title: Saving the On-Scene Time for Out-of-Hospital Cardiac Arrest Patients: The Registered Nurses' Role and Performance in Emergency Medical Service Teams.
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 (P= .016 and .017, resp.). Furthermore, the return of spontaneous circulation within two hours (ROSC2 h) 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.
authors.affiliation: Graduate School of Engineering Science and Technology, National Yunlin University of Science & Technology, 123 Section 3, University Road, Douliou, Yunlin 640, Taiwan.
authors.forename: Ming-Wei
authors.initials: MW
authors.lastname: Lin
authors.affiliation: ChangHua Fire Bureau, 1 Zhongyang Road, Changhua, Changhua 500, Taiwan.
authors.forename: Che-Yu
authors.initials: CY
authors.lastname: Wu
authors.affiliation: Research 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.
authors.forename: Chih-Long
authors.initials: CL
authors.lastname: Pan
authors.affiliation: State Key Laboratory of Hydraulics and Mountain River Engineering, Sichuan University, 24 South Section 1, Yihuan Road, Chengdu 610065, China.
authors.forename: Zhong
authors.initials: Z
authors.lastname: Tian
authors.affiliation: Department of Electrical Engineering, Tunghai University, 1727 Section 4, Taiwan Boulevard, Xitun District, Taichung 407, Taiwan.
authors.forename: Jyh-Horng
authors.initials: JH
authors.lastname: Wen
authors.affiliation: Research 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; Department and Graduate School of Safety and Environment Engineering, National Yunlin University of Science & Technology, 123 Section 3, University Road, Douliou, Yunlin 640, Taiwan.
authors.forename: Jet-Chau
authors.identifier: 0000-0001-7363-1039
authors.initials: JC
authors.lastname: Wen
mesh_terms: D016638:Critical Illness; D004632:Emergency Medical Services; D006801:Humans; D009726:Nurses; D058687:Out-of-Hospital Cardiac Arrest / Q000628:therapy*; D012372:ROC Curve; D013997:Time Factors; D014947:Wounds and Injuries / Q000150:complications