The impact of teamwork mode on emergency medical staff on emergency efficiency
急诊医护人员的团队协作模式对急救效率的影响

摘要

目的 探讨不同急诊医护人员团队协作模式对危重症患者气管插管急救效率的影响，为优化急诊急救流程、提升急救质量提供依据。方法 从高邮市人民医院2024年度272人次危重症患者气管插管配合案例中随机抽取100例，随机分为对照组和实验组，每组50例。对照组采用传统分散式协作模式，急救人员按常规分工开展工作；实验组采用基于高级心血管生命支持（ACLS）规范与创伤团队协作的整合式模式，明确各岗位角色与职责，强化团队培训与模拟演练。结果 实验组气管插管完成时间（2.1±0.5）min显著短于对照组（3.8±0.8）min（P<0.05）；实验组首次插管成功率92%高于对照组74%（P<0.05）；实验组急救操作规范性评分（92.3±4.1）分高于对照组（78.6±5.2）分（P<0.05）。结论 基于ACLS与创伤团队协作的整合式模式能有效提升急诊危重症患者气管插管急救效率，提高急救质量，值得在急诊急救工作中推广应用。

Abstract

Objective To explore the impact of different teamwork models among emergency medical staff on the efficiency of tracheal intubation for critically ill patients, providing a basis for optimizing emergency procedures and improving rescue quality.
Methods A total of 100 cases were randomly selected from 272 critically ill patients at Gaoyou People's Hospital in 2024, divided into a control group and an experimental group, with 50 cases in each group. The control group adopted a traditional decentralized collaboration model, where emergency personnel performed their tasks according to conventional divisions; the experimental group adopted an integrated model based on Advanced Cardiovascular Life Support (ACLS) standards and trauma team collaboration, clarifying roles and responsibilities, and enhancing team training and simulation exercises.
Results The completion time for tracheal intubation in the experimental group (2.1±0.5) min was significantly shorter than that in the control group(3.8±0.8)min(P<0.05);the first-time intubation success rate in the experimental group was 92%, higher than the control group's 74%(P<0.05);the score for the standardization of emergency procedures in the experimental group (92.3±4.1) points was higher than the control group's (78.6±5.2) points (P<0.05).
Conclusion   The integrated model based on ACLS and trauma team collaboration can effectively improve the efficiency of tracheal intubation for critically ill patients in emergency settings, enhancing rescue quality and is worthy of promotion and application in emergency care.