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
- An effective snakebite first aid training method for medics in the Chinese troops: a RCT
- MMR 2020年7卷第1期页码：55-62
- 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：
  
  the Clinical Support program of General Hospital of PLA(2018FC-WJFWZX-2-19);Military Medical Innovation Program(18 CXZ009)
- DOI：10.1186/s40779-019-0230-9
  中图分类号：
- 纸质出版：2020-03
- Accepted：
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An effective snakebite first aid training method for medics in the Chinese troops: a RCT[J]. MMR, 2020,7(1):55-62.

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
An effective snakebite first aid training method for medics in the Chinese troops: a RCT[J]. MMR, 2020,7(1):55-62. DOI： 10.1186/s40779-019-0230-9.

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

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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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