Postgraduate education of community physicians. Emergency care training in the emergency ward

JAMA ◽  
1968 ◽  
Vol 206 (13) ◽  
pp. 2883-2884 ◽  
Author(s):  
S. E. Goldfinger
Keyword(s):  
Emergency Care ◽  
Postgraduate Education ◽  
Emergency Ward ◽  
Care Training

scholarly journals LO04: Health effects of training laypeople to deliver emergency care in underserviced populations: preliminary results of a systematic review

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S7-S8
Author(s):  
A. Orkin ◽  
J. Curran ◽  
S. Ritchie ◽  
S. van de Velde ◽  
D. VanderBurgh
Keyword(s):  
Systematic Review ◽  
Cardiac Arrest ◽  
Community Health ◽  
Health Effects ◽  
Emergency Care ◽  
Community Capacity ◽  
Opioid Overdose ◽  
Low Resource ◽  
Care Training ◽  
Cardiac Arrest Survival

Introduction: The World Health Organization recommends emergency care training for laypeople in low-resource settings, but the effects of these programs on patient outcomes and community health have not been systematically reviewed. Our objective was to identify the individual and community health effects of educating laypeople to deliver emergency care in low-resource settings. Methods: We conducted a systematic review to address this question: in low-resource populations (P), does emergency care education for laypeople (I) confer any measurable effect on patient morbidity and mortality, or community capacity and resilience for emergency health conditions (O), in comparison with no training or other education(C)? We searched 12 electronic databases and grey literature for quantitative studies. We conducted duplicate and independent title and abstract screening, methodological and outcomes extraction, and study quality assessment using the Effective Public Health Practice Tool. We developed a narrative summary of findings. (PROSPERO: CRD42014009685) Results: We reviewed 16,017 abstracts and 372 full-text papers. 38 met inclusion criteria. Most topically relevant papers were excluded because they assessed educational outcomes. Cardiopulmonary resuscitation training (6 papers) improved cardiac arrest survival and enhanced capacity to respond to cardiac arrest in rural Norway, Denmark and commercial aircraft operations. A public education campaign in remote Denmark improved absolute cardiac arrest survival by 5.4% (95%CI 2-12). Lay trauma training (12 papers) reduced absolute injury mortality and improved community capacity in Iraq, Cambodia, Iran and Indigenous New Zealand communities. A trauma care program in Iraq and Cambodia reduced absolute mortality by 25% (95%CI 17.2-33). Education for mothers on paediatric fevers in Ethiopia was associated with 40% relative reductions in under-5 mortality (95%CI 29.2-50.6). Similar training improved access to care for paediatric malnutrition, malaria, pneumonia, and gastrointestinal disease in Nigeria, Kenya, Senegal, Burkina Faso, Mali, and India (13 papers). Overdose education and naloxone distribution was associated with reductions in opioid overdose deaths (3 papers), including in Massachusetts where high-uptake communities for overdose education had significantly lower overdose fatality rates than no-uptake communities (rate ratio 0.54, 95%CI 0.39-0.76). Community education improved measures of access to emergency care for remote Indigenous populations in Canada, Alaska and Nepal (3 papers) and adolescent mental health capacity in Australia (1 paper). Studies were of low or medium quality. Conclusion: In addition to established interventions for injury and cardiac arrest, emergency care training can improve community capacity in underserviced populations, and save lives in opioid overdose, paediatric infectious disease and malnutrition.

scholarly journals Knowledge, Attitude and Practice of First Aid and Emergency Care among the Classes Educated in Aurangabad, Maharashtra

2020 ◽  
pp. 1-6
Author(s):  
Rohit Jacob ◽  
Manjiri Naik
Keyword(s):  
High School Students ◽  
Emergency Care ◽  
Small Firms ◽  
Age Groups ◽  
Real Life ◽  
First Aid ◽  
Cross Sectional Study ◽  
School Students ◽  
Cross Sectional ◽  
Care Training

Aims: To find an association between educational qualification of the participant and knowledge of first aid and emergency care. To understand the common misconceptions of First Aid practices among the educated class of Aurangabad. To conduct a seminar cum workshop session for the educated class of Aurangabad. Study Design: Cross sectional study with a sample size of 700 participants. The candidates were provided with a questionnaire and a seminar demonstrating First aid and Emergency care was conducted post-questionnaire. Place and Duration of Study: The study was conducted among the educated class in the city of Aurangabad between October 2018 to February 2019. Methodology: The candidates were selected from different schools, colleges, small firms, church gatherings and hotel staff. Data was collected using a self-administered pre – tested questionnaire. Based on the scores obtained in each condition, the overall knowledge was graded as good, moderate and poor. A seminar was conducted post questionnaire and the improvement in their knowledge was tested. Results: Out of 700 candidates included in the study, 110(15.7%) were school going children, 60 (8.6%) were high school students, 50(7.1%) were college students, 280(40%) were graduates and 200(28.6%) were post graduates. 410(58.7%) had poor knowledge about First Aid and Emergency Care and only a mere 39(5.6%) had good knowledge about First Aid and Emergency Care. 105 candidates (15%) of the candidates believed that applying hot compresses relieves an ankle sprain. 77 candidates (11%) of the candidates believed that inducing vomiting is initial modality of management in a patient who accidentally ingested acid. Conclusion: Initiation of First aid and Emergency care training programs among all age groups still remains an enigma. Conducting such workshops on First aid and Emergency Care among communities can make the citizens competitive enough to provide first aid independently and spontaneously in real life situations.

Identifying a 'Super-responder' Phenomenon in Three African Countries: Implications for Prehospital Emergency Care Training

Injury ◽  
2021 ◽  
Author(s):  
Zachary J. Eisner ◽  
Peter G. Delaney ◽  
Maxwell C. Klapow ◽  
Krishnan Raghavendran ◽  
Joshua C. Klapow
Keyword(s):  
Emergency Care ◽  
Prehospital Emergency Care ◽  
African Countries ◽  
Prehospital Emergency ◽  
Care Training

scholarly journals The Development of Sustainable Emergency Care in Ghana: Physician, Nursing and Prehospital Care Training Initiatives

2014 ◽  
Vol 47 (4) ◽  
pp. 462-468 ◽  
Author(s):  
John Martel ◽  
Rockefeller Oteng ◽  
Nee-Kofi Mould-Millman ◽  
Sue Anne Bell ◽  
Ahmed Zakariah ◽  
...  
Keyword(s):  
Emergency Care ◽  
Prehospital Care ◽  
Care Training

Prehospital Emergency Care Training Practices Regarding Lesbian, Gay, Bisexual, and Transgender Patients in Maryland (USA)

2015 ◽  
Vol 30 (2) ◽  
pp. 163-166 ◽  
Author(s):  
Sara Jalali ◽  
Matthew J. Levy ◽  
Nelson Tang
Keyword(s):  
Emergency Care ◽  
Cultural Sensitivity ◽  
Educational Program ◽  
National Level ◽  
Program Directors ◽  
Prehospital Emergency Care ◽  
Publication Type ◽  
Bisexual And Transgender ◽  
Prehospital Emergency ◽  
Care Training

AbstractIntroductionPrehospital Emergency Medical Services (EMS) providers are expected to treat all patients the same, regardless of race, gender identity, sexual orientation, or religion. Some EMS personnel who are poorly trained in working with lesbian, gay, bisexual, and transgender (LGBT) patients are at risk for managing such patients incompletely and possibly incorrectly. During emergency situations, such mistreatment has meant the difference between life and death.MethodsAn anonymous survey was electronically distributed to EMS educational program directors in Maryland (USA). The survey asked participants if their program included training cultural sensitivity, and if so, by what modalities. Specific questions then focused on information about LGBT education, as well as related topics, that they, as program directors, would want included in an online training module.ResultsA total of 20 programs met inclusion criteria for the study, and 16 (80%) of these programs completed the survey. All but one program (15, 94%) included cultural sensitivity training. One-third (6, 38%) of the programs reported already teaching LGBT-related issues specifically. Three-quarters of the programs that responded (12, 75%) were willing to include LGBT-related material into their curriculum. All programs (16, 100%) identified specific aspects of LGBT-related emergency health issues they would be interested in having included in an educational module.ConclusionMost EMS educational program directors in Maryland are receptive to including LGBT-specific education into their curricula. The information gathered in this survey may help guide the development of a short, self-contained, open-access module for EMS educational programs. Further research, on a broader scale and with greater geographic sampling, is needed to assess the practices of EMS educators on a national level.JalaliS, LevyMJ, TangN. Prehospital emergency care training practices regarding lesbian, gay, bisexual, and transgender patients in Maryland (USA). Prehosp Disaster Med. 2015;30(2):1-4.

scholarly journals APPLICATION OF METHODS OF SIMULATION TRAINING AT THE DEPARTMENT OF POSTGRADUATE EDUCATION OF DENTISTS

2019 ◽  
pp. 41-43
Author(s):  
V. L. Melnik ◽  
M. V. Khrebor ◽  
Yu. I. Sylenko ◽  
V. K. Shevchenko ◽  
P. M. Skrypnikov
Keyword(s):  
Emergency Care ◽  
Clinical Skills ◽  
Postgraduate Education ◽  
Practical Training ◽  
Important Place ◽  
Theoretical Part ◽  
Dental Practitioners ◽  
Manual Skills ◽  
Ventilation Of The Lungs

The aim is to analyze the peculiarities of emergency care to dental practitioners at the department of postgraduate education of dentistry doctors for improving the quality of manual skills of the doctor in an outpatient department. Within the framework of the program, pilot trainings are held in Poltava and Lviv on the following topics: assistance in sudden coronary and sudden cardiac death, assistance with acute cerebrovascular accident, help with hypertensive crises, help with cardiac asthma and pulmonary edema. The training is carried out according to the methodological design and it consists of the theoretical and practical part. The training is provided by a certified teacher at the regional training and training center at M.V. Sklifosovsky Poltava Regional Clinical Hospital. The optimal number of listeners is 10-12 people. On the theoretical part the teacher represents the purpose, the plan of the lesson and in the logical sequence the material is presented. The theoretical part is equipped with a multimedia presentation. In the process, the teacher defines the basic level of knowledge and skills of listeners. In the practical part, the teacher initially determines the level of possession of clinical skills of doctors, teaches work on dummies, models real, simple and accessible to perception simulation scenarios. Doctors have to solve the tasks and practice practical skills from basic resuscitation measures. At the same time, an important place is given to work in the team. On phantoms, elements of the resuscitation brigade are worked out when providing emergency care to a patient with a terminal state (cardiac arrest) using cardiac-pulmonary resuscitation techniques (CPR). At the same time, artificial ventilation of the lungs (ventilation of the lungs) with exhalation in the mouth or the nose (mask) in the area of the head of the phantom is carried out. The modeling of the air duct is then modeled. This verifies the correctness of the laryngoscope in the oropharynx, and the introduction of the laryngeal mask. Doctors will work with Ambu's bag: the first hand fix the mask of the device in the area of the nose, the mouth of the phantom, and the other - by pressing the camera, the air is poured into the roton-nose area of the phantom with a certain frequency of pressure, followed by the use (if necessary) of an oxygen cylinder of type B. This checks the correctness of each reception. Conducting each manual reception and its effectiveness is fixed and processed by a computer program. The result is displayed on the monitor in the form of vital signs of the patient. In the case of effective doctor actions, the vital parameters of the "patient" on the monitor are normalized. The evaluation of the effectiveness of the manipulations is also carried out in balls. In the beginning, the trainer-instructor shows the order and correctness of carrying out emergency assistance measures on phantoms. In the future, monitors the implementation of manual techniques and assesses the actions of interns at each individual stage, emphasizing the correct implementation of the manual action. The sequence of the manual training on the "phantom-monitor" system gives confidence to doctors in the correctness and efficiency of manual skills. At the end of the practical cycle of training certified teachers of the department summarize the practical training with doctors-dentists. Practical training with the use of modern phantoms with computer processing of results helps to increase the competence of dental practitioners in providing emergency care and to ensure the use of the knowledge to improve the quality of medical care for patients.

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