"First responders" are people trained in advanced first aid who can respond at the same time as, and often more quickly than, ambulance services to suspected medical emergencies. Hatzolah is a volunteer First Responder group, based on halakhic (Jewish legal) principles, in a localised area of metropolitan Melbourne with the highest density of Holocaust survivors outside Israel. Low numbers of "call-outs" to Victoria's Metropolitan Ambulance Service (MAS) from this community suggested that many were reluctant to make contact with a "uniformed" external agency. Hatzolah is an autonomous organisation operating under adapted MAS clinical practice guidelines and clinical governance processes. Hatzolah responders undergo an 18-month MAS training course comprising first aid, cardiopulmonary resuscitation, the use of semiautomated defibrillators, and oxygen therapy. We describe the first 11 years (1995-2005) of the Hatzolah service. The number of patients attended to annually has risen steadily, peaking at 867 in 2005. The most frequent reasons for call-outs were falls (19.4%), chest pain (9.7%), or respiratory distress (7.6%). Hatzolah's median response times were 2 or 3 min for all cases. They attended 35 patients with cardiac arrest (median response time, 2 min), and arrived before the MAS to 29 call-outs (83%). Nineteen patients (54%) with cardiac arrest were resuscitated and transported from the scene alive. Among those transported, significantly more had a shockable cardiac rhythm (50% v 13%, P = 0.03). Five (14%) survived to hospital discharge. Hatzolah has evolved into an organisation providing a complementary service to the MAS. It serves as a model for the establishment of other metropolitan community First Responder groups.

译文

:“急救人员”是受过高级急救训练的人员,可以与救护车服务同时对可疑医疗紧急情况做出响应,而且往往比救护车服务更快。哈佐拉(Hatzolah)是自愿响应的“第一响应者”团体,基于犹太人(犹太法律)原则,在墨尔本以外的以色列大屠杀幸存者密度最高的大都市墨尔本本地区域中。来自该社区的维多利亚大都会救护车服务(MAS)的“召集”次数很少,这表明许多人不愿与“统一”的外部机构进行联系。 Hatzolah是根据适应性MAS临床实践指南和临床治理流程运作的自治组织。 Hatzolah响应者接受为期18个月的MAS培训课程,包括急救,​​心肺复苏,半自动除颤器的使用和氧气疗法。我们描述了Hatzolah服务的前11年(1995-2005年)。每年看病的人数一直稳定增长,在2005年达到867例的峰值。最常见的原因是跌倒(19.4%),胸痛(9.7%)或呼吸窘迫(7.6%)。在所有情况下,Hatzolah的中位反应时间均为2或3分钟。他们治疗了35例心脏骤停的患者(中位反应时间为2分钟),并在MAS之前到达了29个呼出处(83%)。复苏了19例心脏骤停的患者(54%),并从现场转移了生命。在被转运的人中,明显的人具有令人震惊的心律(50%对13%,P = 0.03)。五(14%)人存活到医院出院。 Hatzolah已发展成为向MAS提供补充服务的组织。它是建立其他大都市社区“第一响应者”团体的典范。

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