PREHOSPITAL AIRWAY MANAGEMENT TRAINING AND EDUCATION: AN NAEMSP POSITION STATEMENT AND RESOURCE DOCUMENT

被引:12
作者
Dorsett, Maia [1 ]
Panchal, Ashish R. [2 ]
Stephens, Christopher [3 ,4 ]
Farcas, Andra [5 ]
Leggio, William [6 ]
Galton, Christopher [7 ,8 ]
Tripp, Rickquel [9 ]
Grawey, Tom [10 ]
机构
[1] Univ Rochester, Dept Emergency Med, Med Ctr, Rochester, NY 14627 USA
[2] Ohio State Univ, Wexner Med Ctr, Dept Emergency Med, Columbus, OH 43210 USA
[3] UTHlth McGovern Med Sch, Dept Anesthesiol, Houston, TX USA
[4] UTHlth McGovern Med Sch, Dept Emergency Med, Houston, TX USA
[5] Univ Calif San Diego, Dept Emergency Med, San Diego, CA 92103 USA
[6] Austin Travis Cty EMS, Off Chief Med Officer, Austin, TX USA
[7] Univ Rochester, Med Ctr, Dept Anesthesiol, Rochester, NY 14642 USA
[8] Univ Rochester, Med Ctr, Dept Emergency Med, Rochester, NY 14642 USA
[9] Univ Pittsburgh, Med Ctr, Dept Emergency Med, Pittsburgh, PA USA
[10] Med Coll Wisconsin, Dept Emergency Med, Milwaukee, WI 53226 USA
关键词
prehospital; EMS; airway; education; clinical judgment; HIGH-FIDELITY SIMULATION; DELIBERATE PRACTICE; EXPERT-PERFORMANCE; SUPRAGLOTTIC AIRWAY; PARAMEDIC STUDENTS; MEDICAL-EDUCATION; CLINICAL JUDGMENT; ACQUISITION; MAINTENANCE; SUCCESS;
D O I
10.1080/10903127.2021.1977877
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Airway management competency extends beyond technical skills to encompass a comprehensive approach to optimize patient outcomes. Initial and continuing education for airway management must therefore extend beyond a narrow focus on psychomotor skills and task completion to include appreciation of underlying pathophysiology, clinical judgment, and higher-order decision making. NAEMSP recommends: Active engagement in deliberate practice should be the guiding approach for developing and maintaining competence in airway management. EMS learners and clinicians must be educated in an escalating approach to airway management, where basic airway maneuvers form the central focus. Educational activities should extend beyond fundamental knowledge to focus on the development of clinical judgment. Optimization of patient outcomes should be valued over performance of individual airway management skills. Credentialing and continuing education activities in airway management are essential to advance clinicians beyond entry-level competency. Initial and continuing education programs should be responsive to advances in the evidence base and maintain adaptability to re-assess content and expected outcomes on a continual basis.
引用
收藏
页码:3 / 13
页数:11
相关论文
共 77 条
[1]   CLINICAL CREDENTIALING OF EMS PROVIDERS [J].
不详 .
PREHOSPITAL EMERGENCY CARE, 2017, 21 (03) :397-398
[2]  
[Anonymous], 1980, MIND SOC DEV HIGHER, DOI DOI 10.2307/J.CTVJF9VZ4
[3]   Education in airway management [J].
Baker, P. A. ;
Weller, J. M. ;
Greenland, K. B. ;
Riley, R. H. ;
Merry, A. F. .
ANAESTHESIA, 2011, 66 :101-111
[4]   The think aloud approach as an educational tool to develop and assess clinical reasoning in undergraduate students [J].
Banning, Maggi .
NURSE EDUCATION TODAY, 2008, 28 (01) :8-14
[5]   The Demographics and Education of Emergency Medical Services (EMS) Professionals: A National Longitudinal Investigation [J].
Bentley, Melissa A. ;
Shoben, Abigail ;
Levine, Roger .
PREHOSPITAL AND DISASTER MEDICINE, 2016, 31 :S18-S29
[6]   Creation and Validation of a Novel Mobile Simulation Laboratory for High Fidelity, Prehospital, Difficult Airway Simulation [J].
Bischof, Jason J. ;
Panchal, Ashish R. ;
Finnegan, Geoffrey I. ;
Terndrup, Thomas E. .
PREHOSPITAL AND DISASTER MEDICINE, 2016, 31 (05) :465-470
[7]   Can Emergency Medical Services Personnel Effectively Place and Use the Supraglottic Airway Laryngopharyngeal Tube (SALT) Airway?? [J].
Bledsoe, Bryan E. ;
Slattery, David E. ;
Lauver, Russell ;
Forred, Wesley ;
Johnson, Larry ;
Rigo, Gino .
PREHOSPITAL EMERGENCY CARE, 2011, 15 (03) :359-365
[8]  
Bloom BS, 1956, Taxonomy of educational objectives: The classification of educational goals
[9]   The Use of Simulation in the Development of Individual Cognitive Expertise in Emergency Medicine [J].
Bond, William ;
Kuhn, Gloria ;
Binstadt, Emily ;
Quirk, Mark ;
Wu, Teresa ;
Tews, Matthew ;
Dev, Parvati ;
Ericsson, K. Anders .
ACADEMIC EMERGENCY MEDICINE, 2008, 15 (11) :1037-1045
[10]   Experience in Prehospital Endotracheal Intubation Significantly Influences Mortality of Patients with Severe Traumatic Brain Injury: A Systematic Review and Meta-Analysis [J].
Bossers, Sebastiaan M. ;
Schwarte, Lothar A. ;
Loer, Stephan A. ;
Twisk, Jos W. R. ;
Boer, Christa ;
Schober, Patrick .
PLOS ONE, 2015, 10 (10)