Groh William J, Lowe Miriam R, Overgaard Amanda D, Neal Jeanie M, Fishburn W Craig, Zipes Douglas P
Department of Medicine, Krannert Institute of Cardiology, Indiana University, Indianapolis, IN 46202, USA.
Acad Emerg Med. 2002 Jul;9(7):751-3. doi: 10.1111/j.1553-2712.2002.tb02156.x.
To assess the knowledge and attitudes of law enforcement officers regarding treating out-of-hospital cardiac arrest (OHCA) and using automated external defibrillators (AEDs).
This was a survey conducted among officers serving Marion County, Indiana.
Of 1,130 surveys distributed, 929 (82.2%) were returned. Among these officers, 603 (66.4%) were certified in cardiopulmonary resuscitation (CPR) and 103 (11.3%) had received AED training. Most officers had limited knowledge regarding OHCA. A 100-point knowledge score (mean +/- SD: 31.9 +/- 14.3) was higher in officers who had performed CPR while on duty [35.0, 95% confidence interval (95% CI) = 32.9 to 37.2, p = 0.005] and who were AED-trained (40.8, 95% CI = 38.0 to 43.6, p < 0.001). Of the respondents, 367 (40.1%) believed that AED usage by local law enforcement was needed, and 323 (35.6%) stated that they would feel comfortable using an AED if trained. A 100-point attitude score (mean +/- SD: 32.1 +/- 21.0) was higher in officers who had CPR certification (38.2, 95% CI = 35.6 to 40.8), who had performed CPR while on duty (40.6, 95% CI = 37.7 to 43.5), who were AED-trained (39.5, 95% CI = 35.6 to 43.4), and who had improved OHCA knowledge (+3.8 per 10 points knowledge score, 95% CI = 3.0 to 4.7), p < 0.001, all significant factors.
Limited knowledge and negative attitudes of law enforcement officers regarding their involvement in treating OHCA and using AEDs are commonly present. These factors could result in barriers that negatively impact law enforcement AED programs.
评估执法人员关于院外心脏骤停（OHCA）的处理及自动体外除颤器（AED）使用的知识和态度。
这是一项针对印第安纳州马里恩县在职警官开展的调查。
在发放的1130份调查问卷中，929份（82.2%）被收回。在这些警官中，603人（66.4%）获得了心肺复苏术（CPR）认证，103人（11.3%）接受过AED培训。大多数警官对OHCA的了解有限。在执勤时进行过CPR的警官（35.0，95%置信区间[95%CI]=32.9至37.2，p=0.005）以及接受过AED培训的警官（40.8，95%CI=38.0至43.6，p<0.001）的100分知识得分（均值±标准差：31.9±14.3）更高。在受访者中，367人（40.1%）认为当地执法部门有必要使用AED，323人（35.6%）表示如果接受培训，他们会放心使用AED。在获得CPR认证的警官（38.2，95%CI=35.6至40.8）、执勤时进行过CPR的警官（40.6，95%CI=37.7至43.5）、接受过AED培训的警官（39.5，95%CI=35.6至43.4）以及OHCA知识有所提高的警官（每10分知识得分提高3.8分，95%CI=3.0至4.7）中，100分态度得分（均值±标准差：32.1±21.0）更高，p<0.001，所有这些都是显著因素。
执法人员在参与OHCA处理及AED使用方面普遍存在知识有限和态度消极的情况。这些因素可能导致阻碍，对执法AED项目产生负面影响。
