Lindeman Andreas, Næss Lars Eide, Vesterhus Lars, Bakken Ann-Britt Maude, Krüger Andreas, Haugland Helge
Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), 7018, Trondheim, Norway.
Department of Emergency Medicine and Pre-Hospital Services, St. Olav's University Hospital, Trondheim, Norway.
Scand J Trauma Resusc Emerg Med. 2025 Jan 25;33(1):11. doi: 10.1186/s13049-024-01316-9.
First responders exist in several countries and have been a prehospital emergency medical resource in Norwegian municipalities since 2010. However, the Norwegian system has not yet been studied. The aim of this study was to describe the first responder system in Central Norway and how it is used as a supplement to emergency medical services (EMS).
We described incidents with dispatch of first responders in the catchment area of the Emergency Medical Communication Center of Sør-Trøndelag in Central Norway, using retrospective data recorded in the Norwegian Emergency Medical Information System between 2019 and 2023.
First responders were dispatched to 460 incidents during the period. Of these, 441/460 (96%) incidents were assessed as "acute", and 135/460 (29%) were assessed as possible cardiac arrests. Four large rural municipalities accounted for 234/460 (51%) of the incidents. One in four patients, 112/449 (25%), died within 30 days. EMS had a median response time of 29 min in our sample.
First responders are almost exclusively dispatched to high-severity incidents, with suspected cardiac arrest being the most common dispatch criteria. Our findings suggest that the first responder system contributes to rapid response in cases of acute illness and injury, especially in rural areas.
多个国家都有急救人员，自2010年以来，急救人员一直是挪威各市镇的院前紧急医疗资源。然而，挪威的这一系统尚未得到研究。本研究的目的是描述挪威中部的急救人员系统，以及该系统如何作为紧急医疗服务（EMS）的补充。
我们利用挪威紧急医疗信息系统在2019年至2023年期间记录的回顾性数据，描述了挪威中部南特伦德拉格紧急医疗通信中心辖区内急救人员出动的事件。
在此期间，急救人员共出动460次。其中，441/460（96%）起事件被评估为“紧急”，135/460（29%）起事件被评估为可能的心脏骤停。四个大型农村市镇占事件总数的234/460（51%）。四分之一的患者，即112/449（25%），在30天内死亡。在我们的样本中，紧急医疗服务的中位响应时间为29分钟。
急救人员几乎只被派往严重程度高的事件，疑似心脏骤停是最常见的出动标准。我们的研究结果表明，急救人员系统有助于对急性疾病和损伤病例做出快速反应，尤其是在农村地区。
