PDF(Pubmed)
Abstract：
UNASSIGNED: This study aimed to evaluate the effectiveness of a Pit Crew intervention to improve team dynamics and time to performance of critical actions in a prehospital critical care scenario. The primary outcome was successful completion of critical actions and time to completion of these critical actions. Secondary outcomes included effectiveness of communication and overall team functioning.
UNASSIGNED: The study was conducted with a fire-based Emergency Medical Services (EMS) system with 233 paramedics and 115 Emergency Medical Technicians (EMT). Eight EMS crews comprised of five members each were randomly selected and assigned to either the intervention or the control group. The intervention group (n=20) watched a thirty-minute video prior to the training describing the \"Pit Crew Approach;\" the control group (n=20) did not watch the video. Each crew was given the same simulation scenario of a pediatric patient that had overdosed on a beta-blocker. Completion of predetermined critical tasks were noted and timestamped. A survey was administered to the participants following the training to assess team dynamics and level of confidence.
UNASSIGNED: Three outcomes were statistically significant between the two arms: The interventional group felt they themselves had a more defined role in the resuscitation in comparison to the non-interventional group (p= 0.021). The interventional group also felt that their team members had a clearer and more defined role than the nonintervention group (p= 0.018). The interventional group also felt more confident managing a beta blocker overdose than the nonintervention group (p.007). The only statistically significant secondary outcome finding was in scene departure decision: the interventional arm spent more time on-scene (p=0.031). Of note, the non-intervention group missed performing tasks more often than the interventional group and team leaders of these groups often performed task(s) while also directing the patient care.
UNASSIGNED: The Pit Crew model was developed to optimize communication and team function. Our data identified that a formal instruction of the pit crew approach to a critical care scenario improved comfort in patient care. Future studies are needed evaluate other methods of training and the effects of continued formal pit-crew training over time.
UNASSIGNED: The study was conducted with a fire-based Emergency Medical Services (EMS) system with 233 paramedics and 115 Emergency Medical Technicians (EMT). Eight EMS crews comprised of five members each were randomly selected and assigned to either the intervention or the control group. The intervention group (n=20) watched a thirty-minute video prior to the training describing the \"Pit Crew Approach;\" the control group (n=20) did not watch the video. Each crew was given the same simulation scenario of a pediatric patient that had overdosed on a beta-blocker. Completion of predetermined critical tasks were noted and timestamped. A survey was administered to the participants following the training to assess team dynamics and level of confidence.
UNASSIGNED: Three outcomes were statistically significant between the two arms: The interventional group felt they themselves had a more defined role in the resuscitation in comparison to the non-interventional group (p= 0.021). The interventional group also felt that their team members had a clearer and more defined role than the nonintervention group (p= 0.018). The interventional group also felt more confident managing a beta blocker overdose than the nonintervention group (p.007). The only statistically significant secondary outcome finding was in scene departure decision: the interventional arm spent more time on-scene (p=0.031). Of note, the non-intervention group missed performing tasks more often than the interventional group and team leaders of these groups often performed task(s) while also directing the patient care.
UNASSIGNED: The Pit Crew model was developed to optimize communication and team function. Our data identified that a formal instruction of the pit crew approach to a critical care scenario improved comfort in patient care. Future studies are needed evaluate other methods of training and the effects of continued formal pit-crew training over time.
摘要：
■本研究旨在评估PitCrew干预措施的有效性，以改善院前重症监护场景中团队的活力和关键行动的执行时间。主要结果是成功完成关键行动和完成这些关键行动的时间。次要结果包括沟通的有效性和整体团队功能。
■该研究是使用基于火灾的紧急医疗服务（EMS）系统进行的，该系统具有233名护理人员和115名紧急医疗技术人员（EMT）。随机选择由五名成员组成的八名EMS人员，并将其分配到干预组或对照组。干预组（n=20）在训练前观看了一段30分钟的视频，描述了“坑道方法”；对照组（n=20）没有观看视频。给每个机组人员相同的模拟情景的儿科患者过量服用β受体阻滞剂。记录了预定关键任务的完成并加盖了时间戳。培训结束后，对参与者进行了一项调查，以评估团队动态和信心水平。
■两组之间的三个结果具有统计学意义：与非介入组相比，介入组认为它们本身在复苏中的作用更明确（p=0.021）。干预组还认为，他们的团队成员比非干预组具有更清晰，更明确的作用（p=0.018）。与未干预组相比，干预组也更有信心管理β受体阻滞剂过量（p.007）。唯一具有统计学意义的次要结果发现是现场离开决定：介入手臂在现场花费更多时间（p=0.031）。值得注意的是，与介入组相比,非介入组错过执行任务的频率更高,并且这些组的组长经常在指导患者护理的同时执行任务.
■开发了PitCrew模型以优化沟通和团队功能。我们的数据表明，对重症监护方案的正式指导可以改善患者护理的舒适度。未来的研究需要评估其他培训方法以及随着时间的推移继续进行正式维修队培训的效果。
■该研究是使用基于火灾的紧急医疗服务（EMS）系统进行的，该系统具有233名护理人员和115名紧急医疗技术人员（EMT）。随机选择由五名成员组成的八名EMS人员，并将其分配到干预组或对照组。干预组（n=20）在训练前观看了一段30分钟的视频，描述了“坑道方法”；对照组（n=20）没有观看视频。给每个机组人员相同的模拟情景的儿科患者过量服用β受体阻滞剂。记录了预定关键任务的完成并加盖了时间戳。培训结束后，对参与者进行了一项调查，以评估团队动态和信心水平。
■两组之间的三个结果具有统计学意义：与非介入组相比，介入组认为它们本身在复苏中的作用更明确（p=0.021）。干预组还认为，他们的团队成员比非干预组具有更清晰，更明确的作用（p=0.018）。与未干预组相比，干预组也更有信心管理β受体阻滞剂过量（p.007）。唯一具有统计学意义的次要结果发现是现场离开决定：介入手臂在现场花费更多时间（p=0.031）。值得注意的是，与介入组相比,非介入组错过执行任务的频率更高,并且这些组的组长经常在指导患者护理的同时执行任务.
■开发了PitCrew模型以优化沟通和团队功能。我们的数据表明，对重症监护方案的正式指导可以改善患者护理的舒适度。未来的研究需要评估其他培训方法以及随着时间的推移继续进行正式维修队培训的效果。
