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Uvod: Zdravstveni dispečer ima pomembno vlogo v verigi preživetja, saj ima pomembno vlogo pri prepoznavi nenadnega srčnega zastoja, pri nudenju navodil za oživljanje po telefonu ter pri zagotavljanju hitrega dostopa do AED in čimprejšnjo aktivacijo ustreznih ekip NMP, kar pripomore k boljšemu preživetju pacientov po PNSZ. Raziskovalne metode: Za teoretična izhodišča naloge smo uporabili deskriptivno metodo zbiranja podatkov in analizo pridobljenih podatkov s pregledom strokovne in znanstvene literature. Enocentrična retrospektivna raziskava temelji na kvantitativni metodologiji. Rezultati: Med 49 analiziranimi primeri PNSZ je bilo 57,1 % moških. Zdravstveni dispečerji so v 44,9 % primerov preverili kakovost dihanja. V 40,8 % primerih je bilo prisotno agonalno dihanje, ventrikularna fibrilacija pa je bila kot najpogosteje zabeležen inicialni ritem prisotna v 25 %. Ob prisotnosti agonalnega dihanja so zdravstveni dispečerji PNSZ prepoznali v 35 %, navodila za izvajanje KPO-AD pa so podali v 25 %. Ob odsotnosti dihanja so PNSZ prepoznali v 51 %, navodila za KPO-AD pa so podali v 48,3 %. Če so zdravstveni dispečerji podali navodila za izvajanje KPO-AD je 14,3 % pacientov preživelo 30 dni oziroma do odpusta iz bolnišnice. Sklep: Za razliko od ostalih raziskav smo v naši raziskavi ugotovili, da KPO-AD in krajši dostopni časi do kraja intervencije ne vplivajo k večjemu preživetju po PNSZ, vendar pa dostopni časi v naši raziskavi v 80 % presegajo 8 minut, ko preživetje po PNSZ kljub izvajanju KPO-AD drastično pada in izvajanje KPO-AD nima več bistvenega vpliva na preživetje. Introduction: The emergency medical dispatcher has an important role in the chain of survival, because he has an important role in recognizing sudden heart failure, giving instructions for resuscitation over the phone, ensuring quick access to AED, and activating the appropriate EMS teams as soon as possible, thereby contributing to a better survival of OHCA patients. Research methods: For the theoretical starting points of the task, we used the descriptive method of data collection and analysis of the acquired data with a review of professional and scientific literature. Enocentric retrospective research is based on quantitative methodology. Results: There was 57.1 % of men among 49 OHCA analyzed cases. In 44.9 % of cases, emergency medical dispatcher checked the quality of breathing. In 40.8 % of cases, agonal respiration was present, and ventricular fibrillation was the most commonly observed initial rhythm present in 25 %. In the presence of agonal respiration, medical dispatchers recognized the OHCA at 35 % and the instructions for implementing DA-CPR were presented in 25 %. In the absence of respiration, the OHCA was recognized at 51 % and the instructions for DA-CPR were presented in 48.3 %. If the medical dispatchers gave instructions for implementing DA-CPR, 14.3 % of patients survived 30 days or until they were discharged from the hospital. Conclusion: Unlike other studies, we found in our study that DA-CPR and shorter access times to the site of the intervention do not affect the survival of the OHCA, but the access times in our study in 80 % exceed 8 minutes when survival according to OHCA despite the implementation of DA-CPR drastically decreases and the implementation of DA-CPR no longer has a significant effect on survival. |
