Design and implementation of emergency medical drills based on integrated medical and nursing care
基于医护一体的急救应急演练方案设计与实施

摘要

目的 针对医生轮转快致急救配合熟练度不足的问题，设计实施医护一体急救应急演练方案，重点提升团队对误吸心脏骤停患者的抢救及转运能力。方法 2023年6月-2025年6月，每月开展1次急救应急演练，共27例不同模拟场景演练，核心为误吸心脏骤停抢救与转运流程，参与人员为科室全体医生及护士，采用医护一体模式明确职责、规范操作，每次演练时长0.5-1小时，通过演练前后团队配合评分、急救操作时间、转运流程完成质量评估效果。结果 演练后团队配合评分从（65.2±8.5）分升至（92.3±4.1）分，误吸心脏骤停发现至抢救时间从（5.8±1.2）min缩至（2.1±0.5）min，转运流程规范完成率从58.3%升至96.7%，演练后与演练前有明显差异（P<0.05）。结论 该方案能有效提升医护团队急救响应速度与转运规范性，可推广，尤其适用于医生轮转频繁的医疗机构。

Abstract

Objective The aim is to address the issue of insufficient proficiency in emergency rescue cooperation due to the rapid rotation of doctors, and to design and implement an integrated medical and nursing emergency rescue drill plan, with a focus on enhancing the team's rescue and transfer capabilities for patients with cardiac arrest caused by aspiration.
Methods From June 2023 to June 2025, an emergency rescue drill was conducted once a month, involving a total of 27 different simulated scenarios. The core focus was on the rescue and transfer process of cardiac arrest due to aspiration. The participants were doctors from the department and nurses at levels N1-N3. The integrated medical and nursing model was adopted to clarify responsibilities and standardize operations. Each drill lasts for 0.5 to 1 hour. The quality assessment effect is based on the score of team cooperation before and after the drill, the time of first aid operation, and the completion of the transfer process.
Results After the drill, the team cooperation score rose from (65.2±8.5) points to (92.3±4.1) points. The time from the discovery of aspiration cardiac arrest to rescue was shortened from (5.8±1.2) min to (2.1±0.5) min. The completion rate of standardized transfer procedures increased from 58.3% to 96.7%. There was a significant difference after the drill compared with before (P<0.05).
Conclusion   This plan can effectively enhance the emergency response speed and transfer standardization of the medical team, and can be promoted, especially for medical institutions where doctors rotate frequently.