Vis enkel innførsel

dc.contributor.advisorLund-Kordahl, Inger
dc.contributor.advisorMelau, Jørgen
dc.contributor.advisorWilson, Thomas
dc.contributor.authorDragset, Erik
dc.contributor.authorBlix, Sigurd Wisborg
dc.date.accessioned2021-06-04T09:40:19Z
dc.date.available2021-06-04T09:40:19Z
dc.date.issued2019-06-03
dc.description.abstract<p>Background: The aim of this study was to train and assess firefighters’ skill attainment in the use of tourniquets, and to assess their skill retention after three months. The purpose is to show whether firefighters can successfully apply a tourniquet after a short course based on the new national recommendation for civilian prehospital tourniquet use. <p>Material and methods: This was a prospective experimental study. The study population was firefighters in Oslo and Tromsø, and the inclusion criterion was any on-duty firefighter. The first phase consisted of baseline pre-course testing, a short tourniquet course based on the new national tourniquet recommendation, followed by immediate retesting. The second phase consisted of retesting of skill retention after 3 months. Primary outcome was absent distal pulse (confirmed with doppler ultrasound), correct placement (i.e. 5-10cm proximal to wound) and application time. <p>Results: There were 109 participants pre-course (T1), 105 immediately after the course (T2) and 62 participants at the three-months re-test (T3). The firefighters achieved a significantly greater proportion of successful tourniquet applications immediately after the course (91.4%, 96 of 105) as well as three months later (87.1%, 54 of 62) compared to 50.5% (55 of 109) pre-course (p=0.009). Mean application time was 59.6s (55.1-64.2) in T1, 34.9s (33.3-36.6) in T2 and 37.7s (33.9-41.4) in T3. The firefighters were significantly slower pre-course compared to both T2 (mean difference 24.7s, p<0.000) and T3 (mean difference 22.0s, p<0.000), but not between T2 and T3 (mean difference 2.7s, p=0.983). <p>Conclusion: Firefighters are able to successfully apply a tourniquet after a 45-minute course based on the new recommendation for civilian prehospital tourniquet use. Skill retention after three months was satisfactory for both successful application and application time. We strongly recommend that tourniquets should be a part of firefighters’ hemorrhage control kit, but they should not be implemented without proper training. We recommend that tourniquet use is standardized in all prehospital medical providers across the country, including both the fire service and emergency medical service (EMS).en_US
dc.identifier.urihttps://hdl.handle.net/10037/21357
dc.language.isoengen_US
dc.publisherUiT Norges arktiske universiteten_US
dc.publisherUiT The Arctic University of Norwayen_US
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2019 The Author(s)
dc.rights.urihttps://creativecommons.org/licenses/by-nc-sa/4.0en_US
dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)en_US
dc.subject.courseIDMED-3950
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Traumatologi: 783en_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Traumatology: 783en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Forebyggende medisin: 804en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Preventive medicine: 804en_US
dc.titleAssessing firefighters’ tourniquet skill attainment and retention – A controlled simulation-based experimenten_US
dc.typeMaster thesisen_US
dc.typeMastergradsoppgaveen_US


Tilhørende fil(er)

Thumbnail
Thumbnail

Denne innførselen finnes i følgende samling(er)

Vis enkel innførsel

Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)
Med mindre det står noe annet, er denne innførselens lisens beskrevet som Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)