院前心脏骤停急救人员的自动启动和基于应用程序的启动:对柏林 KATRETTER 系统 16500 次启动的分析

C. Pommerenke, S. Poloczek, F. Breuer, J. Wolff, J. Dahmen
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引用次数: 0

摘要

旁观者心肺复苏是提高院外心脏骤停患者存活率的主要独立因素之一。与此同时,德国的旁观者心肺复苏率却低于欧洲平均水平。急救人员应用程序(App)有助于缩短在专业救援人员到达现场之前没有进行心肺复苏的时间(无流量时间)。柏林推出的 KATRETTER 应用程序是欧洲首批无需任何医疗资质即可注册为急救员的应用程序之一。我们根据 2020 年 10 月 16 日至 2022 年 10 月 16 日期间收集的数据,评估了通过柏林紧急医疗服务综合控制中心对疑似心脏骤停病例启动志愿急救人员的情况。我们的描述性分析包括注册急救人员的数量、启动次数、接受启动的次数和百分比,以及急救人员到达现场的所有报告。截至 2022 年 10 月 15 日,柏林州共有 10102 名急救人员注册。在此期间,因疑似院外心脏骤停而启动系统的次数为 16.505 次。在 38.4% 的受理病例中,急救人员记录了与患者的接触情况,在 34.6% 接触到患者的病例中,急救人员实施了心肺复苏术。只有 2% 的注册急救人员不具备任何医疗资质。基于智能手机的急救人员应用程序不应被理解为一种向专业人员求助的报警手段,而应被理解为在紧急地点附近以数字方式放大的 "呼救信号"。可以在 24 个月内招募大量第一响应人,无需进行大规模的公关工作。成为第一响应者不需要任何资格要求,这有助于实现低门槛的注册过程,从而使该应用程序得到更广泛的传播,并在实施过程中降低成本。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Automated and app-based activation of first responders for prehospital cardiac arrest: an analysis of 16.500 activations of the KATRETTER system in Berlin
Bystander CPR is one of the main independent factors contributing to better survival after out-of-hospital cardiac arrest. Simultaneously, the rate of bystander CPR in Germany is below the European average. First responder applications (apps) contribute to reducing the time period without CPR (no-flow time) until professional help can arrive on-scene. The KATRETTER app was introduced in Berlin as one of the first apps in Europe which do not require any medical qualifications to register as a first responder. The activation of volunteer first responders for suspected cardiac arrest cases through the Berlin Emergency Medical Services integrated control center was evaluated based on data collected between 16 Oct 2020 and 16 Oct 2022. Our descriptive analysis includes the number of registered first responders, number of activations, the number and percentages of accepted activations, as well as all reports where first responders arrived at the scene. As of 15 Oct 2022, a total of 10,102 first responders were registered in the state of Berlin. During this specified period, there were 16.505 activations of the system for suspected out-of-hospital cardiac arrest. In 38.4% of the accepted cases, first responders documented patient contact, and in 34.6% of cases with patient contact, CPR was performed. Only 2% of registered first responders did not have any medical qualifications. Smartphone-based first responder applications should not be understood as a means of alerting professional help, but rather like a digitally amplified “call for help” in the vicinity of an emergency location. A large number of first responders can be recruited within 24 months, without large-scale public relations work necessary. No qualifications were required to become a first responder, contributing to a low-threshold registration process with the effect of a more widespread distribution of the app and cost reduction during implementation.
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