电视剧中的心肺复苏术：TVMD2 研究结果。
Cardiopulmonary resuscitation in television medical dramas: Results of the TVMD2 study.
机构信息
Dorrington Medical Associates, PA, Houston, TX, USA; Benemerita Universidad Autónoma de Puebla, Puebla, Mexico.
Dorrington Medical Associates, PA, Houston, TX, USA; Department of Medicine, Jersey Shore University Medical Center, Neptune, NJ, USA.
出版信息
Am J Emerg Med. 2021 May;43:238-242. doi: 10.1016/j.ajem.2020.03.018. Epub 2020 Mar 9.
INTRODUCTION
Television medical dramas (TVMDs) use cardiopulmonary resuscitation (CPR) as a mean of achieving higher viewing rates. TVMDs portrayal of CPR can be used to teach laypersons attempting to perform CPR and to form a shared professional and layperson mental model for CPR decisions. We studied the portrayal of CPR across a wide range of TVMDs to see whether newer series fulfill this promise.
MATERIALS AND METHODS
Advanced cardiac life support (ACLS) certified healthcare providers underwent training in the use of a unique instrument based on the AHA (American Heart Association) guidelines to assess TVMD CPR scenarios. Components of the assessment included the adequacy of CPR techniques, gender distribution in CPR scenes, performance quality by different healthcare providers, and CPR outcomes. Thirty-one TVMDs created between 2010 and 2018 underwent review.
RESULTS
Among 836 TVMD episodes reviewed, we identified 216 CPR attempts. CPR techniques were mostly portrayed inaccurately. The recommended compressions depth was shown in only 32.0% of the attempts (n = 62). The recommended rate was shown in only 44.3% of the attempts (n = 86). Survival to hospital discharge was portrayed as twice higher in male patients (67.6%, n = 71) than in female patients (32.4%, n = 29) (p < 0.05). Paramedics were portrayed as having better performance than physicians or nurses; compression rates were shown to be within the recommendations in only 42% (n = 73) of the CPR attempts performed by physicians, 44% (n = 8) of those performed by nurses, and 64% (n = 9) of those performed by paramedics. Complete chest recoil after compression was shown in only 34% (n = 58) of the CPR attempts performed by physicians, 38% (n = 7) of those performed by nurses, and 64% (n = 9) of those performed by paramedics. Outcomes were better on the screen than in real life; among the episodes showing outcome (n = 202), the overall rate of survival from CPR was 61.9% (n = 125).
CONCLUSION
Portrayal of CPR in TVMDs remains a missed opportunity for improving performance and communication on CPR.
简介
电视剧医疗剧（TVMD）将心肺复苏术（CPR）作为提高收视率的手段。TVMD 对 CPR 的描述可用于教授试图进行 CPR 的非专业人员，并为 CPR 决策形成专业人员和非专业人员的共同心理模型。我们研究了广泛的 TVMD 中 CPR 的描述，以了解新系列是否能够实现这一承诺。
材料与方法
经过高级心脏生命支持（ACLS）认证的医疗保健提供者接受了使用独特仪器的培训，该仪器基于 AHA（美国心脏协会）指南，用于评估 TVMD CPR 场景。评估的组成部分包括 CPR 技术的充分性、CPR 场景中的性别分布、不同医疗保健提供者的表现质量以及 CPR 结果。对 2010 年至 2018 年期间创作的 31 部 TVMD 进行了审查。
结果
在审查的 836 集 TVMD 中，我们确定了 216 次 CPR 尝试。CPR 技术大多被不准确地描述。仅在 32.0%的尝试中（n=62）显示了推荐的按压深度。仅在 44.3%的尝试中（n=86）显示了推荐的速度。与女性患者（32.4%，n=29）相比，男性患者的存活率（67.6%，n=71）被描述为高两倍（p<0.05）。医护人员的表现被描绘得比医生或护士更好；只有 42%（n=73）的医生、44%（n=8）的护士和 64%（n=9）的医护人员的按压率符合推荐标准。仅在 34%（n=58）的医生、38%（n=7）的护士和 64%（n=9）的医护人员的 CPR 尝试中显示了完全的胸部回弹。在屏幕上显示的结果比现实生活中的要好；在显示结果的情节中（n=202），CPR 的总体存活率为 61.9%（n=125）。
结论
TVMD 中 CPR 的描述仍然是提高 CPR 表现和沟通的错失机会。
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