre-hospital medical staff has improved significantly.