Perceptions of establishing advanced life support for out-of-hospital cardiac arrest

Craig Wilkins
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Abstract

Establishing advanced life support (ALS) in out-of-hospital cardiac arrest (OHCA) is a demanding part of the paramedic role. While aspects of these patients' care have been well researched, examination of how the full ALS bundle is completed is lacking. This study aims to explore paramedics' experience of establishing ALS in OHCA through individual semi-structured interviews to identify potential themes and transferable learning. Findings in the areas of dispatch, en-route planning and on-scene care as well as around training were identified through thematic analysis. There are several issues on which individuals and organisations can critically reflect to improve practice.
对建立院外心脏骤停高级生命支持的看法
在院外心脏骤停(OHCA)患者中建立高级生命支持(ALS)是辅助医务人员的一项艰巨任务。虽然对这些患者的护理方面已经进行了深入研究,但还缺乏对如何完成整个 ALS 束的研究。本研究旨在通过个人半结构式访谈,探讨辅助医务人员在 OHCA 中建立 ALS 的经验,以确定潜在的主题和可借鉴的经验。通过主题分析,确定了调度、途中计划、现场护理以及培训等方面的研究结果。个人和组织可以对几个问题进行批判性反思,以改进实践。
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