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复苏和急救方面的错误信息是一个亟待关注的失控问题:简要范围审查。

Misinformation on resuscitation and first aid as an uncontrolled problem that demands close attention: a brief scoping review.

机构信息

Department of General Surgery, Anesthesiology, Resuscitation and Emergency Medicine, Medical Institute Named After S.I. Georgievsky of V.I. Vernadsky Crimean Federal University, Lenin Blvd, 5/7, Simferopol, 295051, Russian Federation.

出版信息

Public Health. 2024 Mar;228:147-149. doi: 10.1016/j.puhe.2024.01.005. Epub 2024 Feb 13.

Abstract

OBJECTIVES

Misinformation is currently recognised by the World Health Organization as an apparent threat to public health. This study aimed to provide an outline of published evidence on misinformation related to the potentially life-saving interventions - first aid and cardiopulmonary resuscitation (CPR).

STUDY DESIGN

A scoping review.

METHODS

The review was conducted in accordance with the PRISMA Extension for Scoping Reviews. English-language publications describing original studies that evaluated the quality of publicly available information on first aid and/or CPR were included without limitations to the year of publication.

RESULTS

Forty-four original studies published between 1982 and 2023 were reviewed. Annual number of publications varied from 0 to 6. The studies have focused on the evaluation of information concerning initial care of cardiac arrest, choking, heart attack, poisoning, burns, and other emergencies. Forty three studies (97.7 %) have reported varying frequencies of misinformation, when public sources, including websites, YouTube videos, and modern artificial intelligence-based chatbots, omitted life-saving instructions on first aid or CPR or contained incorrect information that contradicted relevant international guidelines. Eleven studies (25.0 %) have also revealed potentially harmful advice, which, if followed by an unsuspecting person, may cause direct injury or death of a victim.

CONCLUSIONS

Misinformation concerning CPR and first aid cannot be ignored and demands close attention from relevant stakeholders to mitigate its harmful impacts. More studies are urgently needed to determine optimal methods for detecting and measuring misinformation, to understand mechanisms that drive its spread, and to develop effective measures to correct and prevent misinformation.

摘要

目的

目前,世界卫生组织认为错误信息是对公众健康的明显威胁。本研究旨在概述与潜在救生干预措施(急救和心肺复苏术(CPR))相关的错误信息的已发表证据。

研究设计

范围综述。

方法

该综述按照 PRISMA 扩展范围综述进行。纳入了描述评估急救和/或 CPR 公共信息质量的原始研究的英文出版物,对出版物的年份没有限制。

结果

共审查了 1982 年至 2023 年间发表的 44 项原始研究。每年发表的研究数量从 0 到 6 不等。这些研究集中于评估有关心脏骤停、窒息、心脏病发作、中毒、烧伤和其他紧急情况的初步急救信息。43 项研究(97.7%)报告了不同频率的错误信息,当公共资源(包括网站、YouTube 视频和现代基于人工智能的聊天机器人)省略急救或 CPR 的救生说明或包含与相关国际指南相矛盾的错误信息时。11 项研究(25.0%)还揭示了潜在的有害建议,如果被毫无戒心的人遵循,可能会导致受害者直接受伤或死亡。

结论

不能忽视有关心肺复苏术和急救的错误信息,相关利益相关者需要密切关注,以减轻其有害影响。迫切需要开展更多研究,以确定检测和衡量错误信息的最佳方法,了解错误信息传播的机制,并制定有效措施纠正和预防错误信息。

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