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Simulation in der notärztlichen Weiterbildung

„Was bringt’s und für wen?

Simulation in emergency physician further training

What does it achieve and for whom?

  • Leitthema
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Notfall + Rettungsmedizin Aims and scope Submit manuscript

Zusammenfassung

Hintergrund

Die Notfallmedizin erfordert schnelles und sicheres Handeln. Es bleibt oft keine Zeit oder Gelegenheit, um erfahrene Kollegen um Rat zu fragen, das Team vor Ort ist auf sich allein gestellt. Da viele Notfallsituationen im Leben eines Notarztes relativ selten auftreten, ist es besonders wichtig, solche Situationen zu trainieren, am besten im Team, das auch zusammenarbeitet.

Konzepte

Moderne Simulationsteamtrainingskonzepte haben sich dafür als besonders geeignet erwiesen. Dabei können die Trainings an einem Simulationszentrum, aber auch „in-situ“, also vor Ort, am realen Arbeitsplatz durchgeführt werden. Besonders die In-situ-Trainings (im Rettungswagen, im Schockraum) haben eine hohe Effektivität. Alle Trainings sind nur dann nachhaltig erfolgreich, wenn sie regelmäßig durchgeführt werden. Für das Notarztteam wären 1–2-mal jährlich wünschenswert bzw. erforderlich.

Der menschliche Faktor

Wichtig ist, dass bei allen Trainings den Human Factors oder den Aspekten des Crisis Resource Managements (CRM) ein hoher Stellenwert zukommen sollte, da die Ursache für Zwischenfälle in über 60% in eben jenem Bereich (Kommunikationsdefizite, Missverständnisse, Fehler in der Entscheidungsfindung, der Teamführung etc.) zu suchen sind.

Abstract

Background

Emergency medicine requires fast and safe actions. Often there is no time or opportunity to ask experienced colleagues for advice as the team on duty is on its own. Because many emergency situations an emergency team faces are relatively rare in real life, it seems especially important to be prepared for such situations by training, even better by actual team training.

Concept

Modern simulation team training concepts have been shown to be especially effective in this matter. The training can be performed in a dedicated simulation training center or in-situ, which means training at the real point of care. The in-situ training (in the ambulance or in the real emergency room) are very effective. All training needs to be repeated in order to be effective in the mid-term and long-term. Emergency teams should do so at least once or twice a year.

Human facor

It is also important to focus on human factors or crisis resource management (CRM) in training as more than 60% of all causes of incidents are due to a lack of CRM (insufficient communication, misunderstandings, decision making errors, team leadership problems etc.).

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Interessenkonflikt

Der korrespondierende Autor weist auf folgende Beziehung hin: Laerdal Medical, Durchführung von SIM-Kursen

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  1. TüPASS Tübinger Patienten-Sicherheits- und Simulationszentrum, Universitätsklinik für Anaesthesiologie und Intensivmedizin, Universitätsklinikum Tübingen, Silcher-Straße 7, 72076, Tübingen, Deutschland

    M. Rall

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Rall, M. Simulation in der notärztlichen Weiterbildung. Notfall Rettungsmed 15, 198–206 (2012). https://doi.org/10.1007/s10049-011-1517-x

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