Mogielnicki R P, Stevenson K A, Willemain T R
Med Care. 1975 Sep;13(9):753-62. doi: 10.1097/00005650-197509000-00005.
This study of patient and bystander responses to medical emergencies revealed serious shortcomings in the public's ability to respond appropriately to such situations. Decision delays at least as long as ambulance response delays were found to be the result of confusion regarding the seriousness of the emergency, confusion regarding the appropriate reaction to the emergency, and a reluctance to burden the rescue service unnecessarily. A significant group of high-risk patients were identified who not only reacted slowly but who bypassed the emergency ambulance service entirely. A substantial fraction of these patients have had prior contact with the local medical care system for problems related or identical to the one causing the emergency.
这项关于患者及旁观者对医疗紧急情况反应的研究揭示了公众在应对此类情况时能力上的严重缺陷。发现决策延迟至少与救护车响应延迟一样长，其原因包括对紧急情况严重性的困惑、对紧急情况适当反应的困惑以及不愿给救援服务带来不必要的负担。确定了一大批高危患者，他们不仅反应迟缓，而且完全绕过了紧急救护车服务。这些患者中有很大一部分之前因与导致紧急情况相关或相同的问题与当地医疗系统有过接触。
