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Using firefighters as medical first responders to shorten responsetime in rural areas in Sweden
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- Svensson, Anders, 1977- (author)
- Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),CISA - Centrum för interprofessionell samverkan och sambruk inom akut vård
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- Elmqvist, Carina, 1964- (author)
- Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),CISA - Centrum för interprofessionell samverkan och sambruk inom akut vård
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- Fridlund, Bengt (author)
- Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),CISA - Centrum för interprofessionell samverkan och sambruk inom akut vård
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- (creator_code:org_t)
- John Wiley & Sons, 2020
- 2020
- English.
- In: The Australian journal of rural health. - : John Wiley & Sons. - 1038-5282 .- 1440-1584. ; 28:1, s. 6-14
- Journal article (peer-reviewed)
Abstract
Subject headings
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- Objective: To map out and describe an earlier response by using firefighters as medical first responders on while waiting for the ambulance and first incident person assignments focusing on frequency, event time and survival >30 days after performed cardiopulmonary resuscitation.Design: Retrospective descriptive design.Setting: Ambulance service in a county of southern Sweden with a population of 200 000 inhabitants (23/km2).Participants: Data were collected from four data systems within different organizations; emergency medical communication centre, fire deparment, ambulance services and county hospital analysis unit.Main outcome measure(s): Data from 600 while waiting for the ambulance assignments, whereof 120 with first incident person present, collected between 1 January 2012 and 31 December 2016. Between 1 June 2014 and 1 October 2015, the two fire departments were dually dispatched on out-of-hospital cardiac arrests.Results: Three main findings were made: there was a prolonged process time for dispatching fire fighters on while waiting for the ambulance assignments. Dual dispatches did not shorten the process time for dispatching full-time firefighters, and, in a majority of while waiting for the ambulance assignments where cardiopulmonary resuscitation was performed, firefighters or first incident persons arrived first on the scene.Conclusion: Minimising every minute that delays the performance of life-saving actions is crucial. By dispatching firefighters on while waiting for the ambulance assignments in rural areas, the response time in a majority of assignments was shortened. However, there was substantial delay in dispatching firefighters due to prolonged process time at the emergency medical communication centre. The emergency medical communication centre operator's ability to quickly assess the need for while waiting for the ambulance assignments plays a crucial role in the chain of survival.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- Dual dispatch
- Emergency care
- Firefighters
- First incident person
- First responder
- Vårdvetenskap
- Caring Science
Publication and Content Type
- ref (subject category)
- art (subject category)
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- Linnaeus University
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