中国医学救援培训的现状和未来发展方向
摘要
<正>随着我国医学救援的"灾害谱"逐渐扩大,医学救援的地位越来越重要,而培训是提高医学救援能力的重要途径。基于既往灾害医学救援情况可知,我国在应对突发公共卫生事件和战场救援的医学救援培训和实践方面已经取得了一些成就,如医学模拟训练技术、基地化培训、专业的培训机构和面向大众培训的进步有力提高了医学救援培训的整体效能,特别是医学模拟训练培训的发展,有力地提高了医学救援能力。但以上发展仍有一些局限值得改进,如缺乏多维培训体系、没有相关资质认证标准、
引文
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[3] 张兴文,祝益民,刘晓亮.大数据时代背景下的灾害救援医学[J].中国急救复苏与灾害医学杂志,2015,10(3):277-280
[4] 李宗浩.中国现代急救医学的发展[J].中华医院管理杂志,1998,14 (6):379-381
[5] Anderson P,Petrino R,Halpern P,et al.The globalization of emergency medicine and its importance for public health[J].Bull World Health Organ,2006,84(10):835-839
[6] 侯世科.中国灾难医学救援队建设的现状与思考[J].上海医学,2012,35(7):565-568
[7] Zhang L,Liu X,Li Y,et al.Emergency medical rescue efforts after a major earthquake:lessons from the 2008 Wenchuan earthquake[J].Lancet,2012,379(9818):853-861
[8] Domres B,Schauwecker HH,Rohrmann K,et al.The German approach to emergency/disaster management[J].Med Arh,2000,54(4):201-203
[9] Su T,Han X,Chen F,et al.Knowledge Levels and Training Needs of Disaster Medicine among Health Professionals,Medical Students,and Local Residents in Shanghai,China[J].PloS One,2013,8(6):e67041
[10] 宗兆文,秦昊,雷英,等.紧急救治外科在美军军医培训中的作用[J].解放军医院管理杂志,2017,24(3):295-296
[11] McGaghie WC,Issenberg SB,Cohen ER,et al.Does simulation-based medical education with deliberate practice yield better results than traditional clinical education?A meta-analytic comparative review of the evidence[J].Acad Med,2011,86(6):706-711
[12] Rosen KR.The history of medical simulation[J].J Crit Care,2008,23(2):157-166
[13] Nesbitt CI,Birdi N,Mafeld S,et al.The role of simulation in the development of endovascular surgical skills[J].Perspect Med Educ,2016,5(1):8-14
[14] Jensen S,Lyng KM,Pn?hr C.The role of simulation in clinical information systems development[J].Stud Health Technol Inform,2012,180(1):373-377
[15] 秦昊,刘道城,杨磊,等.增强现实技术在战创伤救治培训中的应用与展望[J].华南国防医学杂志,2018,32(7):504-507
[16] 周连生,窦贺荣,曲爱娜,等.在救援医学专业动物实验教学中强化医学救援的理念[J].中国急救复苏与灾害医学杂志,2011,6(11):986-988
[17] 李玉萍,刘灏,彭朗鸣,等.做好模拟伤员的设置化妆增强卫勤演习效果[J].第一军医大学分校学报,2002,25(2):138,151
[18] 宗兆文,秦昊,包俊强,等.可穿戴式战伤训练模具在非医学专业院校学员战伤自救互救培训中的应用[J].华南国防医学杂志,2017,31(9):616-618
[19] 栾嘉.军改中破浪前行的第三军医大学战伤模拟训练[J].第三军医大学学报,2017 (10):2
[20] 周雪,孙建萍,陈涛,等.仿真教学中案例的设计与研制[J].中华护理教育,2012,9(1):15-17
[21] 孙东,张泽华,许建中,等.基于模拟人系统的室内人工合成训练环境在机动卫勤分队训练中的应用[J].解放军医院管理杂志,2015,22 (8):770-772
[22] Johnson D,Johnson S.The effects of using a human patient simulator compared to a CD-ROM in teaching critical thinking and performance[J].US Army Med Dep J,2014:59-64
[23] 彭博,孟海滨,王庆阳,等.“三防”医学救援组织指挥模拟训练系统设计[J].医疗卫生装备,2017,38(7):39-41,58
[24] 毛建亭,彭飞,高宏杰,等.灾害医疗救援仿真模拟训练研究[J].解放军医院管理杂志,2012,19(5):490-492
[25] Khamis NN,Satava RM,Alnassar SA,et al.A stepwise model for simulation-based curriculum development for clinical skills,a modification of the six-step approach[J].Surg Endosc,2016,30(1):279-287
[26] Nayahangan LJ,Stefanidis D,Kern DE,et al.How to identify and prioritize procedures suitable for simulation-based training:Experiences from general needs assessments using a modified Delphi method and a needs assessment formula[J].Med Teach,2018,40(7):676-683
[27] 贾群林,贾思萱.地震救援中救援及医疗技术基地化训练的实践与探讨[J].中华灾害救援医学,2013,1(1):7-10
[28] 武周炜,向宇,张雯珂,等.国家紧急医学救援队基地化培训的实践研究[J].中国急救复苏与灾害医学杂志,2016,11(6):631-633
[29] 杨子初.普及“高级创伤生命支持”培训提高医护人员灾难应对能力[J].中国急救医学,2009,29(11):1032-1034
[30] 焦艳波,于小雨.2017北京国际航空医疗救援论坛精彩纷呈[J].中华灾害救援医学,2017,5 (8):437
[31] 黎檀实.战术战伤救治理论与实践研究[J].中国急救复苏与灾害医学杂志,2015,10(1):1-4
[32] Eastridge BJ,Mabry RL,Seguin P,et al.Death on the battlefield (2001-2011):implications for the future of combat casualty care[J].J Trauma Acute Care Surg,2012,73(6 Suppl 5):S431- S437
[33] 张晓东,李林,黄健熙,等.面向公众的地震认知培训、信息采集与分析系统研制[J].中国科技成果,2015 (11):31-31
[34] Kotwal RS,Howard JT,Orman JA,et al.The Effect of a Golden Hour Policy on the Morbidity and Mortality of Combat Casualties[J].JAMA Surg,2016,151(1):15-24
[35] 李檬,王敏,罗泰来,等.美海军医学模拟训练情况简介[J].人民军医,2013,56(3):283-284
[36] Barsom EZ,Graafland M,Schijven MP.Systematic review on the effectiveness of augmented reality applications in medical training[J].Surg Endosc,2016,30(10):4174-4183
[37] 宗兆文,秦昊,徐雷,等.战救技术培训模拟训练进展与启示[J].华南国防医学杂志,2016,30 (8):526-528
[38] 李永革,张岩.军地联合应急医学救援中的关键信息技术[J].中国数字医学,2011,6(4):42-44
[39] 李帅锋,胡雪军,董罡,等.开展军民融合应急医学救援训练的分析与思考[J].中国急救复苏与灾害医学杂志,2016,11(3):279-281
[2] 侯世科,董文龙,丁辉,等.我国救援医学学科发展与建设[J].中国急救复苏与灾害医学杂志,2014,9 (9):777-779
[3] 张兴文,祝益民,刘晓亮.大数据时代背景下的灾害救援医学[J].中国急救复苏与灾害医学杂志,2015,10(3):277-280
[4] 李宗浩.中国现代急救医学的发展[J].中华医院管理杂志,1998,14 (6):379-381
[5] Anderson P,Petrino R,Halpern P,et al.The globalization of emergency medicine and its importance for public health[J].Bull World Health Organ,2006,84(10):835-839
[6] 侯世科.中国灾难医学救援队建设的现状与思考[J].上海医学,2012,35(7):565-568
[7] Zhang L,Liu X,Li Y,et al.Emergency medical rescue efforts after a major earthquake:lessons from the 2008 Wenchuan earthquake[J].Lancet,2012,379(9818):853-861
[8] Domres B,Schauwecker HH,Rohrmann K,et al.The German approach to emergency/disaster management[J].Med Arh,2000,54(4):201-203
[9] Su T,Han X,Chen F,et al.Knowledge Levels and Training Needs of Disaster Medicine among Health Professionals,Medical Students,and Local Residents in Shanghai,China[J].PloS One,2013,8(6):e67041
[10] 宗兆文,秦昊,雷英,等.紧急救治外科在美军军医培训中的作用[J].解放军医院管理杂志,2017,24(3):295-296
[11] McGaghie WC,Issenberg SB,Cohen ER,et al.Does simulation-based medical education with deliberate practice yield better results than traditional clinical education?A meta-analytic comparative review of the evidence[J].Acad Med,2011,86(6):706-711
[12] Rosen KR.The history of medical simulation[J].J Crit Care,2008,23(2):157-166
[13] Nesbitt CI,Birdi N,Mafeld S,et al.The role of simulation in the development of endovascular surgical skills[J].Perspect Med Educ,2016,5(1):8-14
[14] Jensen S,Lyng KM,Pn?hr C.The role of simulation in clinical information systems development[J].Stud Health Technol Inform,2012,180(1):373-377
[15] 秦昊,刘道城,杨磊,等.增强现实技术在战创伤救治培训中的应用与展望[J].华南国防医学杂志,2018,32(7):504-507
[16] 周连生,窦贺荣,曲爱娜,等.在救援医学专业动物实验教学中强化医学救援的理念[J].中国急救复苏与灾害医学杂志,2011,6(11):986-988
[17] 李玉萍,刘灏,彭朗鸣,等.做好模拟伤员的设置化妆增强卫勤演习效果[J].第一军医大学分校学报,2002,25(2):138,151
[18] 宗兆文,秦昊,包俊强,等.可穿戴式战伤训练模具在非医学专业院校学员战伤自救互救培训中的应用[J].华南国防医学杂志,2017,31(9):616-618
[19] 栾嘉.军改中破浪前行的第三军医大学战伤模拟训练[J].第三军医大学学报,2017 (10):2
[20] 周雪,孙建萍,陈涛,等.仿真教学中案例的设计与研制[J].中华护理教育,2012,9(1):15-17
[21] 孙东,张泽华,许建中,等.基于模拟人系统的室内人工合成训练环境在机动卫勤分队训练中的应用[J].解放军医院管理杂志,2015,22 (8):770-772
[22] Johnson D,Johnson S.The effects of using a human patient simulator compared to a CD-ROM in teaching critical thinking and performance[J].US Army Med Dep J,2014:59-64
[23] 彭博,孟海滨,王庆阳,等.“三防”医学救援组织指挥模拟训练系统设计[J].医疗卫生装备,2017,38(7):39-41,58
[24] 毛建亭,彭飞,高宏杰,等.灾害医疗救援仿真模拟训练研究[J].解放军医院管理杂志,2012,19(5):490-492
[25] Khamis NN,Satava RM,Alnassar SA,et al.A stepwise model for simulation-based curriculum development for clinical skills,a modification of the six-step approach[J].Surg Endosc,2016,30(1):279-287
[26] Nayahangan LJ,Stefanidis D,Kern DE,et al.How to identify and prioritize procedures suitable for simulation-based training:Experiences from general needs assessments using a modified Delphi method and a needs assessment formula[J].Med Teach,2018,40(7):676-683
[27] 贾群林,贾思萱.地震救援中救援及医疗技术基地化训练的实践与探讨[J].中华灾害救援医学,2013,1(1):7-10
[28] 武周炜,向宇,张雯珂,等.国家紧急医学救援队基地化培训的实践研究[J].中国急救复苏与灾害医学杂志,2016,11(6):631-633
[29] 杨子初.普及“高级创伤生命支持”培训提高医护人员灾难应对能力[J].中国急救医学,2009,29(11):1032-1034
[30] 焦艳波,于小雨.2017北京国际航空医疗救援论坛精彩纷呈[J].中华灾害救援医学,2017,5 (8):437
[31] 黎檀实.战术战伤救治理论与实践研究[J].中国急救复苏与灾害医学杂志,2015,10(1):1-4
[32] Eastridge BJ,Mabry RL,Seguin P,et al.Death on the battlefield (2001-2011):implications for the future of combat casualty care[J].J Trauma Acute Care Surg,2012,73(6 Suppl 5):S431- S437
[33] 张晓东,李林,黄健熙,等.面向公众的地震认知培训、信息采集与分析系统研制[J].中国科技成果,2015 (11):31-31
[34] Kotwal RS,Howard JT,Orman JA,et al.The Effect of a Golden Hour Policy on the Morbidity and Mortality of Combat Casualties[J].JAMA Surg,2016,151(1):15-24
[35] 李檬,王敏,罗泰来,等.美海军医学模拟训练情况简介[J].人民军医,2013,56(3):283-284
[36] Barsom EZ,Graafland M,Schijven MP.Systematic review on the effectiveness of augmented reality applications in medical training[J].Surg Endosc,2016,30(10):4174-4183
[37] 宗兆文,秦昊,徐雷,等.战救技术培训模拟训练进展与启示[J].华南国防医学杂志,2016,30 (8):526-528
[38] 李永革,张岩.军地联合应急医学救援中的关键信息技术[J].中国数字医学,2011,6(4):42-44
[39] 李帅锋,胡雪军,董罡,等.开展军民融合应急医学救援训练的分析与思考[J].中国急救复苏与灾害医学杂志,2016,11(3):279-281