Davis E A, Mosesso V N
Department of Emergency Medicine, University of Rochester, NY 14642, USA.
Prehosp Emerg Care. 1998 Apr-Jun;2(2):101-7. doi: 10.1080/10903129808958851.
Rates of resuscitation from cardiac arrest are directly tied to time to defibrillation. To maximize results, the first arriving care provider should be equipped and trained to defibrillate. This would include police in those systems where they serve this function; to date, no training program has been examined for effectiveness in this group. The purpose of this study was to evaluate a training program designed to train police first responders in the use of an automated external defibrillator (AED).
One hundred seventy police officers previously trained to the level of first responders underwent a four-hour course to teach incorporation of the AED in their practice. The evaluation of police performance was assessed by written tests prior to, immediately after, and six months post initial training. Actual field use was evaluated by using separate data collection forms filled out at the time of the resuscitation by both police and EMS providers. Each trip sheet was also reviewed. Cassette tapes from the AED were reviewed for continuous ECG tracings and audio recordings to validate and confirm the previous data.
One hundred twenty-eight police cases were reviewed. The officers performed with few errors in AED operation, with the only problem areas being incorrect airway management and delay in performance of CPR to use the AED to reanalyze a nonshockable rhythm. These results were compared with those of the only two other studies examining the performance of first responders, which were EMTs and firefighters. The police results compared favorably with, and in some instances exceeded, those results.
Police first responders trained in the use of AEDs performed at a level equivalent or superior to that in other reported studies. Future training strategies should stress proper integration of airway and CPR skills.
心脏骤停复苏成功率与除颤时间直接相关。为了使效果最大化，最先到达的急救人员应配备并接受除颤培训。在承担此项功能的系统中，这包括警察；迄今为止，尚未对该群体的培训项目有效性进行研究。本研究的目的是评估一项旨在培训警察急救人员使用自动体外除颤器（AED）的培训项目。
170名先前已接受急救人员水平培训的警察参加了一个为期四小时的课程，学习将AED纳入其实际操作中。通过在初始培训前、培训后立即以及培训后六个月进行书面测试来评估警察的表现。通过使用警察和急救医疗服务（EMS）人员在复苏时填写的单独数据收集表来评估实际现场使用情况。每张行程单也进行了审查。对AED的盒式磁带进行审查，以获取连续心电图描记和音频记录，以验证和确认先前的数据。
审查了128起警察参与的案例。警察在AED操作中出错很少，唯一的问题领域是气道管理不正确以及在进行心肺复苏（CPR）以使用AED重新分析不可电击心律时出现延迟。将这些结果与另外两项研究急救人员表现的研究（针对急救医疗技术员和消防员）结果进行了比较。警察的结果与那些结果相比表现良好，在某些情况下甚至超过了那些结果。
接受AED使用培训的警察急救人员的表现与其他已报道研究中的表现相当或更优。未来的培训策略应强调气道和CPR技能的正确整合。
