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Abstract：
This article was migrated. The article was marked as recommended. Introduction: In aviation, crew resource management trainings are established methods to enhance safety, a method that also gained popularity in medicine. In 2015, the Swiss Air Rescue (Rega) Helicopter Emergency Medical Services decided to start a simulation-based medical education program for its helicopter and ambulance jet crews (emergency physicians, paramedics/flight nurses and pilots). The aim of this program was to improve technical skills and the application of human factors during rescue missions. This report shows a five-year summary of the participants\' course evaluation. Methods: A 1-day high-fidelity simulation on crisis resource management with video-assisted debriefing took place at 3 centres, two in Switzerland; one in Germany. Crew members participated once per year. Simulation covered critical situations in the helicopter or jet, during handovers at an intensive care unit or in ambulances. Extra Corporeal Membrane Oxygenation and Intra-Aortic Balloon Pump use was simulated during helicopter transports. Additionally, four times per year flight crews rehearsed basic and advanced life support skills using low-fidelity equipment between missions. Participants answered an anonymized course evaluation survey. Answers were rated on a Numeric Rating Scale ranging from 1=no agreement to 5=total agreement. Results: 329 participated and answered the questionnaire; 50% were emergency physicians, 40% paramedics, 9% flight nurses, and 1% pilots. Participants agreed that the course taught competencies that were useful for their clinical practice. However, confidence to apply Extra Corporeal Membrane Oxygenation or Intra-Aortic Balloon Pump skills was significantly lower compared to other emergency competencies. Instructors were rated as experienced, engaged and motivated, as well as responsive to course participants. Conclusions: This simulation-based medical education program, with the goal to increase patient\'s safety and outcome, was launched successfully. Participants especially valued the time to reflect on clinical performance as well as on crew interaction and ways to apply human factors to improve their team performance and task management.
摘要：
本文已迁移。这篇文章被标记为推荐。简介：在航空方面，船员资源管理培训是提高安全性的既定方法，一种在医学上也很受欢迎的方法。2015年，瑞士空中救援（Rega）直升机紧急医疗服务决定为其直升机和救护喷气式机组人员（急诊医生，护理人员/飞行护士和飞行员)。该计划的目的是提高救援任务期间的技术技能和人为因素的应用。本报告显示了参与者课程评估的五年总结。方法：在3个中心进行了为期1天的危机资源管理高保真模拟和视频辅助汇报，两个在瑞士；一个在德国。船员每年参加一次。模拟涵盖了直升机或喷气式飞机的危急情况，在重症监护病房或救护车的交接期间。模拟了直升机运输过程中的体外膜氧合和主动脉内球囊泵的使用。此外,飞行机组每年四次在任务之间使用低保真设备演练基本和高级生命支持技能。参与者回答了匿名课程评估调查。答案的等级为数字等级，范围从1=无协议到5=完全协议。结果：329人参与并回答了问卷；50％是急诊医师，40%的护理人员,9%的飞行护士，1%的飞行员参与者一致认为，该课程教授了对他们的临床实践有用的能力。然而,与其他应急能力相比，应用体外膜氧合或主动脉内球囊泵技能的信心明显较低。讲师被评为经验丰富，参与和激励，以及对课程参与者的反应。结论：这种基于模拟的医学教育计划，以提高患者的安全性和预后为目标，已成功发射。参与者特别重视反思临床表现以及机组人员互动以及应用人为因素改善团队绩效和任务管理的方式的时间。
