Shenzhen’s first social health first aid in-situ simulation training exercise in China has completed more than 200 training sessions for 194 social health institutions. Picture provided by the interviewed unit
"The heartbeat has returned, but the lips are still purple, what should I do?"
Recently, at the Social Health Center of the Second Affiliated Hospital of the Chinese University of Hong Kong (Shenzhen) in Longgang District, medical staff have just completed a In a "script-killing" first aid training, medical staff are players, and the "patients", simulators, and first aid equipment in social care are all part of their "play". There is also an instructor who secretly "modifies" through the pad in his hand. "The direction of the plot, and jump out at any time to question the operation of medical staff: Why is there this bug, and what should I do?
This is Shenzhen’s first domestic social health first aid in-situ simulation training exercise, which tests the ability of medical staff to adapt to real situations. Since "testing the waters" in 2021, this system has completed more than 200 training sessions for 194 social health institutions, training more than 2,800 people, greatly improving the "emergency" ability of social health care.
Reproduce the process of admission, consultation, first aid treatment, etc.
In the eyes of ordinary people, the social health center is a place where "minor illnesses" such as colds and fevers are treated. In fact, this is a misunderstanding. Social health general medical care does not treat minor illnesses; Common diseases and frequently-occurring diseases account for more than 80%, including common acute diseases such as cerebral infarction, myocardial infarction, and trauma. Social health doctors are both general practitioners at the doorstep and emergency doctors at the doorstep.
Foreign general practitioner training often emphasizes the ability to deal with emergencies and emergencies. Domestically, Shenzhen has also begun to regard social health “emergency” training as a focus.
In 2021, the Shenzhen Health and Health Education Center innovatively introduced the "first aid training artifact"-social health first aid in-situ simulation, and carried out immersive full-process training in social health institutions.
This system includes a complete set of training resources such as high-end intelligent simulators, simulation instructors, standardized patients, engineers, etc., allowing social health medical staff to conduct immersive team simulation exercises on site, and reproduce the entire process of emergency patient reception, consultation, first aid treatment, Referral and other processes.
The "patients" in the training are not just real people, but also real people who can accurately represent the patients' actual clinical problems through professional training, called standardized patients (sp).
High-end intelligent simulators are also very powerful and can display a variety of physiological and neurological symptoms as well as pharmacological responses to more than 145 kinds of drugs, such as pupillary reflex, pulse blood pressure, convulsions, blood oxygen, body fluid secretion, etc.
With no script or rehearsal in the whole process, the doctor has to go through five levels and kill six generals, bravely break through the hell gate, and snatch the "patient" back from the hands of death.
According to the "Shenzhen Municipal Health "14th Five-Year Plan"", by 2025, the number of social welfare institutions in Shenzhen will reach 1,012, and there will be more than 5 general practitioners per 10,000 people. As the "gatekeepers" of residents' health, social welfare institutions are often the first places to detect critical illness, especially those that are highly concealed. Whether medical staff can identify potential critical patients early and rescue them as soon as possible plays a key role as the "first gatekeeper" in the city's first aid network.
The team of tutors "exploded" more than 1,900 bugs
This in-situ simulation drill mode is different from any previous training mode, focusing on "emergency and real".
During the whole process of the simulation exercise, professional instructors will control and check the disease progression through the smart pad on their hands according to the doctor's first aid treatment methods. During the rescue process, they will constantly "create artificial problems" to comprehensively test the clinical skills of social welfare personnel. First aid capabilities.
This is definitely a hearty "life and death test" for medical staff. Every little bug cannot escape the instructor's "fiery eye". In more than 200 simulation exercises completed so far, instructors have uncovered more than 1,900 bugs, such as insufficient first aid skills, unfamiliarity with the use of drugs, unfamiliarity with the use of rescue equipment, insufficient attention to the resuscitation process, insufficient role rotation, and lack of closed-loop communication. The wall-mounting process is old and the layout of the emergency room is not reasonable enough.
After each simulation training, professional instructors will review the results with the social health care team, such as "Was the chest compression depth more or less? Is the ventilation quality high?" etc. Every detail of the simulated rescue will be recorded by smart devices, and medical staff can correct every operational error in the "social death" playback of the entire video.
Wei Gang, director of the Social Welfare Center of Meilin Village, Shenzhen Second People's Hospital, who participated in the training, pointed out: "Most of the time, social health rarely encounters emergency situations, but the most important thing is to train soldiers for a thousand days and use them for a while. In addition to theoretical study, the most important thing is It is very important to connect with reality, expose problems through this kind of practical operation, and then reflect and summarize. "
Luo Hunanshan Pingshan Longhua Dapeng and others will join
in-situ simulation training to improve the first aid capabilities of social welfare institutions, which is the first in China. The large-scale scenario simulation training project for primary medical institutions has "tested the water" in 2021 and has "exploded" 194 social health institutions in the past three years.
This training has been rolled out in many districts in Shenzhen. Among them, Baoan District has proposed the "Baoan District Social Health First Aid Capability In-Situ Simulation Training Three-Year Action Plan (2022-2024)", which plans to train 170 social health institutions and achieve it in three years. Full coverage.
In addition, 82 social welfare institutions in Futian District have participated in the training. Longgang District, Guangming District and Yantian District have carried out initial attempts and will continue to expand the scope of training this year. In the next step, Luohu, Nanshan, Pingshan, Longhua, Dapeng and other districts (new districts) will also join the track.
This wave of "explosion" in professional rescue skills has begun to bear fruit. The social health medical staff who have received training have successfully rescued at least 9 emergency patients so far.
This new "Shenzhen model" of community first aid training is "spreading" from Shenzhen to the entire province. Among the 2023 Appropriate Technology Promotion Projects of the Guangdong Provincial Health Commission, the "Application and Promotion of the Emergency First Aid Capacity Improvement Project of Primary Medical and Health Institutions Based on In-Situ Simulation Training Technology" has been approved and will be promoted throughout the province in accordance with policy guidance.
In 2023, Shenzhen also produced the country's first emergency first aid guidance manual for social welfare institutions. Guided by the latest evidence-based medical evidence and the rich practical experience of clinical experts inside and outside the market, Shenzhen systematically summarizes the early identification of various common critical illnesses in the community. , emergency response and emergency treatment, and will provide the latest "practical guide" for community health service agencies across the country.
Written by: Nandu reporter Li Rong
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