title: Effect of the China-America Union Pre-Hospital Emergency Care Training Program on the emergency knowledge and skills of Chinese paramedics.
abstract: OBJECTIVE
  To evaluate the effect of the China-America Union Pre-Hospital Emergency Care Training Program (PHEC) on the emergency medical knowledge and skills of Chinese paramedics.
  
  
  METHODS
  This study was conducted at the Emergency Command Center of Zhejiang Province, Zhejiang Provincial People's Hospital, Hangzhou, China from June to December 2011. The experimental  group of 113 trainees, and the control group of 85 trainees received training in pre-hospital emergency care (PHEC) theory and practice. They were given pre- and post- tests to evaluate their knowledge and skill levels. The training content was the same and the teaching methods, materials and training team in the 2 groups were different. All trainees were tested for emergency knowledge and skills, before and immediately following the training, and also a survey was conducted regarding the effectiveness of the training. T-test was used to measure the difference between the 2 groups.
  
  
  RESULTS
  The post-test scores for both groups in knowledge and skills were higher than that of the pre-test (p<0.001). The value of difference between the post-test scores of each group in bleeding control, wound care, fracture care and stabilization, and transportation (BWFT) (p<0.001), and intubation (p<0.001) was significantly higher in the experimental group except emergency knowledge, cardiopulmonary resuscitation and arrhythmia treatment (p<0.001). In the survey, 95.6% of the trainees in the experimental group considered the Union Training Program a more effective way to help paramedics learn emergency medical knowledge and skills.
  
  
  CONCLUSIONS
  The use of the American standard of PHEC can improve the emergency skills of Chinese paramedics, especially in the areas of BWFT and intubation, and support its use province-wide in an effort to standardize the PHEC medical procedure in China.
authors: Department of Emergency, Zhejiang Provincial People`s Hospital, The Emergency Command Center of Zhejiang Province, Hangzhou, China.
authors: Jianfeng
authors: J
authors: Tu
authors: Wenwei
authors: W
authors: Cai
authors: Meiqi
authors: M
authors: Zhang
authors: Xianghong
authors: X
authors: Yang
authors: Huan
authors: H
authors: Chen
authors: Shengang
authors: S
authors: Zhou
authors: Xuming
authors: X
authors: Chen
authors: Yiming
authors: Y
authors: Zhao
authors: Junping
authors: J
authors: Guo
authors: Yue
authors: Y
authors: Yang
mesh_terms: D000569:Americas; D002681:China; D002983:Clinical Competence; D004632:Emergency Medical Services; D004634:Emergency Medical Technicians; D007318:Inservice Training / Q000458:organization & administration*; D007391:International Cooperation