公众访问除的障碍和促进因素 - - 国际RAND-UCLA共识研究
K C Thies1, C Metelmann2,3, B Metelmann2
1Department of Anaesthesiology, Intensive Care, Emergency Medicine, Transfusion Medicine and Pain Therapy, University of Bielefeld, EvKB University Hospital of Bielefeld, Campus Bielefeld-Bethel, Burgsteig 13, 33167, Bielefeld, Germany. Karl.Thies@evkb.de.
概括
改善公共通道除 (PAD) 需要解决AED的可用性,培训和整合. 创新的部署模式和协调政策对于提高医院外心脏骤停后的存活率至关重要.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 心脏病学 心脏病学
背景情况:
- 立即的心肺复苏和早期除对于在医院外心脏骤停 (OHCA) 后的生存至关重要.
- 公共通道除器 (PAD) 的实施面临着自动化外部除器 (AED) 可用性,集成和使用方面的挑战.
- 这项研究旨在确定和优先考虑PAD实施的障碍和推动因素,并探索新的部署模式.
研究的目的:
- 识别和优先考虑阻碍和促进公共访问除器 (PAD) 实施的障碍和推动者.
- 突出在医院外心脏骤停 (OHCA) 场景中使用自动化外部除器 (AED) 的新兴部署模型.
- 为未来的研究和政策制定提供信息,以提高PAD的有效性.
主要方法:
- 在46名国际专家的参与下,进行了一项结构化的RAND-UCLA适当性方法共识研究.
- 参与者确定了PAD的障碍和促进因素,分为四个主题领域.
- 九个共识陈述被制定并使用9点利克特级别来评分,以达到强大的共识.
主要成果:
- 在关于PAD障碍物和促进因素的九个关键陈述上达成了强有力的共识.
- 确定的障碍包括有限的24 / 7AED访问,不良的住宅覆盖,缺乏实时注册,培训不足,法律问题和整合问题.
- 启用因素包括强制性AED注册,社区培训,法律保护,装备急救人员和创新的部署策略,如无人机使用.
结论:
- 协调的政策,强大的AED注册,广泛的培训和多层次的应对模式对于有效的PAD实施至关重要.
- 该研究为未来的公共通道除系统开发提供了优先级议程.
- 解决已识别的障碍和利用创新策略可以显著提高OHCA生存率.
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