Critical Care and Anaesthesiology Research Group, Stavanger University Hospital, Stavanger, Norway.
Department of Research and Development, Norwegian Air Ambulance Foundation, Drøbak, Norway.
J Adv Nurs. 2019 Apr;75(4):783-792. doi: 10.1111/jan.13886. Epub 2018 Nov 19.
To assess the factors associated with the knowledge and expectations among the general public about dispatcher assistance in out-of-hospital cardiac arrest incidents.
In medical dispatch centres, emergency calls are frequently operated by specially trained nurses as dispatchers. In cardiac arrest incidents, efficient communication between the dispatcher and the caller is vital for prompt recognition and treatment of the cardiac arrest.
A cross-sectional observational survey containing six questions and seven demographic items.
From January-June 2017 we conducted standardized interviews among 500 members of the general public in Norway. In addition to explorative statistical methods, we used multivariate logistic analysis.
Most participants expected cardiopulmonary resuscitation instructions, while few expected "help in deciding what to do." More than half regarded the bystanders present to be responsible for the decision to initiate cardiopulmonary resuscitation. Most participants were able to give the correct emergency medical telephone number. The majority knew that the emergency call would not be terminated until the ambulance arrived at the scene. However, only one-third knew that the emergency telephone number operator was a trained nurse.
The public expect cardiopulmonary resuscitation instructions from the emergency medical dispatcher. However, the majority assume it is the responsibility of the bystanders to make the decision to initiate cardiopulmonary resuscitation or not. Based on these findings, cardiopulmonary resuscitation training initiatives and public campaigns should focus more on the role of the emergency medical dispatcher as the team leader of the first resuscitation team in cardiac arrest incidents.
评估公众对院外心脏骤停事件中调度员协助的知识和期望相关因素。
在医疗调度中心，紧急电话通常由经过专门培训的护士作为调度员接听。在心脏骤停事件中，调度员与呼叫者之间的有效沟通对于及时识别和治疗心脏骤停至关重要。
包含六个问题和七个人口统计学项目的横断面观察性调查。
我们于 2017 年 1 月至 6 月期间在挪威对 500 名普通公众进行了标准化访谈。除了探索性统计方法外，我们还使用了多变量逻辑分析。
大多数参与者期望获得心肺复苏指导，但很少期望“帮助决定该怎么做”。超过一半的人认为在场的旁观者有责任决定是否开始心肺复苏。大多数参与者能够给出正确的紧急医疗电话号码。大多数人知道，紧急电话不会在救护车到达现场之前挂断。但是，只有三分之一的人知道紧急电话接线员是经过培训的护士。
公众期望从紧急医疗调度员那里获得心肺复苏指导。但是，大多数人认为决定是否开始心肺复苏是旁观者的责任。基于这些发现，心肺复苏培训计划和公共宣传活动应更加关注紧急医疗调度员作为心脏骤停事件中第一急救小组的团队负责人的角色。
