Starr L M
Oxygen Therapy Institute, Ardmore, PA.
Occup Health Saf. 1993 Mar;62(3):68-70, 72-3.
For many people who deal with medical emergencies--some human resource managers, emergency team administrators, CPR and first aid instructors, EMTs, nurses and physicians--the topic of oxygen use by nonmedical responders at the workplace is poorly understood. Workplace emergency response administrators may find it helpful to become familiar with the current emergency medical literature and learn that the previous literature may no longer apply. Furthermore, fear that use of emergency oxygen by nonmedical responders is "playing doctor," and will lead to some imagined uncontrollable catastrophe is based on statistically and medically unfounded misinformation. As is the case with many uncertain events, the perception of risk is unrelated to the actual risk. Refusing to allow appropriately trained nonmedical responders to use reliable emergency oxygen when it is available is a potentially grave error and makes emergency care in the workplace less efficient and valuable. There are many cases of workplace injury or illness in which oxygen use is not only appropriate but may help save a patient's life. Ensuring that the proper emergency oxygen equipment is available where appropriate and properly training personnel are responsible for first aid can, in some cases, lessen the severity of workplace illness and injury incidents.
对于许多应对医疗紧急情况的人来说——一些人力资源经理、应急小组管理人员、心肺复苏术和急救培训师、急救医疗技术员、护士和医生——非医疗救援人员在工作场所使用氧气这一话题,人们了解得并不多。工作场所应急响应管理人员可能会发现,熟悉当前的紧急医疗文献并了解先前的文献可能不再适用是很有帮助的。此外,担心非医疗救援人员使用应急氧气是“扮演医生”,并会导致一些想象中的无法控制的灾难,这种担心是基于毫无统计学和医学依据的错误信息。与许多不确定事件一样,风险认知与实际风险无关。拒绝让经过适当培训的非医疗救援人员在有可靠应急氧气时使用,这是一个潜在的严重错误,会降低工作场所的急救效率和价值。在许多工作场所受伤或患病的案例中,使用氧气不仅是合适的,而且可能有助于挽救患者的生命。在适当的地方确保有合适的应急氧气设备,并让经过适当培训的人员负责急救,在某些情况下,可以减轻工作场所疾病和伤害事件的严重程度。