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BioMed Research International
Volume 2017, Article ID 5326962, 6 pages
https://doi.org/10.1155/2017/5326962
Research Article

Saving the On-Scene Time for Out-of-Hospital Cardiac Arrest Patients: The Registered Nurses’ Role and Performance in Emergency Medical Service Teams

1Graduate School of Engineering Science and Technology, National Yunlin University of Science & Technology, 123 Section 3, University Road, Douliou, Yunlin 640, Taiwan
2ChangHua Fire Bureau, 1 Zhongyang Road, Changhua, Changhua 500, Taiwan
3Research Center for Soil & Water Resources and Natural Disaster Prevention (SWAN), National Yunlin University of Science & Technology, 123 Section 3, University Road, Douliou, Yunlin 640, Taiwan
4State Key Laboratory of Hydraulics and Mountain River Engineering, Sichuan University, 24 South Section 1, Yihuan Road, Chengdu 610065, China
5Department of Electrical Engineering, Tunghai University, 1727 Section 4, Taiwan Boulevard, Xitun District, Taichung 407, Taiwan
6Department and Graduate School of Safety and Environment Engineering, National Yunlin University of Science & Technology, 123 Section 3, University Road, Douliou, Yunlin 640, Taiwan

Correspondence should be addressed to Jet-Chau Wen; wt.ude.hcetnuy@cjnew

Received 14 September 2016; Revised 23 November 2016; Accepted 19 January 2017; Published 9 February 2017

Academic Editor: Eric Chong

Copyright © 2017 Ming-Wei Lin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

For out-of-hospital cardiac arrest (OHCA) patients, every second is vital for their life. Shortening the prehospital time is a challenge to emergency medical service (EMS) experts. This study focuses on the on-scene time evaluation of the registered nurses (RNs) participating in already existing EMS teams, in order to explore their role and performance in different EMS cases. In total, 1247 cases were separated into trauma and nontrauma cases. The nontrauma cases were subcategorized into OHCA (NT-O), critical (NT-C), and noncritical (NT-NC) cases, whereas the trauma cases were subcategorized into collar-and-spinal board fixation (T-CS), fracture fixation (T-F), and general trauma (T-G) cases. The average on-scene time of RN-attended cases showed a decrease of 21.05% in NT-O, 3.28% in NT-C, 0% in NT-NC, 18.44% in T-CS, 13.56% in T-F, and 3.46% in T-G compared to non-RN-attended. In NT-O and T-CS cases, the RNs’ attendance can notably save the on-scene time with a statistical significance ( and .017, resp.). Furthermore, the return of spontaneous circulation within two hours () rate in the NT-O cases was increased by 12.86%. Based on the findings, the role of RNs in the EMTs could save the golden time in the prehospital medical care in Taiwan.