This article describes Emergency Medical Care (EMC) system covering non-communicable, infectious diseases, obstetrics and trauma. Community-based emergency care, as prehospital, refers to emergency care provided outside the hospital. Emergency medicine (EM) potentially plays a critical role in improving the outcomes of acute conditions in healthcare settings. Team of developers including international experts from Kyrgyz State Medical Institite of post graduate Training (KSMIPGT) has developed and drawn up programs for doctors, hospital-level nurses that meet the needs of practical healthcare. Keywords: emergency medical aid, medical care, International Federation of emergency medicine,
Introduction: Emergency medical service (EMS) is an integral part of healthcare organization system. The effectiveness of EMS provision depends on early detection of life-threatening conditions, promptness of medical and sanitary measures, availability of necessary medical care and qualifications level of medical workers. The goal of the study: To analyze the effectiveness of a short-term advanced training course for emergency medical service specialists. Materials and methods: A comprehensive retrospective preclinical and clinical training analysis of the progress of the Advanced Life Support-2 (ALS-2) course participants (n = 651) which was conducted for emergency medical service specialists was carried out. A mandatory requirement of the training process was the evaluation of initial level (pre-test) and final level of theoretical knowledge (post-test) and practical skills using manikins of different levels and clinical scenarios. Outcomes: The outcomes of emergency medical service specialists’ theoretical knowledge evaluation after the training demonstrated significant improvement, the overall knowledge growth rate was 90%, and a similar outcome was observed when analyzing data for all types of training modules and specialties. The evaluation of practical skills and abilities showed the following: the results of the training program mastering in the group of doctors were 89.0±0.47, for paramedics they were 87.2±0.25, and for nurses — 83.9±0.61. Conclusion: The use of a short-term continuing education training program Advanced Life Support-2 designed for emergency medical service workers based on innovative approaches to practical training and changes in evidence-based medicine increases the effectiveness of the training process and the quality of medical services.
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