Exploration in first aid core skills of emergency public training in Shanghai

Abstract

Objective To determine the training objective and core training skills through survey and analysis of the demand of first aid knowledge. Methods Questionaire survey has been carried out among professional personnel of Shanghai’s Emergency Centers and physicians and nurses from Emergency Department of hospitals in Shanghai using self-designed questionnare which was modified on the basis of pilot experiment. Investigation and statistical analysis of fundamental state of the interviewee and first aid techniques requried for the fist aid personnel has been performed there after. Results 3000 questionaires had been distributed and 2655 had been retrieved of which 1953 were valid. Among all the interviewees, 1011 (51.8%) were pre-hospital first aid group (physician, supporting staff, driver and administrative staff) and 942 (48.2%) were in-hospital group (physicians and nurses). Highest recognition was attributed to 11 techniques from four different modules (Basic life support, bleeding control and fixation, patient transportation and basic airway management). None statistical significance of recognition on cardiopulmonary resuscitation and automated external defibrillator was observed between pre-hospital group and in-hospital group (P>0.05). While for other 9 techniques in-hospital group believe they are more important, which was statistically different (P<0.05). Conclusions Popularization of first aid training is needed which can be divided into two groups based on their occupations: (1) General first aid training, (2) Professional first aid training. Different training can be provided based on their requirement of first aid techniques. Cardiopulmonary resuscitation would be the main part of the general first aid training. For the professional training, first aid techniques like basic life support, bleeding control and fixation, patient transportation and basic airway management can be the main training modules. Training pattern with objective, effectiveness and different training group can be achieved via standardized training course and practical training methods. Key words: Emergency training; First aid; Public training; Training model; Exploration