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首页> 外文期刊>Acute Medicine & Surgery >Effectiveness of dispatcher training in increasing bystander chest compression for out‐of‐hospital cardiac arrest patients in Japan
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Effectiveness of dispatcher training in increasing bystander chest compression for out‐of‐hospital cardiac arrest patients in Japan

机译：在日本，派遣员培训对提高院外心脏骤停患者的旁观者胸部按压的有效性

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Aim The Japanese government has developed a standardized training program for emergency call dispatchers to improve their skills in providing oral guidance on chest compression to bystanders who have witnessed out‐of‐hospital cardiac arrests ( OHCA s). This study evaluated the effects of such a training program for emergency call dispatchers in Japan. Methods The analysis included all consecutive non‐traumatic OHCA patients transported to hospital by eight emergency medical services, where the program was implemented as a pilot project. We compared the provision of oral guidance and the incidence of chest compression applications by bystanders in the 1‐month period before and after the program. Data collection was undertaken from October 2014 to March 2015. Results The 532 non‐traumatic OHCA cases were used for analysis: these included 249 cases before and 283 after the guidance intervention. Most patients were over 75 years old and were men. After the program, provision of oral guidance to callers slightly increased from 63% of cases to 69% (P = 0.13) and implementation of chest compression on patients by bystanders significantly increased from 40% to 52% (P = 0.01). Appropriate chest compression also increased from 34% to 47% (P = 0.01). In analysis stratified by the provision of oral guidance, increased chest compressions were observed only under oral guidance. Conclusions We found increased provision of oral guidance by dispatchers and increased appropriate chest compressions by bystanders after the training program for dispatchers had been rolled out. Long‐term observation and further data analysis, including patient outcomes, are needed. After the standardized training program for dispatchers, cases of implementation of chest compressions by bystanders and appropriate chest compressions significantly increased. Cases of chest compressions and appropriate chest compressions increased only under oral guidance.
机译：目的日本政府已经为紧急呼叫调度员制定了标准化培训计划，以提高他们向目击医院外心脏骤停（OHCA）的旁观者提供胸部按压的口头指导的技能。这项研究评估了这种培训计划对日本紧急呼叫调度员的效果。方法该分析包括通过八项紧急医疗服务将所有连续的非创伤性OHCA患者转入医院，该项目被实施为试点项目。我们比较了该计划前后1个月内口头指导的提供情况和旁观者应用胸部按压的发生率。从2014年10月至2015年3月进行了数据收集。结果对532例非创伤性OHCA病例进行了分析：包括指导干预前的249例和干预后的283例。大多数患者均超过75岁，均为男性。实施该计划后，对呼叫者的口头指导从63％的病例略微增加到69％（p = 0.13），旁观者对患者实施胸部按压的比例从40％显着增加到52％（p = 0.01）。适当的胸部按压也从34％增加到47％（P = 0.01）。在通过提供口服指导分层的分析中，仅在口服指导下观察到胸部按压增加。结论我们发现调度员培训计划推出后，调度员可以提供更多的口头指导，旁观者可以增加适当的胸部按压。需要长期观察和进一步的数据分析，包括患者预后。在针对调度员进行标准化培训计划之后，旁观者实施胸部按压和适当的胸部按压的案例显着增加。仅在口服指导下，胸部按压和适当胸部按压的情况才会增加。

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