Therapeutic Doctors` Competency during the Providing Emergency Medical Care at the Scene

Keywords: Simulative medicine, Emergency medical care, The scene of an accident, Therapeutic doctors

Abstract

During the last years it has been observed the worldwide trend in regular creation, upgrading and implementation of emergency care protocols at the prehospital stage in the medical practice. The huge role is given to the methods of doctors` simulation preparedness in case of the emergency care at the scene. Modern doctors` preparedness requires practicing of the resuscitation in the simulation centers on the specific dummies or devices without the risk of making any harm to the patient, developing the ability to make quick and correct decision and conduct all necessary manipulations and interferences without any mistake. According to the professional literature, it is usually observed the lack of practical skills concerning the emergency care at the scene of an accident among therapeutic doctors`. Nowadays, one of the most important task undergraduate and postgraduate medical educations is the creation of simulation centers for quality training of highly qualified specialists, including emergency medical care.

The aim of given investigation is the evaluation of the professional therapeutic doctors` competency in providing emergency medical care at the scene in accordance to the latest recommendations of the European Resuscitation Council (2021) and American Heart Association (2020). According to tests conducted in the 2017-2018s among therapeutic doctors about their abilities of the resuscitation conducting, it was revealed that only 52% were able to diagnose the state of clinical death; 63% - were able to perform chest compression; 15% were able to provide opening of airways; extremely low was the numbers of those who were able to use AED and ventilation – 5% and 9% correspondently. Therefore, one of the key tasks of the modern medical simulative education is to prepare therapeutic doctors to be able to perform emergency resuscitation at the scene.

Key words. Simulative medicine, emergency medical care, the scene of an accident, therapeutic doctors.

References

Sharabchiyev YuT. Medical errors and defects in the provision of medical care: socio-economic aspects and loss of public health. Mezhdunarodnyye obzory: klinicheskaya praktika i zdorovye. 2013; (6):14-30.

Lyakhovych RM, Dzhus MYa, Kitsak YaM, Netsyuk OH. Errors and complications that occur during the pre-hospital heart pulmonary and science of the brain. Visnyk naukovykh doslidzhen. 2016; (3): 27-29. Available from: https://doi.org10.11603/2415-8798.2016.3.6966

Guidelenes CPR ECH American Heart Association Obzor rekomendatsiy Amerikanskoy assotsiatsii serdechnykh zabolevaniy po SLR i neotlozhnoy pomoshchi pri serdechno-sosudistykh zabolevaniyakh ot 2020 goda [Overview of the American Heart Association's 2020 CPR and ECC Guidelines], 2020; 44р.

Bekoyeva MI. Safe educational environment as a factor in successful cognitive activity of students. Baltiyskiy gumanitarnyy zhurnal. 2017; 6(4): 259-261.

Itinson KS, Chirkova VM. The role of simulation educational technologies in the formation of professional competencies of future doctors. Baltiyskiy gumanitarnyy zhurnal. 2019; 8(4): 71-73. Available from: https://doi.org/10.26140/bgz3-2019-0804-0099

Bodina OV, Piskovatskova AE, Makarova MV, Tishkov DS. The current state of the educational process in universities and ways to improve its efficiency. Sovremennyye problemy nauki i obrazovaniya. 2018; (4): 17-20. Available from: https://doi.org/10.17513/spno.27741

Aniskin VN, Busygina AL.Development of the communicative integrative component of the professional competence of a university teacher in a holistic information and educational environment. Baltiyskiy gumanitarnyy zhurnal. 2017;6(4):269-272.

Tishkov DS, Peretyagina IN. Simulation training as an effective method of practical training. Karelian Scientific Journal. 2020; (2): 22-24. Available from:

https://doi.org/10.26140/knz4-2020-0902-0017

Zaporozhan VM, Tarabrin OO. Symulyatsiyna medytsyna. Dosvid. Zdobuttya. Perspektyvy. Praktychnyy poradnyk [Simulation medicine. Experience. Extraction. Perspectives. A practical guide]. Sumy: Universytetska knyha Publ., 2018. 240p.

Petrova NE. Background knowledge in the context of professional education of medical students. Azimut nauchnykh issledovaniy: pedagogika i psikhologiya. 2019; 8(4): 157-160. Available from: https://doi.org/10.26140/anip-2019-0804-0035

Lisovyy VM, Kapustnyk VA, Markovskyi VD, Zavhorodniy IV. General problems and prospects of application simulation methods of education. Simulative training in the system of training of medical staff. Materials of the educational and methodical conference devoted to the 212th anniversary of the founding of KhNMU. Kharkiv, 2016, pp. 3-7. [Article in Ukrainian].

Korda MM, Shulhai AH, Zaporozhan SY, Kritsak MY.Simulation training in medicine is an integral part in the process of training a specialist. Medychna osvita. 2017; (4): 17-20. Available from: https://doi.org/10.11603/me.2414-5998.2016.4.7302

Teplova NN, Zaykov AA, Pozdeyeva NV. Computer simulators-manikins for cardiopulmonary resuscitation and their use in teaching students, residents and doctors. Vyatskiy meditsinskiy vestnik. 2017; (1): 70-74.

Korda MM, Shulhay AH, Zaporozhan SY, Kritsak MYU. Simulative training in medicine - an integral part in the process of specialist doctor. Medychna osvita. 2016; (4): 17-20. Available from: https://doi.org/10.11603/me.2414-5998.2016.4.7302

Boychuk TM, Herush IV, Khodorovskyy VM, Koloskova OK, Marusyk UI. Using simulation technologies to optimize practical training of students in Bukovina State Medical University. Innovatsiyi u vyshchiy medychniy ta farmatsevtychniy osviti Ukrayiny. Materials of the XVI All-Ukrainian Scientific and Practical Conference on International Participation of "Innovation in Higher Medical and Pharmaceutical Education of Ukraine". Medychna osvita, 2019. № 3 (dodatok) pp. 41-44. Available from: https://doi.org10.11603/me.2414-5998.2019.3.10121

Zhdan VM, Babanina MYU, Kitura YEM, Tkachenko MV, Shylkina LM, Kyryan OA. Simulation technologies in the training of family physicians. Semeynaya medytsyna. 2019; (4): 94-96.

Boychuk TM, Gerush IV, Khodorovskyi VM, Koloskova OK, Marusyk UI. Use of simulation technologies in optimization of practical training of students in Buchovinsk state medical university. Medychna osvita. 2019;(3):41-44. Available from: https://doi.org/10.11603/me.2414-5998.2019.3.10121

Published
2022-10-17
Section
Original Research