儿科是否被排除在等式中？

当她遭受突然的心脏骤停（SCA）时，奥利维亚Quigley六岁了。她在一年级，在突然崩溃时，在健身房班上做热身。

她很幸运，她的学校已经排练了立即医疗应急响应计划。两位教师进行了六分钟的心肺复苏（CPR）后，紧急医疗技术人员（EMTS）达到了冬季奥利维亚的除颤器。她幸存下来。叙述经验，她的父亲说，“心脏骤停不是稀有 - 生存是”。“¹

每年在美国，超过7000名儿童经历了医院外心脏骤停（OHCA）。²他们生存的机会在很大程度上取决于旁观者和从业者是否与他们将治疗成年人的相同信心和技能组成。³

Only 9% of children survive, and many have poor neurological outcomes.⁴

Olivia’s story shows the best possible outcome for a pediatric victim of SCA. Witnesses saw her collapse, teachers began bystander CPR right away, and EMS arrived within minutes to take over. Her survival is a testament to how准备可以产生生死与死亡之间的差异。但是，可悲的是，可以忽视儿科患者的实践练习。人们不喜欢想象在孩子身上做CPR。

在本文中，我们分享了儿科SCA中提出的挑战的概述，并讨论了对儿科复苏的实践练习的频率和质量如何有所帮助。

Training for the unexpected is one of the many benefits offered through simulation. This can be particularly true for healthcare professionals who are more likely to treat adult patients and are now faced with a pediatric patient in SCA. Treating pediatric patients can often provoke a sense of anxiety and discomfort among EMS personnel.¹⁴The EMS for Children Survey (April 2020) found that 43.6% of EMS agencies see, on average, fewer than one pediatric patient per month.¹⁵This indicates that there is certainly a lack of real-life pediatric practice.

EMS专业人士培训儿科QCPR。

在过去的30年里，院前生存率仍然存在。¹⁵与医院内的价格相比，这与持续增加的率。¹⁶

为什么是这样？据彼得安特维尔博士称，许多EMTS和医护人员倾向于自动运输儿科患者，而不是留在成人患者的现场上。¹⁷当这些首先，临时分钟用于运输患者时，存活的机会降低。¹⁸这恰恰是为什么对儿科受害者的培训是如此重要 -developing the confidence and skills to stay put makes all the difference.

值得注意的是，即使儿科医院存活率正在改善，仍然是规则的例外。据美国心脏协会（AHA）介绍，儿科医院心脏骤停（IHCA）只有36％的存放率。¹⁹大多数儿童甚至没有从医疗保健专业人员的立即关注。

研究表明，只有10％的专业人士在儿科复苏中达到必要的胸部压缩分数，胸部压缩深度和胸部压缩率。²⁰What all of this points to is the need for additional training – more specifically, training with a focus on high-quality CPR.

质量CPR用于儿科学不再是猜测游戏。通过提供立即提供反馈和纠正指导的培训人体模型，专业人员可以确信他们正在申请救生技术。

目睹的逮捕是，bystander CPR is only performed 35% of the time。¹⁰Experts suggest that one way to improve pediatric survival rates is to build bystander confidence to take action.

一项研究发现，一小时危机资源管理培训在儿科复苏中的初始步骤中提高了学员的响应时间。¹¹And, another study found that self-efficacy increased and anticipated anxiety about CPR decreased one month after parents received CPR training.¹²这项研究突出了质量CPR培训可以在社区内产生的影响。减少恐惧因素意味着增加生存。

In order to effectively train community members in CPR and ensure that they will leave the classroom confident in their ability save a life, it helps to use more engaging learning methods. It’s been shown that learners achieve the greatest competency through interactive activities. Incorporating measurement, assessment, and feedback into pediatric CPR training can better prepare them for optimal performance, and can help you rest assured that你刚刚教过一类未来的救生员。

为了增加儿童的SCA生存率，培训需要掌握最有可能与他们在一起的人 - 父母，教师，教练，甚至儿童年龄为9岁。¹³从事课程，提供这些学习者需要的儿科练习是制作训练棒的一种方式。

Pediatric cardiac arrest is unsettling and challenging to treat.儿童不太可能成年人体验心脏骤停，但这在CPR培训中不应该为儿科学创造空虚。相反，应对这些低频，高敏锐事件的培训同样重要。

通过将儿科人体模型纳入现有的培训课程，旁观者和医疗保健专业人员可以改善其儿科复苏技能。188体育直播比分Laerdal Medical提供一系列儿科CPR技能Manikins，该技能融合了质量CPR反馈，这将使您的学员可以培训到最高的CPR标准。