Author/Editor		Skuhala, Robert; Skela-Savič, Brigita
Title		Pomen izobraževanja gasilcev o temeljnih postopkih oživljanja z uporabo AED
Type		članek
Source		In: Zdravstvene stroke in njihov odziv na zdravstvene potrebe družbe: na dokazih podprto in usklajeno delovanje : zbornik predavanj z recenzijo, Bled, 11.-12. junij 2015 : = Proceedings of lectures with peer review, 11th - 12th June 2015, Bled Jesenice : Fakulteta za zdravstvo
Publication year		2015
Volume		str. 257-264
Language		slv
Abstract		Teoretična izhodišča: Preživetje pacienta, ki doživi nenadni srčni zastoj je odvisno od pravilnega in hitrega ukrepanja mimoidočih. Gasilci zaradi geografske razpršenosti in njihove organiziranosti igrajo pomembno vlogo pri nudenju prve pomoči. Gasilci bodo pravilno izvajali temeljne postope oživljaja z uporabo AED le, če bodo deležni ustrezih izobraževanj. Cilj je ugotoviti vrzeli v znanju gasilcev pri izvajanju temeljnih postopkov oživljanja z uporabo AED; ugotoviti povezanost med pogostostjo tečajev TPO z AED in ohranjenim znanjem o TPO z AED. Metoda: Raziskava je imela kvantitativni značaj. Podatki so bili zbrani na osnovi strukturiranega opazovanja gasilcev, ki so izvajali postopke oživljanja z uporabo AED na področju severo-vzhodne Slovenije. Raziskava je potekala v novembru 2013. V raziskavo je bilo vključenih 14 gasilskih društev. Izvedenih je bilo 64 opazovanj. Pred pričetkom raziskave smo od odgovorne osebe gasilskega društva pridobili pisno soglasje. Podatki so bili obdelani s statističnim programom SPSS 20.0. Uporabljena je bila metoda deskriptivne statistike: aritmetična sredina, standardni odklon, Hi kvadrat in Pearsonova korelacija. Rezultati: Raziskava je pokazala, da je največja vrzel v znanju gasilcev pri ugotavljanju posrednih znakov življenja. Komaj slaba polovica gasilcev je v manj kot sedmih meseci po tečaju TPO pravilno sprostila dihalno pot in preverila dihanje. Pri opazovanju frekvence masaže srca smo prišli do rezultata, da statistično pomembno pada znanje glede na pretečen čas od tečaja TPO (p = 0,042). Razprava: Gasilci so ustrezna ciljana skupina, ki bo v prihodnje igrala pomembno vlogo pri prvi pomoči ob nenadni srčnem zastoju. Glede na rezultate naše raziskave in številnih drugih raziskav, bomo morali v državi sprejeti ustrezen program izobraževanja gasilcev. Le tako bodo gasilci v prihodnje pripomogli k večjemu preživetju pacientov ob nenadni srčni smrti.Theoretical background: The survival of a patient who suffers a sudden cardiac arrest depends on the accurate and rapid response of bystanders. Firemen,s important role in providing first aid is based on their geographical dispersion and organization. In general, firemen correctly apply the fundamental life support methods using the AED, only if they participate at the training programs. Objective: The main objective is to identify the gaps in the implementation of the basic life support steps using the AED. Furthermore, to determine the association between the numbers of BLS trainings, using AED and gained proper knowledge about it. Method: The study has a quantitative character. Detailed and monitored observation of the firemen has provided a useful data about firemen's reanimation procedures, using the AED. The survey was conducted in November 2013 in North-Eastern Slovenia. The study included 14 fire brigades, where 64 observations were conducted. Before the start of the study, a written consent from the responsible person in each fire department was obtained. The data were analysed using the statistical program SPSS 20.0. Mainly, the following statistical methods were used: the arithmetic mean, standard deviation, Chi-square and Pearson correlation. Results: The results showed that the biggest gap in the knowledge of firemen is identifying signs of life. Less than half of the firemen, who attended the TPO training 7 months ago or less, properly released airway and checked the breathing signs of the victims. The results further indicate that as the time from the last TPO training is increasing, firemen's knowledge about the frequency of the cardiac massage is significantly decreasing (p = 0.042). Debate: Firemen are suitable target group that will continue to play an important role in giving a first aid for sudden cardiac arrests. The results from this research, similarly like the results in other academic papers suggest that Slovenia should obtain a suitable training program for efficient firemen's education. In that case, the firemen can contribute to increase the number of survived patients with sudden cardiac arrest.
Keywords		prva pomoč gasilci permanentno izobraževanje