儿科是否被排除在方程式之外？

Olivia Quigley was six years old when she suffered sudden cardiac arrest (SCA). She was in first grade, doing warm-ups in gym class, when she suddenly collapsed.

She was fortunate that her school had rehearsed an immediate medical emergency response plan. After two teachers performed six minutes of cardiopulmonary resuscitation (CPR), emergency medical technicians (EMTs) arrived with a defibrillator that revived Olivia. She survived. Recounting the experience, her father says, “Cardiac arrest isn’t rare – survival is.”¹

Each year in the United States, over 7,000 children experience an out-of-hospital cardiac arrest (OHCA).²他们的生存机会在很大程度上取决于旁观者和从业者是否以与他们对待成年人相同的信心和技能行事。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准备可以使生与死之间有所不同。But, sadly, hands-on practice for pediatric patients can be overlooked. People don’t like to imagine doing CPR on a child.

在本文中，我们分享了儿科SCA中提出的挑战的概述，并讨论了增加小儿复苏的动手实践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专业人士培训小儿QCPR。

Over the past 30 years, pre-hospital survival rates have remained the same.¹⁵This is in comparison to rates within hospitals, which have continuously increased.¹⁶

为什么是这样？According to Dr. Peter Antevy, many EMTs and paramedics have a tendency to automatically transport pediatric patients, as opposed to remaining to treat them on site as they would with adult patients.¹⁷当这些第一个时，临界分钟被用于运输患者时，生存的机会降低了。¹⁸这正是为什么对小儿受害者培训如此重要的原因 -developing the confidence and skills to stay put makes all the difference.

It’s important to note that, even though pediatric in-hospital survival rates are improving, survival is still the exception to the rule. According to the American Heart Association (AHA), there is only a 36% survival-to-discharge rate for pediatric in-hospital cardiac arrests (IHCA).¹⁹即使医疗保健专业人员立即关注，大多数儿童也没有康复。

研究表明，只有10％的专业人员在儿科复苏中获得必要的胸部压缩部分，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.

儿科的质量CPR不再是猜测游戏。借助提供即时反馈和纠正指导的培训Manikins，专业人士可以充满信心，他们正在采用挽救生命的技术。

在见证的逮捕中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，一小时的危机资源管理培训在儿科复苏的初始步骤中改善了受训者的反应时间。¹¹And, another study found that self-efficacy increased and anticipated anxiety about CPR decreased one month after parents received CPR training.¹²这项研究强调了高质量的CPR培训可以在社区中产生的影响。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 thatyou’ve just taught a class of future lifesavers.

To increase SCA survival rates for children, training needs to be geared toward the people who are most likely to be with them – parents, teachers, coaches, and even children as young as 9-years-old.¹³Engaging courses that provide the pediatric practice that these learners need are one way to make the training stick.

Pediatric cardiac arrest is unsettling and challenging to treat.儿童比成年人遭受心脏骤停的可能性较小，但这并不应该在心肺复苏术培训中为儿科造成空白。Instead, training for these low-frequency, high-acuity events should be made equally as important.

通过将小儿Manikin纳入您现有的培训课程中，旁观者和医疗保健专业人员都可以提高其儿科复苏技能。188体育直播比分Laerdal Medical提供了一系列儿科CPR技能Manikins，它们结合了优质的CP​​R反馈，这将使您的学习者能够训练最高的CPR标准。