Mikuła Agnieszka, Goniewicz Mariusz, Latalski Maciej, Chemperek Ewa
Department of Public Health, Medical University of Lublin.
Ann Univ Mariae Curie Sklodowska Med. 2002;57(2):104-11.
Diseases of blood circulation system constitute the major cause of sudden cardiac arrest and deaths in Poland. Approximately 70% of all the cases of cardiac arrest occurs outside hospitals, frequently at patient's home. In the case of applying immediate resuscitation by the event witness in the situation of sudden cardiac arrest the percentage of the victims' survival is estimated at approximately 43%. Each delay of the initiation of Basic (BLS) and afterwards Advanced Life Support (ALS) lowers the chance of survival. Thus, it is extremely significant to educate Polish society in the area of basic resuscitative actions, particularly due to the fact that laypeople are usually the first ones at the scene of an accident. The aim of the paper was to determine to what extent the inhabitants of the Lublin region are prepared to rescue victims of sudden accidents by means of cardiopulmonary resuscitation and proper response in the situation of the sudden cardiac arrest. As results from the executed survey the inhabitants of the Lublin region in the situation of sudden cardiac arrest mostly do nothing but call an ambulance. The witnesses of the sudden cardiac arrest more frequently apply only rescue breathing or only indirect heart massage rather than rescue breathing and indirect heart massage simultaneously. The competence for applying CPR among the inhabitants of the Lublin region is poor and the resuscitative actions are much more frequently taken up by men. Premedical aid trainings are considered insufficient to prepare witnesses of sudden cardiac arrest for applying first-aid. They should be conducted by doctors, in properly prepared and equipped training centers. The majority of the Ambulance Service doctors in Lublin indicated the demand for reminder premedical aid trainings.
在波兰,血液循环系统疾病是心脏骤停和死亡的主要原因。所有心脏骤停病例中约70%发生在医院外,通常是在患者家中。在心脏骤停情况下,若事件目击者立即进行复苏,受害者的存活率估计约为43%。基础生命支持(BLS)和随后的高级生命支持(ALS)每延迟一分钟,存活几率就会降低。因此,对波兰社会进行基本复苏行动方面的教育极为重要,特别是因为在事故现场的通常是外行人。本文的目的是确定卢布林地区居民在心脏骤停情况下通过心肺复苏和适当应对措施救助突发事故受害者的准备程度。根据所进行的调查结果,卢布林地区居民在心脏骤停情况下大多只是呼叫救护车。心脏骤停的目击者更常只进行人工呼吸或只进行间接心脏按摩,而不是同时进行人工呼吸和间接心脏按摩。卢布林地区居民进行心肺复苏的能力较差,而且进行复苏行动的男性更为频繁。人们认为院前急救培训不足以让心脏骤停的目击者做好实施急救的准备。培训应由医生在设备完善的培训中心进行。卢布林大多数急救服务医生表示需要进行强化院前急救培训。