Novosti
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Year 2012 Vol. 20 No 6
MATTERS OF PERSONNEL TRAINING
A.P. TRUKHAN
ASSESSMENT OF KNOWLEDGE LEVEL OF PECULIARITIES OF BATTLE SURGICAL TRAUMA. PART II: SYNDROME OF PROLONGED COMPRESSION
EE “Belarusian State Medical University”
The Republic Of Belarus
Objectives. To evaluate the knowledge level of surgeons who work in the medical establishments of Ministry of Health of the Republic of Belarus concerning the problems of pathogenesis and treatment of the syndrome of the prolonged compression.
Methods. The data of testing results of 270 surgeons of the establishments of Ministry of Health are presented in the article. Surgeons from various regions of the country working in polyclinics, general surgical and specialized departments of hospitals were included in the investigation. The tests included 20 questions concerning the syndrome of the prolonged compression (SPC) (10 questions present the theme “Pathogenesis of SPC” and 10 – “Treatment of SPC” with 4-5 variants of answers to choose one correct answer).
Results. Surgeons demonstrated the satisfactory knowledge level of the syndrome of the prolonged compression (Me (25%-75%) – 11 (9-12)), however, the answers concerning the theme “Treatment of SPC” testify to the certain lack of knowledge. Lower level of knowledge (statistically significant differences) were shown by the surgeons of the so-called “restricted” specialization (Mann-Whitney U-test, U=3124, ð=0,0040). While evaluating the impact of work experience on the number of correct answers, statistically significant differences between the groups were absent (Kruskal-Wallis test, H=39,04, p=0,5580). Surgeons working in polyclinics demonstrated lower knowledge level of the syndrome of the prolonged compression (Kruskal-Wallis test, H=6,27, p=0,0440).
Conclusions. To improve the system of surgeons’ training to render medical aid in case of emergencies, its thorough analysis is required.
- Musatov KhA. Khirurgiia katastrof [Surgery of disasters]: uchebnik. Moscow, RF: Meditsina; 1998. – 592 p.
- Bykova IIu, Efimenko NA, Gumanenko EK. Voenno-polevaia khirurgiia [Military field surgery]: nats ruk. Moscow, RF: GEOTAR-Media; 2009. 816 p.
- Zhidkov SA, Shnitko SN, red, Alekseev SA, Bogdan VG, Korik VE, Popchenko AL. Voenno-polevaia khirurgiia [Military field surgery]: uchebnik. Minsk, RB: BGMU, 2008. 350 p.
- Nechaev EA, Revskoi AK, Savitskii GG. Sindrom dlitel'nogo sdavleniia [Prolonged compression syndrome]: ruk dlia vrachei. Moscow, RF: Meditsina; 1993. 208 p.
- Garkavi AV. Sindrom dlitel'nogo sdavleniia miagkikh tkanei konechnostei [Syndrome prolonged compression of soft tissues of the extremities]. Med Pomoshch'. 2000;(2):23–25.
- Iarmagomedov AA, Kostomarova LG, Stazhadze LL. Otsenka stepeni podgotovki vrachei skoroi pomoshchi po probleme: Diagnostika i lechenie sindroma dlitel'nogo sdavleniia na dogospital'nom etape [Evaluation of ambulance physicians training on the problem: Diagnosis and treatment of the syndrome of prolonged compression at pre-hospital stage]. Meditsina Katastrof. 2000;(3):54–57.
- Galikian VO, Ovanesian RA, Sherdukalova LF. Klassifikatsiia i lechenie sindroma dlitel'nogo sdavleniia [Classification and treatment of prolonged compression syndrome]. Khirurgiia. 1999;(1):43–46.
220034, Respublika Belarus, g. Minsk, ul. Azgura, d. 4, UO «Belorusskiy gosudarstvennyiy meditsinskiy universitet», voenno-meditsinskiy fakultet, kafedra voenno-polevoy khirurgii,
e-mail: aleksdoc@yandex.ru,
Trukhan Aleksey Petrovich
Trukhan A.P. Candidate of medical sciences, major of medical service, assistant of military –field surgery chair of the military medicine faculty of EE "Belarusian State Medical University."