Avancerad hjärt-lungräddning med mekaniska eller manuella kompressioner : Uppfattningar hos ambulanspersonal om kompetens, övning, patientrisk och överlevnad

Sammanfattning: Study objectives: Examine ambulance personnel’s perceptions of skills / training and knowledge with regards to the existing mechanical / manual compressions and frequency of training during a work shift. Do ambulance personnel think that mechanical compressions increase survival? Are there concerns that the device could damage the patient? Design: A cross-sectional study, quantitative approach with qualitative elements was conducted. Methods: Questionnaire form, which was answered by 44 ambulance personnel in an ambulance organisation in Sweden. Participants were on a scale of 1-5 to select how they agree with the claims of the study form and also submit their own comments. The questions were compiled with SPSS 17.0. A content analysis was conducted of participants' comments. Results: Ambulance personnel believe that practice is necessary, but that in general this training is not carried out frequently enough. The training is not prioritised. Colleagues are overwhelmingly positive when spontaneous training is initiated. Better procedures and training materials mentioned as a factor strengthening conditions. It is considered equally important to have good knowledge of the performance of manual chest compressions, not relying solely on the mechanical ones. No one expressed any immediate concerns that mechanical chest compressions could cause damages, but stated that mechanical chest compressions do make a difference in a positive way in comparison to the manual ones. Conclusion: Exercise is not prioritized. Exercise routines should be reviewed. Availability of training material and its quality can be optimized. There is a need to identify attitudes to exercise and is important to find ways to create motivation and practice pleasure.