Reporting of data from out-of-hospital cardiac arrest has to involve emergency medical dispatching-Taking the recommendations on reporting OHCA the Utstein style a step further

Reporting of data from out-of-hospital cardiac arrest has to involve emergency medical dispatching-Taking the recommendations on reporting OHCA the Utstein style a step further
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DOI:
10.1016/j.resuscitation.2011.08.020
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发表时间:
2011-12-01
期刊:
影响因子:
6.5
通讯作者:
Karlsten, R.
Karlsten, R.
中科院分区:
医学2区
文献类型:
--
作者:
Castren, M.;Bohm, K.;Karlsten, R.

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目的:作为生存链的一部分,紧急医疗通讯中心(EMCC)和紧急医疗调度员(EMD)在早期识别院外心脏骤停(OHCA)方面发挥着重要作用。EMD可以向呼叫者提供指令,从而在大量受试者中启动心肺复苏,从而有助于提高存活率。EMCC提供第一响应者、救护车、医生配备的单位和可能的其他医疗保健提供者的响应。在许多情况下,EMCC会主动与转诊医院的专家进行沟通,并通过提供先进的运输、后勤和后续服务,为复苏后护理提供附加值。在研究中,人们越来越关注EMCC/EMD对OHCA生存率的影响。缺乏报告医疗派遣结果的标准,是彻底评价这一领域的结果和比较数据的一个障碍。本文的目的是介绍一个框架,统一报告派遣过程的质量改进,收集和报告数据和交流有关OHCA的信息。(C)2011爱思唯尔爱尔兰有限公司保留所有权利。
Objectives: As a part of the chain of survival, the emergency medical communication centre (EMCC) and the emergency medical dispatcher (EMD) has an important role in early identification of out-of-hospital cardiac arrests (OHCA). The EMD may provide instructions to the caller and thereby initiate cardiopulmonary resuscitation in a substantial number of subjects and thus contribute to increased survival. The EMCC provides a response with first responders, ambulances, physician manned units and potentially other health care providers. EMCC in many cases initiates the communication with experts in the referral hospital and provide added value to the post resuscitation care by providing advanced transport, logistics and follow up. In research there is a growing focus on the EMCC/EMDs impact on survival in OHCA. The lack of standards in reporting results from medical dispatching is an obstacle for thorough evaluation of results in this area and comparison of data. The objective for this paper is to introduce a framework for uniform reporting of the dispatching process for quality improvement, collecting and reporting data and exchanging information regarding OHCA. (C) 2011 Elsevier Ireland Ltd. All rights reserved.