Sztajnkrycer Matthew D, Callaway David W, Baez Amado Alejandro
Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota 55901, USA.
Prehosp Disaster Med. 2007 Jul-Aug;22(4):335-41; discussion 342. doi: 10.1017/s1049023x00004970.
No widely accepted, specialized medical training exists for police officers confronted with medical emergencies while under conditions of active threat. The purpose of this study was to assess medical decision-making capabilities of law enforcement personnel under these circumstances.
Web-based surveys were administered to all sworn officers within the county jurisdiction. Thirty-eight key actions were predetermined for nine injured officer scenarios, with each correct action worth one point. Descriptive statistics and t-tests were used to analyze results.
Ninety-seven officers (65.1% response rate) responded to the survey. The majority of officers (68.0%) were trained to the first-responder level. Overall mean score for the scenarios was 15.5 +/- 3.6 (range 7-25). A higher level of medical training (EMT-B/P versus first responder) was associated with a higher mean score (16.6 +/- 3.4, p = 0.05 vs. 15.0 +/- 3.6, p = 0.05). Tactical unit assignment was associated with a lower score compared with non-assigned officers (13.5 +/- 2.9 vs. 16.0 +/- 3.6, p = 0.0085). No difference was noted based upon previous military experience. Ninety-two percent of respondents expressed interest in a law enforcement-oriented advanced first-aid course.
Tactical medical decision-making capability, as assessed through the nine scenarios, was sub-optimal. In this post 9/11 era, development of law enforcement-specific medical training appears appropriate.
对于在面临实际威胁时遭遇医疗紧急情况的警察，目前尚无广泛接受的专业医学培训。本研究的目的是评估在这些情况下执法人员的医疗决策能力。
对县辖区内所有宣誓就职的警官进行了基于网络的调查。针对9种受伤警官场景预先确定了38项关键行动，每项正确行动得1分。使用描述性统计和t检验来分析结果。
97名警官（回复率65.1%）回复了调查。大多数警官（68.0%）接受过急救员级别的培训。这些场景的总体平均得分为15.5±3.6（范围7 - 25）。更高水平的医学培训（急救医疗技术员基础/中级与急救员相比）与更高的平均得分相关（16.6±3.4，p = 0.05对比15.0±3.6，p = 0.05）。与未分配任务的警官相比，战术单位分配与较低得分相关（13.5±2.9对比16.0±3.6，p = 0.0085）。根据以前的军事经验未发现差异。92%的受访者表示对以执法为导向的高级急救课程感兴趣。
通过这9种场景评估的战术医疗决策能力未达最佳水平。在9·11后的这个时代，开展针对执法人员的医学培训似乎是合适的。
