Result analysis of"Acute Abdominal Pain"simulated case from Emergency Skills Competition in Hubei Province

Objective To analyze the results of the "Acute Abdominal Pain" simulated clinical case of the Hubei Provincial Emergency Physician Skills Competition, compare the score of comprehensive treatment, emergency ultrasound, cardiopulmonary resuscitation and comprehensive ability, understand the emergency medical treatment and first-aid skills of emergency doctors in the province, and provide evidence for improving the operational level of emergency doctors. Methods The scores of the teams participating in the finals were calculated in percent. Statistics of the error rate of each team, and the average error rate of each item were calculated. Finally, we analyzed the reason of specific error scores of the participating teams in each project. Results The average error rate was sorted as follows:comprehensive treatment(39.1%), emergency ultrasound(30.3%), cardiopulmonary resuscitation(27.5%) and comprehensive ability(16.5%). The order of highest error rate was the same as the average failure rate, which was comprehensive treatment(47.2%), emergency ultrasound(40.0%), cardiopulmonary resuscitation(32.0%) and comprehensive ability(21.0%). The highest error rate was comprehensive treatment, and the lowest was comprehensive ability. There were two aspects of misdiagnosis in all participating teams:First, for unexplained dyspnea, there was no sequential treatment from non-invasive respiratory support to invasive respiratory support; second, in bedside emergency ultrasound, cardiopulmonary evaluation skills were found needing to be improved. Conclusion The emergency doctors in our province are in good condition in the critical care and first aid skills. In this competition, there are fewer errors in comprehensive ability and cardiopulmonary resuscitation. However, it is necessary to strengthen the bedside ultrasound skills training, and to improve the "emergency clinical thinking" ability more importantly.