摘要
目的通过实兵对抗模式的融入,将卫生士官战现场急救的综合素质进行量化考评分析,为今后卫生员基地化训考方式的改进与提升提供参考依据。方法以山地通道作战中的要点夺控为战斗背景,在训卫生士官为研究对象,标准化伤员为救护障碍,建立在进攻过程中救护技术的"红蓝"对抗模式。同时,通过建立导调员与伤员的双向量化评价体系,对战现场的整体救护水平实施综合评价。结果在战现场伤员的救治过程中,完成标准最高的3个项目为检伤过程正确(70%)、救治部位正确(70%)和救治方法正确(60%)。腹部肠脱出、四肢骨折与枪弹穿透伤为现场救治效果较差的伤情(≤50%)。战救技术方面,伤员的保温、包扎和隐藏是救治过程中出现问题最多的技术,其中30%的标准化伤员认为救治效果很差,50%认为这样的救治水平可能会导致自己在战斗过程中死亡。结论实战对抗模式下的综合考评过程,具备战场救治动态性和突发性的特点,能够真实地检验一线卫生员的战场综合能力,为今后相关培训的开展与评价提供了创新性的发展思路。
Objective To quantitatively evaluate and analyze the comprehensive quality of battle scene first aid of health officers and soldiers through the integration of the real soldier confrontation mode, and provide a reference basis for the improvement and enhancement of the base training and examination methods of health officers in the future. Methods Taking the main points of mountain pass combat as the combat background, the healthy officers and soldiers in training as the research object and the standardized wounded as the rescue obstacle, the "red and blue" confrontation mode of rescue technology in the attack process was established. At the same time, through the establishment of a two-way quantitative evaluation system between the guide and the wounded, the overall level of rescue at the battle site was evaluated comprehensively. Results The three items with the highest standard of completion in the rescue and treatment process at the battle site were the correct process of injury detection(70%), the correct treatment area(70%) and the correct treatment method(60%). Abdominal intestinal prolapse, limb fracture and gunshot penetration wounds were the ones with poor on-site treatment results(≤50%). In terms of combat rescue techniques, casualty insulation, dressing and concealment were the most problematic techniques in the rescue process. About 30% of these standardized casualties felt that the treatment was poor, and 50% felt that such a level of treatment could lead to their death during combat. Conclusion The comprehensive assessment process in the real combat confrontation mode is characterized by the dynamic and emergent nature of battlefield treatment. It can truly test the comprehensive battlefield capabilities of frontline health workers, and provides innovative developmental ideas for the development and evaluation of related training in the future.
作者
邓磊
祁海林
欧阳甘霖
周亮
DENG Lei;QI Hailin;OUYANG Ganlin;ZHOU Liang(Frontier Health Support Training Brigade,Army Medical University,Changji Xinjiang831200,China)
出处
《华南国防医学杂志》
CAS
2021年第3期208-213,共6页
Military Medical Journal of South China
基金
2021年度军队医学科技青年培育计划(21QNPY002)。
关键词
实兵对抗
战现场急救
综合考评
标准化伤员
Live combat
Battlefield first aid
Comprehensive assessment
Standardized wounded
