An effective snakebite first aid training method for medics in the Chinese troops: a RCT

Chen Qiu; Xiao-Feng Qiu; Jing-Jing Liu; Yi-Xin Wang; Li Gui

doi:10.1186/s40779-019-0230-9

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An effective snakebite first aid training method for medics in the Chinese troops: a RCT

RESEARCH | Updated：2023-06-05

- An effective snakebite first aid training method for medics in the Chinese troops: a RCT
- Military Medical Research Vol. 7, Issue 1, Pages: 55-62(2020)
- Affiliations：
  
  1.First Medical Center, General Hospital of the PLA, Beijing 100853, China
  2.Department of Emergency Nursing, School of Nursing, Naval Medical University, Shanghai 200433, China
  3.Second Medical Center, General Hospital of the PLA, Beijing 100853, China
- Author bio：
  
  * guili2000@foxmail.com
- Funds：
- DOI：10.1186/s40779-019-0230-9
  CLC：
- Published：2020-03
- Accepted：
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Cite this article as: Qiu et al.: An effective snakebite first aid training method for medics in the Chinese troops: a RCT. Mil Med Res, 2019, 6: 39
DOI：

Cite this article as: Qiu et al.: An effective snakebite first aid training method for medics in the Chinese troops: a RCT. Mil Med Res, 2019, 6: 39 DOI： 10.1186/s40779-019-0230-9.

摘要

Abstract

Background:

Snakebites can lead to lifelong consequences and is one of the main causes of death among military troops worldwide. However

few Chinese military medics know the proper first aid procedures for snakebites. Therefore

this study aimed to explore the impact of the Standard Operation Procedure (SOP) and checklist on Chinese military medics’ ability to manage snakebite first aid.

Methods:

This study was a prospective single-blind randomized controlled trial conducted in a military medical university of China from May to June 2017. A questionnaire-based survey was performed to collect the participants’ socio-demographic profiles before the baseline measurement. During the baseline measurement

participants were requested to provide corresponding first aid that was responsive to the simulative situation portrayed by the standardized patients (SPs) and the evaluators then scored their performances according to a checklist for snakebite first aid scoring table. After the baseline measurement

they were randomly assigned to one of three intervention groups after stratification according to their baseline performance scores: group A received a self-learning course with textbooks (

=27)

group B received a self-learning training on the SOP and checklist (

=27) and group C was engaged in an interactive discussion panel regarding the SOP and checklist (

=26). After the interventions

participants received outcome measurements about snakebite first aid key points capability from the same evaluator and SP for each group to avoid observational error. The reviewers were blinded about the grouping in the trial.

Results:

The baseline measurement yielded no significant difference (

=1.647

=0.439) among the three groups. The post-intervention scores were higher than the pre-intervention scores for all three (A

B and C) groups (

=0.008

0.001 and

0.001

respectively). There was significant difference of the post-intervention scores among the three groups (

=8.841

0.001). Both post-intervention scores of group B and group C were higher than that of group A (

0.001 and

=0.001

respectively)

but no difference was found between group B and C (

=0.695). The acceptance questionnaire score of SOP and checklist was mostly very satisfied

as the final scores of group B and group C were 4.62±0.61 and 4.82±0.45

respectively.

Conclusions:

In this study

the implementation of an SOP and checklist for snakebite first aid was shown to update and improve first aid treatment concepts in military medics. These intervention methods played an important role in improving the medics’ cognition and understanding of snakebite first aid. Therefore

this finding suggests that SOP and checklist training should be further implemented in Chinese troops for snakebite care.

关键词

Keywords

references

World Health Organization , 2019 . Snakebite envenoming: a strategy for prevention and control . https://apps.who.int/iris/bitstream/handle/10665/324838/9789241515641-eng.pdf https://apps.who.int/iris/bitstream/handle/10665/324838/9789241515641-eng.pdf . Accessed 13 Sept, 2019 .

Heiner JD , Bebarta VS , Varney SM , Bothwell JD , Cronin AJ . Clinical effects and antivenom use for snake bite victims treated at three US hospitals in Afghanistan . Wilderness Environ Med. 2013 ; 24 : 412 – 6 .

World Health Organization , Regional Office for South-East Asia , 2016 . Guidelines for the management of snakebites , 2nd edition . http://www.who.int/snakebites/resources/9789290225300/en/ http://www.who.int/snakebites/resources/9789290225300/en/ . Accessed 13 Oct, 2017 .

Teichman R . Exposures of concern to veterans returning from Afghanistan and Iraq . J Occup Environ Med. 2012 ; 54 : 677 – 81 .

World Health Organization , 2016 . Influenza A(H1N1) patient care checklist . http://www.who.int/csr/resources/publications/swineflu/patient_care_checklist/en/ http://www.who.int/csr/resources/publications/swineflu/patient_care_checklist/en/ . Accessed 13 Oct, 2017 .

American Heart Association (AHA) . Advanced cardiovascular life supportstudent manual . Hangzhou : Zhejiang University Press ; 2011 : 94 .

Ediriweera DS , Kasturiratne A , Pathmeswaran A , Gunawardena NK , Wijayawickrama BA , Jayamanne SF , et al . Mapping the risk of snakebite in Sri Lanka-a national survey with geospatial analysis . PLoS Negl Trop Dis. 2016 ; 10 : e0004813 .

Ding Y . Introduction and reflection of the current situation of the continuing education of the medical noncommissioned officers . Med J Natl Defending Forces Southwest China. 2013 ; 10 : 1158 – 60 .

Agarwala AV , Nurudeen S , Haynes AB . Perioperative checklists and handoffs: implementation and practice . Adv Anesth. 2015 ; 33 : 191 – 217 .

Fung HT , Lam SK , Lam KK , Kam CW , Simpson I . A survey of snakebite management knowledge amongst select physicians in Hong Kong and the implications for snakebite training . Wilderness Environ Med. 2009 ; 20 : 364 – 70 .

Michael GC , Thacher TD , Shehu MIL . Effect of pre-hospital care for venomous snakebite on outcome in Nigeria . Trans R Soc Trop Med Hyg. 2011 ; 105 : 95 – 101 .

Just KS , Hubrich S , Schmidtke D , Scheifes A , Gerbershagen MU , Wappler F , et al . The effectiveness of an intensive care quick reference checklist manual-a randomized simulation-based trial . J Crit Care. 2015 ; 30 : 255 – 60 .

Qiu C , Wang YX , Shi WW , Shuang L , Li G . A qualitative study on awareness of acute heat illness prevention and treatment among medical sergeants in grassroot troops . Nurs J Chin Peoples Liberation Army. 2016 ; 33 : 27 – 30 .

Gershwin L , Dabinett K . Comparison of eight types of protective clothing against Irukandji jellyfish stings . J Coast Res. 2009 ; 25 : 117 – 30 .

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