The HANDDS program: a systematic approach for addressing disparities in the provision of bystander cardiopulmonary resuscitation.

The HANDDS program: a systematic approach for addressing disparities in the provision of bystander cardiopulmonary resuscitation.
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DOI:
10.1111/acem.12455
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发表时间:
2014-09
期刊:
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
影响因子:
--
通讯作者:
Magid DJ
Magid DJ
中科院分区:
其他
文献类型:
--
作者:
Sasson C;Haukoos JS;Eigel B;Magid DJ

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当前的旁观者心肺复苏 (CPR) 范式覆盖了整个社区的培训。最近,作者发现可以识别高风险社区,并可以针对最需要的社区进行心肺复苏术培训。本文介绍了 HANDDS(识别高逮捕社区以减少生存差异)计划的新颖方法和试点实施试验。作者还试图描述在科罗拉多州丹佛市实施 HANDDS 计划的示例方法。 HANDDS 计划采用简单的三步方法:识别、实施和评估。该系统概念框架使用定性和定量方法来 1) 识别高风险社区,2) 了解这些社区学习和实施心肺复苏的常见障碍,以及 3) 实施和评估培训师心肺复苏随时干预措施,旨在改善这些社区的心肺复苏培训。 HANDDS 计划是实施基于社区的心肺复苏 (CPR) 培训计划的系统方法。目前正在美国四个大城市进行进一步的研究,以检验 HANDDS 计划的结果是否可以在其他地方成功复制。
The current paradigm of bystander cardiopulmonary resuscitation (CPR) blankets a community with training. Recently, the authors have found that high-risk neighborhoods can be identified, and CPR training can be targeted in the neighborhoods in which it is most needed. This article presents a novel method and pilot implementation trial for the HANDDS (identifying High Arrest Neighborhoods to Decrease Disparities in Survival) program. The authors also seek to describe example methods in which the HANDDS program is being implemented in Denver, Colorado. The HANDDS program uses a simple three-step approach: identify, implement, and evaluate. This systematic conceptual framework uses qualitative and quantitative methods to 1) identify high-risk neighborhoods, 2) understand common barriers to learning and performing CPR in these neighborhoods, and 3) implement and evaluate a train-the-trainer CPR Anytime intervention designed to improve CPR training in these neighborhoods. The HANDDS program is a systematic approach to implementing a community-based CPR training program. Further research is currently being conducted in four large metropolitan U.S. cities to examine whether the results from the HANDDS program can be successfully replicated in other locations.
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