Objective To investigate the effects of using junior nurses in non-emergency department to take part in the training course of cardiopulmonary resuscitation (CPR) skills based on the defect situational simulation of crisis management. Methods A prospective randomly controlled test method was conducted, 66 junior nurses in non-emergency department newly-contracted in 2016 admitted to the Yuyao City People's Hospital from July 1, 2017 to Augest 30th, they were divided into a control group (n = 32) and an experimental group (n = 34) by random number table method. The nurses in control group received conventional CPR situational simulation teaching method, while the nurses in observation group received the training of using crisis management mode to direct realizing the defect situational simulation. The differences in the nurse team cooperation levels were compared between the two groups. Results After training, the team cooperation scores of the two groups of non-emergency department nurses were all higher than those before the training(control group: 99.78±12.33 vs. 92.34±12.35; experiment group:116.00±12.80 vs. 93.44±10.29, both P < 0.05), and the team cooperation score in observation group was significantly higher than that of control group (116.00±12.80 vs. 99.78±12.33, P < 0.01). Conclusion The defect situational simulation based on crisis management can effectively elevate the levels of CPR skills and team work cooperation in the non-emergency department junior nurses.

Objective To explore the effects of emergency treatment nursing pathway on residence time of green channel in patients with severe trauma.Methods The emergency treatment nursing pathway was implemented in 2014. A total of 58 patients with severe trauma in Yuyao People's Hospital of Zhejiang Province were selected before implementation (from January 2012 to December 2013). A total of 61 patients with severe trauma were selected after implementation (from January 2014 to December 2015). The residence time of the green channel, time of accessory examination, standard-reaching rate, incidence of complication and early mortality were compared before and after implementation.Results Compared with these before implementing pathway treatment and cure, the residence time in emergency room, time of drawing blood and related inspection, arrival time of staff in related departments, time of consultation of doctors and rescue in patients with unstable illness, time of preoperative preparation, residence time of the green channel after implementing emergency treatment nursing pathway all significantly shortened with significant differences (t=10.965, 5.632, 4.965, 8.562, 7.251, 5.146;P<0.01). After implementing emergency treatment nursing pathway, all standard-reaching rates improved with significant differences (χ2=4.023, 4.388, 4.621, 4.128, 4.547, 4.714;P<0.05). There were 11 patients (18.97%) with complications, 7 patients with early death (four patients with severe head injury, three patients with severe hemorrhagic shock) before emergency treatment nursing pathway. After implementing emergency treatment nursing pathway, there were three patients (4.92%) with complications, 1 patient with early death (severe head injury). There were statistically significant differences in incidence of complication and early mortality before and after implementation (χ2=4.465, 4.507;P<0.05). Conclusions The implementation of emergency treatment nursing pathway treatment and cure can obviously shorten the residence time of the green channel, provide treatment and cure for patients in the shortest time, decrease the incidence of complication and early mortality with a positive meaning for rescue of patients with severe trauma.

Objective To investigate the effects of the third-generation mechanical chest compressor on outcomes of cardiopulmonary resuscitation in patients with out-of-hospital cardiac arrest.Methods The patients with out-of-hospital cardiac arrest from October 2015 to September 2017 in the Yuyao peoples' hospital were included and divided randomly into 2 groups:manual chest compression group and mechanical chest compression group.The duration of resuscitation,the rate of restoration of spontaneous circulation (ROSC),4-h survival rate and the rate of survival getting to hospital discharge with favorable neurological status of two groups were analyzed.Results A total of 95 patients with out-of-hospital cardiac arrest were included.The rate of ROSC and 4-h survival was significantly increased in the mechanical chest compression group compared with the manual chest compression group (P＜0.05).There was no remarkable difference in the duration of resuscitation and the rate of survival getting to hospital discharge with favorable neurological status between 2 groups.Conclusions The thirdgeneration mechanical chest compressor significantly improves the rate of ROSC and the shout-term survival in patients with out-of-hospital cardiac arrest.

Objective To explore the clinical significance of application of critical patient tracking system in traumatic patient treatment in resuscitation room.Methods A total of 1860 traumatic patients treated in the resuscitation room from September 2013 to August 2014, before critical patients tracking system was applied, were selected as control group, and another 1824 cases, treated from September 2014 to August 2015, after the implementation of this system in resuscitation room of Emergency Department in Yuyao People's Hospital, as observation group. Treatment efficiency, quality, and satisfaction of the patients' relatives were compared between the two groups.Results In the observation group, admission time, rescue time and length of staying in the resuscitation room were (10.00±4.23), (36.70±12.93) and (70.26±24.03) min, shorter than those in the control group [(21.46±11.38), (59.92±22.90), (90.69±25.66) min](P<0.01). Rate of missed diagnosis in the observation group was lower than the control group (2.8% vs. 7.1%), successful rescue rate was higher (97.4% vs. 94.2%), and overall satisfaction of the patients' relatives higher (94.9% vs. 84.5%) (P<0.01). Conclusions Application of critical patient tracking system helps to shorten rescue time of traumatic patients in the resuscitation room, improve treatment effect and satisfactions of the patients' relatives.