Hew P, Brenner B, Kaufman J
Department of Emergency Medicine, Brooldyn Hospital Center, New York University School of Medicine 11201, USA.
J Emerg Med. 1997 May-Jun;15(3):279-84. doi: 10.1016/s0736-4679(97)00006-1.
Recently, a reluctance of lay and medical personnel to perform mouth-to-mouth resuscitation (MMR) in hospital and community settings has been documented, with 45% of respondents declining to perform MMR on a stranger. In the present study, we examined whether the perceived risk and fear of contracting infectious diseases diminishes the willingness of paramedics and emergency medical technicians (EMTs) to perform MMR. Seventy-seven EMTs and 27 paramedics responded to a questionnaire, administered by one of two physicians, containing mock cardiac arrest scenarios that were designed to assess willingness to perform MMR as a citizen responder. Faced with a situation in which an adult stranger required MMR, 57% of the participating EMTs and all of the paramedics stated that they would refuse to perform MMR. None of the paramedics and only 32.5% of the EMTs stated that they would perform MMR on a man in a gay neighborhood. In addition, 23% of the EMTs and 37% of the paramedics indicated that they would refuse to perform MMR on a child. White respondents were more willing than nonwhite respondents to perform MMR. Twenty-nine percent of the prehospital-care providers had been in situations requiring MMR in the community, and 40% either had walked away or did only external compression. Of those participating paramedics and EMTs who had performed MMR in emergency situations, only 45% indicated that they would do so again. The respondents indicated that they would not be willing to administer MMR because of the fear of contracting infectious agents, especially the human immunodeficiency virus. Despite the proven effectiveness of MMR in saving lives, paramedics and EMTs are highly reluctant to perform MMR as citizen responders. Their perceived risks of contracting infectious agents during MMR are high, despite the low actual risks. We recommend that instruction in cardiopulmonary resuscitation for providers of pre-hospital care, the medical community, and the general public should emphasize the benefits of providing MMR, the actual low risks of contracting infectious diseases during administration of MMR, and the use of widely available and effective barrier masks to minimize any risks due to administration of MMR.
最近，有文献记载，在医院和社区环境中，非专业人员和医务人员都不太愿意进行口对口复苏（MMR），45%的受访者拒绝为陌生人进行MMR。在本研究中，我们调查了对感染传染病的感知风险和恐惧是否会降低护理人员和急救医疗技术人员（EMT）进行MMR的意愿。77名EMT和27名护理人员回答了由两名医生之一发放的问卷，问卷包含模拟心脏骤停场景，旨在评估作为普通急救人员进行MMR的意愿。面对成年陌生人需要MMR的情况，57%的参与调查的EMT和所有护理人员表示他们会拒绝进行MMR。没有护理人员愿意，只有32.5%的EMT表示他们会在同性恋社区为一名男子进行MMR。此外，23%的EMT和
