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dc.contributor.authorBlix, Sigurd Wisborg
dc.contributor.authorMelau, Jørgen
dc.contributor.authorLund-Kordahl, Inger
dc.date.accessioned2018-07-30T10:05:06Z
dc.date.available2018-07-30T10:05:06Z
dc.date.issued2017-05-25
dc.description.abstract<p><i>Background</i>: Penetrating trauma kills rapidly. Thorough and efficient examination and aggressive hemorrhage control is important to save lives. The aim of this study was to assess the skills of civilian Emergency Medical Technicians (EMTs) in bleeding examination and control compared to Army Medics. Our hypothesis was that civilian pre‐hospital systems perform at a lower level compared to an expert group, and did not have sufficient focus on education and training in examination and treatment of penetrating injuries.</p> <p><i>Material and methods</i>: We included 60 volunteer Certified EMTs and Army Medics. First, the participants examined a wounded patient. Second, the participants were presented a patient with a penetrating injury on a pork side fixated to the thigh with an artificial arterial bleeding.</p> <p><i>Results</i>: The EMTs took significantly shorter time examining, median 1 min 5 s vs. 3 min 58 s (P < 0.001). 5/30 (17%) of EMTs and 28/30 (93%) of army medics did an approved gauze wound packing of the penetrating injury (P < 0.001). EMTs took (median) 18 s and army medics 8 s to hemostasis regardless of approved packing or not (P < 0.001). Time spent on the packing was (median) 1 min 50 s vs. 5 min 47 s respectively (P < 0.001). Increasing time spent on the procedure showed significantly better chance of a successful procedure.</p> <p><i>Conclusion</i>: The EMTs had lower accuracy in examination but used significantly shorter time than the Army Medics. The treatment part of the study showed poor EMT performance compared to the Army Medics. This study indicates that more wound packing training needs to be incorporated into initial and ongoing civilian EMT training.en_US
dc.descriptionThis is the peer reviewed version of the following article: Blix, S.W., Melau, J. & Lund-Kordahl, I. (2017). Performance of Norwegian civilian EMTs and army medics in penetrating trauma: a controlled simulation-based assessment. Acta Anaesthesiologica Scandinavica, 61(7), 848-853. https://doi.org/10.1111/aas.12910, which has been published in final form at <a href=https://doi.org/10.1111/aas.12910> https://doi.org/10.1111/aas.12910</a>. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.en_US
dc.identifier.citationBlix, S.W., Melau, J. & Lund-Kordahl, I. (2017). Performance of Norwegian civilian EMTs and army medics in penetrating trauma: a controlled simulation-based assessment. Acta Anaesthesiologica Scandinavica, 61(7), 848-853. https://doi.org/10.1111/aas.12910en_US
dc.identifier.cristinIDFRIDAID 1473400
dc.identifier.doi10.1111/aas.12910
dc.identifier.issn0001-5172
dc.identifier.issn1399-6576
dc.identifier.urihttps://hdl.handle.net/10037/13303
dc.language.isoengen_US
dc.publisherWileyen_US
dc.relation.journalActa Anaesthesiologica Scandinavica
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750en_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750en_US
dc.titlePerformance of Norwegian civilian EMTs and army medics in penetrating trauma: a controlled simulation-based assessmenten_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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