Effect of pre-hospital trauma management training program on the capability of clinical decision-making in emergency medical technicians

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Esmaeilzadeh Mohammad Hossein; Mogharab Marzieh; Hosseini Seyyed Mohammad Reza; Bazeli Javad; ZAMANI AMIN

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Journal: HAYAT Year:2019 | Volume:25 | Issue:2 Page(s): 168-178

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Title

Effect of pre-hospital trauma management training program on the capability of clinical decision-making in emergency medical technicians

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Keywords

traumaQ2

emergency medical servicesQ1

clinical decision-makingQ2

Abstract

Background & Aim: Improving clinical decision-making is one of the challenges of the pre-hospital emergency system. Therefore, the aim of this study was to determine the effect of pre-hospital trauma management training program on the capability of clinical decisionmaking in emergency medical technicians. Methods & Materials: In a randomized controlled field trial study, 64 pre-hospital emergency technicians from Gonabad University of Medical Sciences, were randomly assigned to either intervention or control groups by the stratified sampling method in 2018. For the intervention group, a pre-hospital trauma management training program was administered based on existing domestic and global standards in a two-day crash course with a combination of learning techniques including lecture and simulation. The research instruments were a demographic questionnaire and a researchermade questionnaire on clinical decision-making, completed before the course, immediately and one month after the completion of the course. Data were analyzed by the SPSS software version 19 using independent ttest, the repeated analysis of variance and Bonferroni's post-test. Results: The mean changes in clinical decision-making scores before and immediately after the intervention (9. 31 vs. 0. 3), before and one month after the intervention (7. 86 vs. 1. 1) and immediately after the intervention and follow-up one month after the intervention (1. 62 in. vs. 1. 39) were significantly higher in the intervention group than in the control group (P<0. 001). Conclusion: The pre-hospital trauma management training program can improve clinical decision-making in pre-hospital emergency medical technicians. Therefore, this program can be integrated into the technicians’ training programs.

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APA: Copy

Esmaeilzadeh, Mohammad Hossein, Mogharab, Marzieh, Hosseini, Seyyed Mohammad Reza, Bazeli, Javad, & ZAMANI, AMIN. (2019). Effect of pre-hospital trauma management training program on the capability of clinical decision-making in emergency medical technicians. HAYAT, 25(2 ), 168-178. SID. https://sid.ir/paper/394985/en

Vancouver: Copy

Esmaeilzadeh Mohammad Hossein, Mogharab Marzieh, Hosseini Seyyed Mohammad Reza, Bazeli Javad, ZAMANI AMIN. Effect of pre-hospital trauma management training program on the capability of clinical decision-making in emergency medical technicians. HAYAT[Internet]. 2019;25(2 ):168-178. Available from: https://sid.ir/paper/394985/en

IEEE: Copy

Mohammad Hossein Esmaeilzadeh, Marzieh Mogharab, Seyyed Mohammad Reza Hosseini, Javad Bazeli, and AMIN ZAMANI, “Effect of pre-hospital trauma management training program on the capability of clinical decision-making in emergency medical technicians,” HAYAT, vol. 25, no. 2 , pp. 168–178, 2019, [Online]. Available: https://sid.ir/paper/394985/en

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