The ability to perform a post-traumatic examination as an indicator of the effects of teaching emergency medicine at the successive stages of the educational process: medical students, trainee physicians.

Cezary Pakulski; Maciej Denisiuk

doi:10.20883/jms.2018.258

Authors

Cezary Pakulski Pomeranian Medical University Szczecin
Maciej Denisiuk Pomeranian Medical University in Szczecin

DOI:

https://doi.org/10.20883/jms.2018.258

Keywords:

emergency medicine, post-traumatic examination, medical students, postgraduate trainee physicians, teaching effects

Abstract

Introduction. Emergency management at the accident site is often of key importance for the later fate of patients who have sustained severe injuries. The scheme for post-traumatic examination has been developed to improve dealing with trauma patients.
Aim. The aim of this study was to analyze the effects of teaching emergency medicine to students and graduates of the Faculty of Medicine in Szczecin, on the basis of their ability to carry out post-traumatic examination. The skills at recognizing a direct threat to life and performing basic life-saving procedures were appraised.
Material and Methods. The study involved 81 individuals, who were evaluated three times at different stages of their educational process. Groups I and II comprised of fifth year students before and after an emergency medicine course, and group III consisted of trainee physicians. The Laerdal MegaCode Kelly manikin was employed in the project. Each of the simulated patients had the same external injury symptoms and parameters of vital functions.
Results. Evaluation of vital functions was correctly done by 14.8% of group I, 59.3% of group II, and no one in group III. A quick post-traumatic examination was performed properly by 11.2% of group I, 55.5% of group II, and no one in group III.
Conclusions. Group I lacked the ability to perform post-traumatic examination and first aid procedures. Participation in emergency medicine courses had positive effects on the participants’ skills (group II). The ability of trainee physicians (group III) to perform the majority of the tested elements of post-traumatic examination, including first aid procedures, noticeably declined and reached the initial level.

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Author Biographies

Cezary Pakulski, Pomeranian Medical University Szczecin

Head of the Clinic of Anesthesiology, Intensive Therapy and Emergency Medicine; Pomeranian Medical University in Szczecin
Maciej Denisiuk, Pomeranian Medical University in Szczecin

Clinic of Anesthesiology, Intensive Therapy and Emergency Medicine;
Master of Paramedic Science

References

Pakulski C, Bułak M, Denisiuk M. Life-saving procedures in patients with severe traumatic brain injury. Emerg Med Serv. 2015;II(1):29–35

Skitek I, Witt M, Goniewicz M. Assessment of the first aid knowledge among Poznań university students. Medical News. 2012;81(6):641–646.

Dąbrowski M, Dąbrowska A, Sip M, Witt M. Evaluation study of the knowledge of basic life support of state fire service firefighters, medical students and resident doctors. Medical News. 2012;81(6):647–652.

Olejniczak D, Miciuk D, Religioni U. Assessment of Students’ of Medical University of Warsaw of the Nursing about Providing First Aid. Piel Zdr Publ. 2013;3(2):101–110.

Starosolski M. Symulacja – nowoczesna metoda szkolenia. Na Ratunek. 2009;2:16–18.

Petrusa ER, Blackwell TA, Rogers LP, Saydjari C, Parcel S, Guckian JC. An objective measure of clinical performance. Am J Med. 1987:83(1);34–42.

Ali J, Dunn J, Eason M, Drumm J. Comparing the standardized live trauma patient and the mechanical symulator models in the ATLS initial assessment station. J Surg Res. 2010:162(1);7–10.

Cherry RA, Ali J. Current concepts in simulation-based trauma education. J Trauma. 2008:65(5);1186–1193.

Ali J, Adam RU, Sammy I, Ali E, Williams JL. The simulated trauma patient teaching module – Does it improve student performance? J Trauma. 2007:62(6);1416–1420.

Ali J, Al. Ahmadi K, Williams JL, Cherry RA. The standardizedlive patients and mechanical patient model – their roles in trauma teaching. J Trauma. 2009:66(1);98–102.

Cherry RA, Williams JL, George J, Ali J. The effectiveness of a human patients symulator in the ATLS shock skills station. J Surg Res. 2007:139(2);229–235.

Li MS, Brasel KJ, Schultz D, Falimirski ME, Stafford RE, Somberg LB, Weigelt JA. Effective retention of promary survey skills by medical students after participation in a expanded Trauma Evaluation and Management course. Am J Surg. 2006:191;276–280.

Jawaid M, Memon AA, Masood Z, Alam SN. Effectiveness of the primary trauma care course: is the outcome satisfactory? Pak J Med Sci. 2013:29(5);1265–1268.

Grześkowiak M, Bartkowska-Śniatkowska A, Rosada-Kurasińska J. A survey of anesthesiology residents' knowledge of resuscitation guidelines. Anest Intens Ter. 2010:42(4);213–216.