Papson Kendra, Mosesso Vincent N
Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA.
Prehosp Emerg Care. 2005 Apr-Jun;9(2):186-90. doi: 10.1080/10903120590924708.
In 1992,a study to evaluate the effectiveness of police defibrillation was initiated in seven suburban police departments. This paper describes the characteristics of those programs and the attitudes of chiefs and officers ten years after the commencement of that study.
A 32-item survey instrument including questions on department demographics, defibrillation program characteristics, and attitudes was mailed to the chiefs. A separate 25-item survey was developed to assess officers' attitudes; a non-management officer distributed and collected these surveys anonymously. Responses are reported descriptively.
All seven chiefs and 78% of the officers completed surveys. Police arrive prior to emergency medical services on 80% or more of calls, with a mean +/- standard deviation response interval of 3.1 +/-1.7 minutes. All departments identify a program coordinator and six a medical director; three departments have a quality-improvement program. Five departments have liability coverage for the use of an automated external defibrillator (AED), and no department reported any liability-related problems. Five of the chiefs and 82% of the officers disagreed or strongly disagreed that liability issues are a concern or a source of hesitation in using the AED. Ninety-six percent of the officers agreed or strongly agreed that police AED use is beneficial to cardiac arrest victims. All seven police chiefs and 89% of the officers agreed or strongly agreed that AED use by police is appropriate.
In these seven police departments with ten years of program experience, defibrillation has become integrated into the law-enforcement culture. Liability issues are not a prominent concern of chiefs or officers. Police chiefs and officers in these departments continue to support police-based defibrillation programs.
1992年，在7个郊区警察部门启动了一项评估警察除颤效果的研究。本文描述了这些项目的特点以及该研究开始十年后警长和警员的态度。
向警长们邮寄了一份包含32个问题的调查问卷，内容涉及部门人口统计学、除颤项目特点和态度。还设计了一份单独的包含25个问题的调查问卷来评估警员的态度；由一名非管理人员匿名发放和收集这些调查问卷。对回复进行描述性报告。
所有7位警长和78%的警员完成了调查。在80%或更多的呼叫中，警察比紧急医疗服务先到达，平均响应间隔为3.1 +/- 1.7分钟（均值±标准差）。所有部门都确定了一名项目协调员，6个部门有一名医疗主任；3个部门有质量改进项目。5个部门对使用自动体外除颤器（AED）有责任保险，没有部门报告任何与责任相关的问题。5位警长和82%的警员不同意或强烈不同意责任问题是使用AED时的一个担忧或犹豫的来源。96%的警员同意或强烈同意警察使用AED对心脏骤停受害者有益。所有7位警察警长和89%的警员同意或强烈同意警察使用AED是合适的。
在这7个有十年项目经验的警察部门中，除颤已融入执法文化。责任问题不是警长或警员的主要担忧。这些部门的警察警长和警员继续支持基于警察的除颤项目。
