Dispatcher nurses' experiences of handling drones equipped with automated external defibrillators in suspected out-of-hospital cardiac arrest - a qualitative study.

Autor: Hanna DP; Emergency Medical Services, Sjukhusen i Väster, Region Västra Götaland, Dumpergatan 3, Kungälv, Kungälv, 442 40, Sweden., Erika B; Emergency Medical Services, Premedic Ånge, Region Västernorrland, Spångbrovägen 1, Ånge, 841 32, Sweden., Ellinor B; Centre for Resuscitation Science, Department of Clinical Science and Education, Karolinska Institutet, Sjukhusbacken 10, Södersjukhuset, Stockholm, S-118 83, Sweden., Sofia S; Centre for Resuscitation Science, Department of Clinical Science and Education, Karolinska Institutet, Sjukhusbacken 10, Södersjukhuset, Stockholm, S-118 83, Sweden., Leif S; Department of Medicine, Karolinska Institutet, Solna, Stockholm, S-171 77, Sweden., Anette N; Centre for Resuscitation Science, Department of Clinical Science and Education, Karolinska Institutet, Sjukhusbacken 10, Södersjukhuset, Stockholm, S-118 83, Sweden., Jacob H; Centre for Resuscitation Science, Department of Clinical Science and Education, Karolinska Institutet, Sjukhusbacken 10, Södersjukhuset, Stockholm, S-118 83, Sweden., Andreas C; Centre for Resuscitation Science, Department of Clinical Science and Education, Karolinska Institutet, Sjukhusbacken 10, Södersjukhuset, Stockholm, S-118 83, Sweden. andreas.claesson@ki.se.
Jazyk: angličtina
Zdroj: Scandinavian journal of trauma, resuscitation and emergency medicine [Scand J Trauma Resusc Emerg Med] 2024 Aug 21; Vol. 32 (1), pp. 74. Date of Electronic Publication: 2024 Aug 21.
DOI: 10.1186/s13049-024-01246-6
Abstrakt: Background: Reducing the time to treatment by means of cardiopulmonary resuscitation (CPR) and defibrillation is essential to increasing survival after cardiac arrest. A novel method of dispatching drones for delivery of automated external defibrillators (AEDs) to the site of a suspected out-of-hospital cardiac arrest (OHCA) has been shown to be feasible, with the potential to shorten response times compared with the emergency medical services. However, little is known of dispatchers' experiences of using this novel methodology.
Methods: A qualitative semi-structured interview study with a phenomenological approach was used. Ten registered nurses employed at an emergency medical dispatch centre in Gothenburg, Sweden, were interviewed and the data was analysed by qualitative content analysis. The purpose was to explore dispatcher nurses' experiences of deliveries of AEDs by drones in cases of suspected OHCA.
Results: Three categories were formed. Nurses expressed varying compliance to the telephone-assisted protocol for dispatch of AED-equipped drones. They experienced uncertainty as to how long would be an acceptable interruption from the CPR protocol in order to retrieve a drone-delivered AED. The majority experienced that collegial support was important. Technical support, routines and training need to be improved to further optimise action in cases of drone-delivered AEDs handled by dispatcher nurses.
Conclusions: Although telephone-assisted routines for drone dispatch in cases of OHCA were available, their use was rare. Registered nurses showed variable degrees of understanding of how to comply with these protocols. Collegial and technical support was considered important, alongside routines and training, which need to be improved to further support bystander use of drone-delivered AEDs. As the possibilities of using drones to deliver AEDs in cases of OHCA are explored more extensively globally, there is a good possibility that this study could be of benefit to other nations implementing similar methods. We present concrete aspects that are important to take into consideration when implementing this kind of methodology at dispatch centres.
(© 2024. The Author(s).)
Databáze: MEDLINE
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