TAILIEUCHUNG - Báo cáo y học: "First responder resuscitation teams in a rural Norwegian community: sustainability and self-reports of "

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: First responder resuscitation teams in a rural Norwegian community: sustainability and self-reports of | Rortveit and Meland Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2010 18 25 SCANDINAVIAN JOURNAL OF Et emergency medicine ORIGINAL RESEARCH Open Access First responder resuscitation teams in a rural Norwegian community sustainability and self-reports of meaningfulness stress and mastering Sverre R0rtveit 1 and Eivind Meland2 Abstract Background Training of lay first responder personnel situated closer to the potential victims than medical professionals is a strategy potentially capable of shortening the interval between collapse and start of cardiopulmonary resuscitation CPR in cases of out-of-hospital cardiac arrest. In this study we trained lay first responders personnel in basic life support BLS and defibrillation for cases of cardiac arrest and suspected acute myocardial infarction AMI . Methods Forty-two lay first responders living in remote areas or working in industries in the island community of Austevoll Western Norway were trained in CPR and defibrillation. We placed particular emphasis on the first responders being able to defibrillate a primary ventricular fibrillation PVF in patients with AMI. The trainees were organised in four teams to attend victims of AMI and cardiac arrest while awaiting the arrival of the community emergency medical services. The purpose of the study was to find out whether the teams were able to function during the five-year study project and to examine whether lives could be saved. The first responders completed questionnaires each year on their experiences of participation. Data on the medical actions of the teams were also collected. Results By the end of the project all groups were functioning. The questionnaires evidenced a reasonable degree of motivation and self-evaluated competence in both types of group organisation but in spite of this attrition effects in the first responders were considerable. The first responders were called out on 24 occasions for a total of 17 patients. During the study .

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