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首页> 外文期刊>Drug and alcohol review >Improved response by peers after witnessed heroin overdose in Melbourne.
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Improved response by peers after witnessed heroin overdose in Melbourne.

机译：在墨尔本目睹海洛因过量后，同龄人的反应有所改善。

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Introduction and Aims. In response to concerns about the prevalence of heroin-related morbidity and mortality, overdose response training programs have been implemented in Victoria, with the aim of improving outcomes after heroin overdose. The aim of this study was to examine reported overdose response by current injecting drug users (IDU) during overdose events, in comparison with previous studies. Design and Methods. A total of 99 IDU (median age 35 years, 72% male) were administered a questionnaire that collected information on knowledge and experience regarding recognition of heroin overdose and response. The primary outcome measure was the rate of ambulance notification and expired air resuscitation during witnessed heroin overdose. Data were analysed using descriptive statistics and univariate analysis. Results. Sixty participants had overdosed at least once, and 84% had witnessed an overdose. 78% recognised altered consciousness as a sign of heroin overdose, but less were aware of depressed breathing (42%) or cyanosis (61%). Reported overdose interventions included correct positioning (39%), expired air resuscitation (32%), ambulance notification (76%) and staying with the victim (87%). Discussion and Conclusions. Our study has found improved responses to heroin overdose during witnessed heroin overdose among current IDU, compared with earlier work. However, a lack of knowledge regarding appropriate first-aid response persists, which might improve with the development and implementation of training initiatives in this area, ranging from identification of overdose to the administration of life-saving measures.[Kerr D, Dietze P, Kelly A-M, Jolley D. Improved response by peers after witnessed heroin overdose in Melbourne. Drug Alcohol Rev 2009;28:327-330].
机译：简介和目的。为了应对与海洛因相关的发病率和死亡率的普遍性的担忧，维多利亚州已实施了过量反应培训计划，目的是改善海洛因过量后的结局。这项研究的目的是与过去的研究相比，检查在用药过量期间当前注射毒品使用者（IDU）报告的用药过量反应。设计和方法。总共对99名IDU（中位年龄35岁，男性72％）进行了问卷调查，收集了有关海洛因过量识别和反应的知识和经验信息。主要结果指标是目击海洛因过量期间的救护车通知率和过期的空气复苏。使用描述性统计和单变量分析对数据进行分析。结果。 60名参与者至少服药一次，其中84％的人服药过量。 78％的人意识到意识改变是海洛因过量的标志，但很少有人意识到呼吸低落（42％）或发osis（61％）。报告的药物过量干预措施包括正确定位（39％），过期的空气复苏（32％），救护车通知（76％）以及与受害者待在一起（87％）。讨论和结论。我们的研究发现，与先前的工作相比，当前IDU中目击的海洛因过量期间对海洛因过量的反应有所改善。但是，仍然缺乏有关适当的急救措施的知识，这可能会随着该领域培训计划的制定和实施（从发现过量到实施救生措施）而有所改善。[Kerr D，Dietze P， Jelley D. Kelly AM。在墨尔本目睹海洛因过量后，同龄人的反应有所改善。药物酒精评论2009; 28：327-330]。

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