Perceived threats and challenges experienced by first responders during their mission for an out-of-hospital cardiac arrest
Aim: No study has systematically captured the perceived threat, discomfort or issues experienced by First Responders (FRs). We aimed to report the FRs’ experience during a mission for an out-of-hospital cardiac arrest (OHCA) in a ten-year span. Methods: We collected all the 40-items questionnaires f...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | Resuscitation Plus |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520423000462 |
| _version_ | 1827934673472323584 |
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| author | Enrico Baldi Alessia D'Alto Claudio Benvenuti Maria Luce Caputo Ruggero Cresta Roberto Cianella Angelo Auricchio |
| author_facet | Enrico Baldi Alessia D'Alto Claudio Benvenuti Maria Luce Caputo Ruggero Cresta Roberto Cianella Angelo Auricchio |
| author_sort | Enrico Baldi |
| collection | DOAJ |
| description | Aim: No study has systematically captured the perceived threat, discomfort or issues experienced by First Responders (FRs). We aimed to report the FRs’ experience during a mission for an out-of-hospital cardiac arrest (OHCA) in a ten-year span. Methods: We collected all the 40-items questionnaires filled out by the FRs dispatched in Ticino Region (Switzerland) from 01/10/2010 to 31/12/2020. We compared results between FRs alerted by SMS or APP and between professional and citizen FRs. Results: 3391 FRs filled the questionnaire. The OHCA information was considered complete more frequently by FRs alerted by APP (85.6% vs 76.8%, p < 0.001), but a challenge in reaching the location was more frequent (15.5% vs 11.4%, p < 0.001), mainly due to wrong GPS coordinate. The FRs initiated/participated in resuscitation in 64.6% and used an AED in 31.9% of OHCAs, without issue in 97.9%. FRs reported a very high-level of satisfaction (97%) in EMS collaboration, but one-third didn’t have the possibility to debrief. Citizen FRs used AED more frequently than professional FRs (34.6% vs 30.7%, p < 0.01), but experienced more often difficulties in performing CPR (2.6% vs 1.2%, p = 0.02) and wore more in need to debrief (19.7% vs 13%, p < 0.01). Conclusions: We provide a unique picture from the FRs’ point of view during a real-life OHCA reporting high-level of satisfaction, great motivation but also the need of systematic debrief. We identified areas of improvements including geolocation accuracy, further training on AED use and support program dedicated to citizen FRs. |
| first_indexed | 2024-03-13T07:43:04Z |
| format | Article |
| id | doaj.art-aeedd73775c04231a83cd48569952ea0 |
| institution | Directory Open Access Journal |
| issn | 2666-5204 |
| language | English |
| last_indexed | 2024-03-13T07:43:04Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj.art-aeedd73775c04231a83cd48569952ea02023-06-03T04:22:45ZengElsevierResuscitation Plus2666-52042023-06-0114100403Perceived threats and challenges experienced by first responders during their mission for an out-of-hospital cardiac arrestEnrico Baldi0Alessia D'Alto1Claudio Benvenuti2Maria Luce Caputo3Ruggero Cresta4Roberto Cianella5Angelo Auricchio6Fondazione Ticino Cuore, Breganzona, Switzerland; Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, Pavia, ItalyFaculty of Biomedical Sciences, Università della Svizzera Italiana (USI), Lugano, SwitzerlandFondazione Ticino Cuore, Breganzona, SwitzerlandFondazione Ticino Cuore, Breganzona, Switzerland; Cardiocentro Ticino Institute, Ente Ospedaliero Cantonale, Lugano, SwitzerlandFondazione Ticino Cuore, Breganzona, Switzerland; Federazione Cantonale Ticinese Servizi Autoambulanze, Lugano, SwitzerlandFederazione Cantonale Ticinese Servizi Autoambulanze, Lugano, SwitzerlandFondazione Ticino Cuore, Breganzona, Switzerland; Faculty of Biomedical Sciences, Università della Svizzera Italiana (USI), Lugano, Switzerland; Cardiocentro Ticino Institute, Ente Ospedaliero Cantonale, Lugano, Switzerland; Corresponding author at: Division of Cardiology, Cardiocentro Ticino Institute, Ente Ospedaliero Cantonale, Lugano, Switzerland.Aim: No study has systematically captured the perceived threat, discomfort or issues experienced by First Responders (FRs). We aimed to report the FRs’ experience during a mission for an out-of-hospital cardiac arrest (OHCA) in a ten-year span. Methods: We collected all the 40-items questionnaires filled out by the FRs dispatched in Ticino Region (Switzerland) from 01/10/2010 to 31/12/2020. We compared results between FRs alerted by SMS or APP and between professional and citizen FRs. Results: 3391 FRs filled the questionnaire. The OHCA information was considered complete more frequently by FRs alerted by APP (85.6% vs 76.8%, p < 0.001), but a challenge in reaching the location was more frequent (15.5% vs 11.4%, p < 0.001), mainly due to wrong GPS coordinate. The FRs initiated/participated in resuscitation in 64.6% and used an AED in 31.9% of OHCAs, without issue in 97.9%. FRs reported a very high-level of satisfaction (97%) in EMS collaboration, but one-third didn’t have the possibility to debrief. Citizen FRs used AED more frequently than professional FRs (34.6% vs 30.7%, p < 0.01), but experienced more often difficulties in performing CPR (2.6% vs 1.2%, p = 0.02) and wore more in need to debrief (19.7% vs 13%, p < 0.01). Conclusions: We provide a unique picture from the FRs’ point of view during a real-life OHCA reporting high-level of satisfaction, great motivation but also the need of systematic debrief. We identified areas of improvements including geolocation accuracy, further training on AED use and support program dedicated to citizen FRs.http://www.sciencedirect.com/science/article/pii/S2666520423000462Out-of-hospital cardiac arrestFirst ResponderQuestionnaires |
| spellingShingle | Enrico Baldi Alessia D'Alto Claudio Benvenuti Maria Luce Caputo Ruggero Cresta Roberto Cianella Angelo Auricchio Perceived threats and challenges experienced by first responders during their mission for an out-of-hospital cardiac arrest Resuscitation Plus Out-of-hospital cardiac arrest First Responder Questionnaires |
| title | Perceived threats and challenges experienced by first responders during their mission for an out-of-hospital cardiac arrest |
| title_full | Perceived threats and challenges experienced by first responders during their mission for an out-of-hospital cardiac arrest |
| title_fullStr | Perceived threats and challenges experienced by first responders during their mission for an out-of-hospital cardiac arrest |
| title_full_unstemmed | Perceived threats and challenges experienced by first responders during their mission for an out-of-hospital cardiac arrest |
| title_short | Perceived threats and challenges experienced by first responders during their mission for an out-of-hospital cardiac arrest |
| title_sort | perceived threats and challenges experienced by first responders during their mission for an out of hospital cardiac arrest |
| topic | Out-of-hospital cardiac arrest First Responder Questionnaires |
| url | http://www.sciencedirect.com/science/article/pii/S2666520423000462 |
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