title: Trauma care training for National Police nurses in Colombia.
abstract: BACKGROUND
  In response to a requirement for advanced trauma care nurses to provide combat tactical medical support, the antinarcotics arm of the Colombian National Police (CNP) requested the Colombian National Prehospital Care Association to develop a Combat Tactical Medicine Course (MEDTAC course).
  
  
  OBJECTIVE
  To evaluate the effectiveness of this course in imparting knowledge and skills to the students.
  
  
  METHODS
  We trained 374 combat nurses using the novel MEDTAC course. We evaluated students using pre- and postcourse performance with a 45-question examination. Field simulations and live tissue exercises were evaluated by instructors using a Likert scale with possible choices of 1 to 4. Interval estimation of proportions was calculated with a 95% confidence interval (95% CI). Differences in didactic test scores were assessed using a t-test at 0.05 level of statistical significance.
  
  
  RESULTS
  Between March 2006 and July 2007, 374 combat nursing students of the CNP were trained. The difference between examination scores before and after the didactic part of the course was statistically significant (p < 0.01). After the practical session of the course, all participants (100%) demonstrated competency on final evaluation.
  
  
  CONCLUSIONS
  The MEDTAC course is an effective option improving the knowledge and skills of combat nurses serving in the CNP. MEDTAC represents a customized approach for military trauma care training in Colombia. This course is an example of specialized training available for groups that operate in austere environments with limited resources.
authors: Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213, USA. rubianoam@upmc.edu
authors: Andrés M
authors: AM
authors: Rubiano
authors: Alvaro I
authors: AI
authors: Sánchez
authors: Francis
authors: F
authors: Guyette
authors: Juan C
authors: JC
authors: Puyana
mesh_terms: D002983:Clinical Competence / Q000592:standards; D003105:Colombia; D004493:Education; D004506:Education, Nursing; D004521:Educational Measurement / Q000379:methods; D006801:Humans; D007391:International Cooperation; D008888:Military Nursing / Q000193:education*; D016495:Police / Q000193:education*; D014947:Wounds and Injuries / Q000628:therapy*