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Ten years of police defibrillation: program characteristics and personnel attitudes.

机译:警察除颤十年:程序特点和人员态度。

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OBJECTIVE: In 1992,a study to evaluate the effectiveness of police defibrillation was initiated in seven suburban police departments. This paper describes the characteristics of those programs and the attitudes of chiefs and officers ten years after the commencement of that study. METHODS: A 32-item survey instrument including questions on department demographics, defibrillation program characteristics, and attitudes was mailed to the chiefs. A separate 25-item survey was developed to assess officers' attitudes; a non-management officer distributed and collected these surveys anonymously. Responses are reported descriptively. RESULTS: All seven chiefs and 78% of the officers completed surveys. Police arrive prior to emergency medical services on 80% or more of calls, with a mean +/- standard deviation response interval of 3.1 +/-1.7 minutes. All departments identify a program coordinator and six a medical director; three departments have a quality-improvement program. Five departments have liability coverage for the use of an automated external defibrillator (AED), and no department reported any liability-related problems. Five of the chiefs and 82% of the officers disagreed or strongly disagreed that liability issues are a concern or a source of hesitation in using the AED. Ninety-six percent of the officers agreed or strongly agreed that police AED use is beneficial to cardiac arrest victims. All seven police chiefs and 89% of the officers agreed or strongly agreed that AED use by police is appropriate. CONCLUSIONS: In these seven police departments with ten years of program experience, defibrillation has become integrated into the law-enforcement culture. Liability issues are not a prominent concern of chiefs or officers. Police chiefs and officers in these departments continue to support police-based defibrillation programs.
机译:目的:1992年,郊区的七个警察部门开始了一项评估警察除颤效果的研究。本文描述了这些计划的特点以及研究开始十年后的首长和官员的态度。方法:将包括32个项目的调查工具邮寄给酋长,其中包括有关部门人口统计学,除颤程序特征和态度的问题。开展了一项单独的25项调查,以评估官员的态度;一个非管理人员匿名分发和收集了这些调查。描述性地报告了响应。结果:所有七名首长和78%的军官均完成了调查。警察在80%或以上的呼叫之前到达紧急医疗服务之前,平均+/-标准差响应间隔为3.1 +/- 1.7分钟。所有部门都任命一名计划协调员,六名是医疗主管。三个部门都有质量改进计划。五个部门拥有使用自动体外除颤器(AED)的责任范围,并且没有部门报告任何与责任相关的问题。五位酋长和82%的军官不同意或强烈不同意责任问题是使用AED的担忧或犹豫的根源。 96%的警官同意或强烈同意警察使用AED对心脏骤停的受害者有益。所有七名警察局长和89%的警察都同意或强烈同意警察使用AED是适当的。结论:在这七个拥有十年程序经验的警察部门中,除颤已融入执法文化中。责任问题并不是酋长或官员的主要关注点。这些部门的警察局长和警官继续支持基于警察的除颤程序。

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