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首页> 外文期刊>Prehospital emergency care >EMS provider reluctance to perform mouth-to-mouth resuscitation.
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EMS provider reluctance to perform mouth-to-mouth resuscitation.

机译:EMS提供者不愿进行口对口复苏。

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OBJECTIVES: To assess the willingness of EMS providers to perform mouth-to-mouth resuscitation (MMR) both with and without a barrier device (e.g., face shield), while not on duty; and to determine the providers' perceived risk from performing MMR and the frequency with which they carry a barrier device. METHODS: A survey was mailed to 543 EMS providers presenting four scenarios describing a patient in respiratory arrest. The respondents were asked whether they would perform MMR in each scenario both with and without a barrier device. RESULTS: Of those surveyed, 342 (64%) responded. Strikingly few (< or =5%) of the respondents would perform MMR without a barrier on each of the cases, except for the case of a pediatric drowning (52%). The respondents were least likely to perform MMR on a patient with AIDS (< 1%). The respondents were much more likely to perform MMR in each case if a barrier device was available. The respondents were very concerned about the risk of contagion from MMR, yet 44% of the respondents rarely or never carried a barrier device with them. CONCLUSION: Emergency medical services providers are quite reluctant to perform MMR, and this is likely related to their perception of a high risk of contagion. The availability of barrier devices greatly decreases this reluctance, but EMS personnel carry such devices infrequently.
机译:目的:评估在没有值班的情况下,EMS提供者在有无屏障设备(例如面罩)的情况下进行口对口复苏(MMR)的意愿;并确定提供商通过执行MMR所感知的风险以及他们携带屏障设备的频率。方法:将调查问卷邮寄给543个EMS提供商,介绍了描述患者呼吸停止的四种情况。受访者被问及在有无屏障装置的情况下,他们是否都会在每种情况下执行MMR。结果:在接受调查的人中,有342(64%)人回答。令人惊讶的是,除了小儿溺水的案例(52%)外,很少(<或= 5%)受访者会在所有案例中进行MMR检查而没有障碍。受访者对艾滋病患者进行MMR的可能性最小(<1%)。如果有屏障设备,则在每种情况下,受访者更有可能执行MMR。受访者非常担心MMR传染的风险,但是44%的受访者很少或从未携带过隔离装置。结论:急诊医疗服务提供者非常不愿执行MMR,这可能与他们对传染性高风险的看法有关。屏障设备的可用性极大地降低了这种磁阻,但EMS人员很少携带此类设备。

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