How should volunteers be dispatched to out-of-hospital cardiac arrest cases?
How should volunteers be dispatched to out-of-hospital cardiac arrest cases?
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院外心脏骤停病例如何派遣志愿者？
DOI：
10.1007/s11134-022-09752-z
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发表时间：
2022
期刊：
影响因子：
1.2
通讯作者：
Li, Hemeng
中科院分区：
文献类型：
--
作者：
Henderson, Shane G.;Berg, Pieter L.;Jagtenberg, Caroline J.;Li, Hemeng
发生院外心脏骤停 (OHCA) 的患者需要紧急医疗护理。存活率较低，但随着心肺复苏、除颤和其他更先进治疗的快速启动，存活率会提高。因此，OHCA 呼叫是紧急医疗服务 (EMS) 面临的最紧急呼叫之一。支持智能手机的方案（例如 GoodSAM [1] 和 PulsePoint [3]）可以提供帮助。当接到 OHCA 电话时，可以通过手机上的应用程序向靠近 OHCA 的志愿者发出警报。志愿者不需要做出回应，但当他们做出回应时，他们会前往 OHCA 现场并提供帮助。救护车也会做出响应，因此救护车的工作量不受影响。如果志愿者先到达现场，他们就会提供帮助，直到救护人员到达。救护车响应时间可能有所不同，但通常约为 9 分钟。因此，如果志愿者密度足够，志愿者很可能在救护车之前到达，从而提高生存率。关于 OHCA 志愿者计划的医学文献越来越多，主要侧重于数据分析。 [4]给出了概述并开发了随机模型，可以帮助确定实质性提高存活率所需的志愿者数量和位置。这里我们讨论一个与志愿者派遣相关的问题。
A person experiencing an out-of-hospital cardiac arrest (OHCA) requires urgent medical attention. Survival rates are low, but increase with rapid initiation of cardiopulmonary resuscitation, defibrillation and other more advanced treatments. Accordingly, OHCA calls are among the most urgent faced by emergency medical services (EMS). Smartphone-enabled schemes like GoodSAM [1] and PulsePoint [3] can help. When an OHCA call is received, volunteers close to the OHCA can be alerted through an app on their phone. Volunteers need not respond, but when they do they proceed to the scene of the OHCA and render assistance. An ambulance also responds, so the workload of ambulances is unaffected. If a volunteer arrives at the scene first, then they render assistance until an ambulance crew arrives. Ambulance response times can vary but are often on the order of 9 minutes. Thus, with sufficient volunteer density, volunteers are likely to arrive before the ambulance, thereby improving survival rates. There is a growing medical literature on volunteer schemes for OHCA that primarily focuses on data analysis.[4] gives an overview and develops stochastic models that can help determine the number and location of volunteers needed to materially improve survival rates. Here we discuss a problem related to volunteer dispatch.
DOI：
10.2139/ssrn.3802624
发表时间：
2020
期刊：
Proceedings of the 21st ACM Conference on Economics and Computation
影响因子：
--
作者：
V. Manshadi;Scott Rodilitz
通讯作者：
Scott Rodilitz
紧急医疗服务志愿者响应建模
DOI：
10.2139/ssrn.3825060
发表时间：
2021
期刊：
SSRN Electronic Journal
影响因子：
--
作者：
P. V. D. Berg;S. Henderson;C. Jagtenberg;Hemeng Li
通讯作者：
Hemeng Li