Aim: To assess the factors associated with the knowledge and expectations among the general public about dispatcher assistance in out-of-hospital cardiac arrest incidents.
Background: In medical dispatch centres, emergency calls are frequently operated by specially trained nurses as dispatchers. In cardiac arrest incidents, efficient communication between the dispatcher and the caller is vital for prompt recognition and treatment of the cardiac arrest.
Design: A cross-sectional observational survey containing six questions and seven demographic items.
Method: From January-June 2017 we conducted standardized interviews among 500 members of the general public in Norway. In addition to explorative statistical methods, we used multivariate logistic analysis.
Results: Most participants expected cardiopulmonary resuscitation instructions, while few expected "help in deciding what to do." More than half regarded the bystanders present to be responsible for the decision to initiate cardiopulmonary resuscitation. Most participants were able to give the correct emergency medical telephone number. The majority knew that the emergency call would not be terminated until the ambulance arrived at the scene. However, only one-third knew that the emergency telephone number operator was a trained nurse.
Conclusion: The public expect cardiopulmonary resuscitation instructions from the emergency medical dispatcher. However, the majority assume it is the responsibility of the bystanders to make the decision to initiate cardiopulmonary resuscitation or not. Based on these findings, cardiopulmonary resuscitation training initiatives and public campaigns should focus more on the role of the emergency medical dispatcher as the team leader of the first resuscitation team in cardiac arrest incidents.
目的: 评估普通公众对调度员协助院外心脏骤停事件的了解和期望。 背景: 在医疗调度中心,受过专门训练的护士经常接到紧急传唤,并作为调度员进行工作。心脏骤停事件中,调度员和呼叫者之间的有效沟通对于及时识别和治疗心脏骤停至关重要。 设计: 包含六个问题和七个人口统计项目的详细观察报告。 方法: 从2017年1月至6月,我们对挪威的500名普通公众进行了标准采访。除了采取探索性统计方法外,还运用了多元逻辑分析方法。 结果: 大多数参与者希望得到心肺复苏指导,很少有参与者期望调度员“帮助在关键时刻做出抉择”,超过一半参与者认为在场的旁观者应对启动心肺复苏的决定负责。大多数参与者都能给出正确无误的紧急医疗电话。大多数人都知道,在救护车到达现场之前不应终止紧急呼叫。然而,只有三分之一的人知道紧急电话号码接线员即是受过训练的护士。 结论: 公众期望紧急医疗调度员给出心肺复苏指示。然而,大多数人认为旁观者有责任决定是否启动心肺复苏。基于这些发现,心肺复苏培训计划和公众活动应该更注意紧急医疗调度员作为心脏骤停事件中第一复苏小组组长的作用。.
Keywords: basic life support; bystander; cardiac arrest; cardiopulmonary resuscitation; communication; dispatcher; emergency call; emergency medical dispatch; emergency medical service; lay rescuer; nurse; out-of-hospital cardiac arrest; prehospital.
© 2018 John Wiley & Sons Ltd.