Acil tıp, genel cerrahi ve plastik cerrahi asistanlarının yanık bilgisi ve yönetim becerisinin değerlendirilmesi

Abstract

Öz Amaç: Biz bu çalışmada Ankara’daki acil tıp, genel cerrahi ve plastik cerrahi kliniklerindeki asistan doktorların, anket soruları ile yanık bilgilerinin ve yönetim becerilerinin değerlendirilmesini amaçladık. Gereç ve Yöntem: Bu çalışma 04.05.2015- 04.08.2015 tarihleri arasında Ankara’daki üniversite ve eğitim ve araştırma hastanelerinde anket çalışması olarak yapıldı. Hekimlerin yaş, cinsiyet, hekimlik süresi, asistanlık süresi, çalıştıkları hastane, aldıkları eğitimler ve vakalara yaklaşımları belirlendi. Hekimlerin 2. ve 3. derece yanık vakalarındaki klinik uygulamalar, eskaratomi alanı, entübasyon endikasyonu, büllere müdahale, sevk ve yatış endikasyonları, inhalasyon yanığını tanıma, yanıkta sıvı resusitasyonu konusundaki bilgileri değerlendirildi. Bulgular: Katılımcıların yaş ortalaması 29.3±2.4 yıl ve %65.7’si erkekti. İleri Yanık Yaşam Desteği eğitimi alan hekimlerin vakalara yaklaşım ve klinik bilgilerinin daha iyi olduğu saptandı (p<0.05). Yaş ile vakalara yaklaşım, eskaratomi lokalizasyonu ve sevk endikasyonu bilgisi arasında pozitif yönlü korelasyon saptandı (p<0.05). Asistanlık süresiyle; yanık vakalarına yaklaşım, 2. ve 3. derece yanık vakalarında klinik uygulama, eskarotomi lokalizasyonu, entübasyon endikasyonları, bül tedavi endikasyonları, sevk endikasyonları, yatış endikasyonları ve inhalasyon yanıklarına yaklaşım arasında pozitif yönlü korelasyon saptandı (p<0.05). Sonuç: Çalışmamız hekimlerin yanık müdahalesi konusunda bilgilerinin yeterli olmadığını göstermiştir. Verilecek yanık eğitimleri ve ileri yaşam desteği kursları ile yanık hastalarında tanı ve tedavi süreci daha başarılı bir şekilde gerçekleştirilecektir.

Keywords

• Yanık
• tıp eğitimi
• acil tıp
• genel cerrahi
• plastik cerrahi

The evaluation of burn knowledge and burn management skills of resident doctors of emergency medicine, general surgery and plastic surgery

Abstract

Abstract Background/Aims: Our study aimed to assess the abilities of emergency medicine, general surgery, and plastic surgery resident doctors in diagnosing, treating, and managing burn patients. Methods: We conducted a survey study between 04.05.2015 and 04.08.2015 at university hospitals and training and research hospitals in Ankara. We collected information on the age, gender, experience, and hospital of the doctors, as well as their training and approaches to treating burn cases. We evaluated their knowledge in various areas, including clinical approaches to 2nd and 3rd-degree burn cases, escharotomy localizations, intubation indications, bulla treatment, referral and hospitalization indications, identification of inhalation burns, and fluid resuscitation. Results: The average age of the participants was 29.3±2.4 years, and 65.7% were male. We found that doctors who had received advanced burn life support training had better approaches to burn cases (p<0.05). We also observed a positive correlation between age and approaches to cases, escharotomy localizations, and referral indications (p<0.05). Additionally, there was a positive correlation between the duration of residency and approaches to burn cases, clinical application to 2nd and 3rd-degree burn cases, escharotomy localization, intubation indications, indications of bulla treatment, referring indications, hospitalization indications, and approaches to inhalation burn (p<0.05). Conclusions: Our study revealed that doctors' knowledge about assisting burn patients was insufficient in the early stages of their training. However, this improved as the duration of their residency increased. We believe that burn training and advanced life support courses can facilitate the diagnosis and treatment of burn patients more effectively.

Keywords

• Burn
• medical training
• emergency medicine
• general surgery
• plastic surgery

Supporting Institution

None.

Ethical Statement

The study was carried out with the permission of Ankara Training and Research Hospital Ethics Committee (Date: 29.04.2015, Decision No: 4886).

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