Practical Study On The Condition Setting And Standardized Treatment Training For Inhalation Injury During Wartime

Background: Inhalation injury,a common severe injury during fire and war,will possibly become an important and main injury in the coming future of wars,which can easily cause casualties died.Those severe complications of inhalation injury are fatal,but they can be avoided through prevention.SOPs can significantly shorten the learning period of unfamiliar and complex tasks for new members and improve their knowledge and skills as quickly as possible.Objective: By designing a prospective,randomized,controlled,open study to investigate and evaluate the practical use of standard patients and standard operating procedure in the first aid treatment of inhalation injury casualties,this study is trying to put up with a simple and feasible resolution for the fast treatment of those wounded by military medics in grassroots units during wartime.Methods: 20 military medics with 5 years military service experience in maximum are paired according to service life in order to the elimination of the impact of experience in a prospective,randomized,controlled,open study.The treated group receive standard operating procedures of inhalation injury including lectures,operations and exercises,while the control group learn by themselves through the whole procedure.Those data including test scores and time before lectures,after lectures,after operations,after exercises are collected and statistically analyzed.Results: The baseline data from the first test shows that the treated group scores 1.95 ± 1.50 and the control group scores 2.15 ± 1.38(P = 0.509),which means the difference is not statistically significant,and completion time of the treated group is 10.00 ± 1.49 min and the control group cost 10.60 ± 2.07(P = 0.153),which is also not statistically significant.The score of the treated group significantly increased to 4.65 ± 0.41 points after two hours of standardized teaching,8.25 ± 0.54 points after the operation,9.60 ± 0.30 points after exercise.Compared to the treated group,the score of the control group is 2.15 ± 1.38 points before training,3.60 ± 1.07 points after the lectures,4.65 ± 1.06 points after the operation,5.20 ± 0.89 points after the exercise.Two sets of data are analyzed by multi-way classification ANOVA and P value is 0.001,which means standard teaching helps improve the treatment of inhalation injury.After the operation and exercises,data between the two groups also show significant differences,indicating three different parts of education and training have a certain positive effect.As for completion time,the overall trend for the treated group is a decrease after a lift: 10.00 ± 1.49 min before training,30.50 ± 2.22 min after teaching,24.70 ± 2.71 min after operating practice,21.10 ± 1.52 min finally.Meanwhile,the control group costs 10.60 ± 2.07 min before training,11.20 ± 2.44 min after teaching,15.00 ± 3.65 min after the operation,13.90 ± 2.42 min finally.Two sets of data are analyzed by multi-way classification ANOVA and P value is less than 0.001,indicating that medics in the treated group spend more time during the procedure to complete more parts than the control group.Conclusion: Military medics accepted standard operating procedures training in the treatment of inhalation injury perform significantly better than those who do not receive any training.Standard operating procedures enable military medics to increase knowledge and skills related to inhalation injury rapidly in a short time.Among the three parts of SOPs in the training of treatment of inhalation injury,lectures and operations could be prioritized if preparation time is limited,and exercises could be included if time is abundant.SOPs can make up for the lack of experience in those younger military medics.What's more,because of their higher capacity to accept and learn than senior medics,younger medics perform better during the standardized teaching and training.