"Oh, Another Overdose, for the Love of Pete": First Responder Perspectives on Overdose Response Technology.

IF 1.8 3区 医学 Q2 EMERGENCY MEDICINE
William Rioux, Stephanie Jones, S Monty Ghosh
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引用次数: 0

Abstract

Background: Overdose response applications and hotlines are novel overdose response technologies (ORT)/virtual harm reduction strategies that have recently emerged as a strategy to reduce the harms associated with the ongoing opioid epidemic. First responders are often the first point of contact for people who have overdosed and play a significant role in responses enacted by these services. In this study our aim was to explore the attitudes and perceptions of first responders on these novel technologies.

Methods: We recruited 17 participants using purposive sampling through the province of Alberta between February-April 2023 including 11 paramedics, two firefighters, and five emergency communications operators. To be included in the study, participants were required to be older than 18 years of age, have the ability to communicate effectively in English, provide verbal informed consent, and work in an emergency responder role. Semi-structured interviews were conducted by two evaluators. When reviewing interview transcripts we used thematic analysis to identify key themes and subthemes.

Results: Participants discussed their current operating procedures, their current perspectives on overdose response hotlines and apps, how they would best integrate them into their current workloads, and how to raise awareness of these services within first-responder communities. Participants were apprehensive about the integration of these services into their current workloads, including their potential benefits, and raised concerns about their efficacy within communities of people who use drugs. Key strategies were raised for the successful integration of these services into emergency responses including providing information to clients and the feasibility of overdose responses by the general public.

Conclusion: This study's results add to the existing literature on the toll of the overdose epidemic seen within first-response communities. Furthermore, we explored the communities' diverse perspectives on these novel technologies, including support and concerns, and propose additional strategies for their integration into emergency responses.

“哦,另一个过量,为了皮特的爱”:第一响应者对过量反应技术的看法。
背景:过量反应应用和热线是最近出现的一种新型过量反应技术(ORT)/虚拟减少危害战略,旨在减少与正在进行的阿片类药物流行相关的危害。急救人员通常是过量服用者的第一个接触点,并在这些服务机构制定的应对措施中发挥重要作用。在这项研究中,我们的目的是探讨第一响应者对这些新技术的态度和看法。方法:我们在2023年2月至4月期间通过阿尔伯塔省招募了17名参与者,其中包括11名护理人员,2名消防员和5名紧急通信操作员。被纳入研究的参与者必须年满18岁,具有用英语进行有效沟通的能力,提供口头知情同意,并担任紧急救援人员的角色。由两名评估人员进行半结构化访谈。在审查采访记录时,我们使用主题分析来确定主要主题和次要主题。结果:参与者讨论了他们目前的操作程序,他们目前对过量反应热线和应用程序的看法,他们如何最好地将它们整合到他们当前的工作量中,以及如何提高第一响应者社区对这些服务的认识。与会者对将这些服务整合到他们目前的工作量中感到担忧,包括它们的潜在好处,并对它们在吸毒者社区中的功效表示担忧。与会者提出了将这些服务成功纳入应急反应的关键战略,包括向客户提供信息以及公众采取过量反应的可行性。结论:这项研究的结果增加了现有文献中关于在第一反应社区中过量流行的死亡人数。此外,我们探讨了社区对这些新技术的不同观点,包括支持和关注,并提出了将其纳入应急响应的其他策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Western Journal of Emergency Medicine
Western Journal of Emergency Medicine Medicine-Emergency Medicine
CiteScore
5.30
自引率
3.20%
发文量
125
审稿时长
16 weeks
期刊介绍: WestJEM focuses on how the systems and delivery of emergency care affects health, health disparities, and health outcomes in communities and populations worldwide, including the impact of social conditions on the composition of patients seeking care in emergency departments.
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