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1.
J Trauma ; 46(1): 80-86, Jan. 1999.
Artigo em Inglês | MedCarib | ID: med-1337

RESUMO

BACKGROUND: The 1997 edition of the Advanced Trauma Life Support (ATLS) course emphasized interactivity as its major change. The impact of this change is assessed in this study. METHODS: We compared two matched groups of 16 interns completing either the old (group I) or new (group II) ATLS course. Cognitive skills (40 standard ATLS questions plus 10 additional questions on airway and shock) and clinical trauma management skills (four trauma objective structured clinical examinations [OSCEs] on simulated trauma patients) were tested. OSCE station scores (standardized to a maximum of 20), priority scores (graded 1-7), organized approach global passing grades (graded 1-5), and initial assessment test station scores (graded 1-5) were compared. RESULTS: Using ATLS criteria, three interns failed in each group. Post-ATLS examination quesiton scores were similar (84.5 +/- 6.9 for group I, 85.9 +/- 7.1 for group II); scores for the airway and shock questions were higher but not different between the two groups. The four OSCE station mean scores varied between 13.9 +/- 2.0 and 15.4 +/- 2.1 for group I and were higher (P < 0.05) for group II (17.9 +/- 1.6 to 19.1 +/- 1.0). Priority scores were similar (group I, 6.3 +/- 1.1; group II, 6.4+/- 1.2), but approach scores (3.9 +/- 0.1 for group I and 4.9 +/- 0.8 for group II). There were 8 honors grades in group I and 40 (p < 0.05) in group II. Interactive teaching, adult education principles, opportunities for discussion, provision of feedback, and stimulation of self-learning were rated more highly in the new course. CONCLUSION: Using standard ATLS pass criteria, performance after the new and old ATLS courses was similar. Superior performances were measured using OSCE methodology for clinical trauma management skills after the new compared with the old ATLS course in this population of interns.(Au)


Assuntos
Humanos , Estudo Comparativo , Competência Clínica , Medicina de Emergência/educação , Internato e Residência/normas , Avaliação de Programas e Projetos de Saúde , Ensino/métodos , Cuidados para Prolongar a Vida , Inquéritos e Questionários , Trinidad e Tobago
2.
Port of Spain; Department of Medicine, Port-of-Spain General Hospital; 2nd; 1999. 36 p. tab.
Monografia em Inglês | MedCarib | ID: med-16227
3.
Med Trop (Mars) ; 57(1): 91-5, 1997.
Artigo em Inglês | MedCarib | ID: med-1953

RESUMO

The purpose of this report was to describe lessons learned from experience in the tropical forest of Guyana and one helicopter rescue mission in that hostile environment. With previous data reported in the literature several guidelines for organizing these operations can be proposed. These rescue operations involve hoisting the victim to helicopter, medical treatment itself, and penetration into a hostile environment. Effectiveness and safety mandate that the physicians involved receive regular training in the techniques of helicopter evacuation, first aid, and survival. It is necessary to adapt conventional first aid kits for the purpose and to develop light and adequate survival equipment as listed exhaustively by the author.(AU)


Assuntos
Humanos , Acidentes Aeronáuticos , Resgate Aéreo , Serviços Médicos de Emergência/organização & administração , Árvores , Clima Tropical , Medicina de Emergência/instrumentação , Medicina de Emergência/educação , Primeiros Socorros/instrumentação , Guias como Assunto , Guiana , Segurança , Sobrevivência , Transporte de Pacientes
4.
In. Fraser, Henry S; Hoyos, Michael D. Therapeutics update and other papers: CME in Barbados 1983. Bridgetown, University of the West Indies (Eastern Caribbean Medical Scheme), 1984. p.139-43.
Monografia em Inglês | MedCarib | ID: med-9770
5.
In. Fraser, Henry S; Hoyos, Michael D. Therapeutics update and other papers: CME in Barbados 1983. Bridgetown, University of the West Indies (Eastern Caribbean Medical Scheme), 1984. p.136-8.
Monografia em Inglês | MedCarib | ID: med-9771
6.
In. Fraser, Henry S; Hoyos, Michael D. Therapeutics update and other papers: CME in Barbados 1983. Bridgetown, University of the West Indies (Eastern Caribbean Medical Scheme), 1984. p.132-5.
Monografia em Inglês | MedCarib | ID: med-9772
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