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Introduction of the community first responder system into Japan: is that possible?

Toyokuni Y, Suzukawa M, Yamashita K, Yonekawa C, Kubota K, Yasuda Y, Kobayashi A, Matsubara H - Int J Emerg Med (2013)

Bottom Line: CFR introduction guidelines were developed, and a CFR system was introduced in Shioya town on 4 November 2012 with 32 participants.On 1 January 2013, a CFR responded for the first time, and the CFR system worked efficiently.By providing information about the CFR system to the community and preparing several infrastructural elements, it was possible to introduce and operate a successful CFR system in Japan.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Emergency and Critical Care Medicine, Jichi Medical University, Tochigi, Japan. d1023@jichi.ac.jp.

ABSTRACT

Background: To improve out-of-hospital cardiac arrest (OHCA) survival rates in Japan, implementation of a community first responder (CFR) system is considered one of the most effective emergency medical service options. We investigated the possibility of introducing a CFR system in Japan.

Methods: Cross-sectional surveys were given to 1,350 residents over the age of 18 who were selected from resident registration lists in Tochigi prefecture. Residents were questioned whether they would agree to have a CFR system in their community and whether they would participate as a responder. Positive attitudes about the cross-sectional study led us to conduct pilot CFR trials. Trials were conducted in rural areas of Tochigi prefecture by local EMS personnel. We were able to discuss and develop CFR introduction guidelines for Japanese communities using the results of the individual surveys, pilot trials, and other countries' guidelines. Finally, our CFR system, which referred to developed CFR introduction guidelines, was introduced into Ishikawa prefecture's Shioya town (population of 710).

Results: A total of 92.5% of Tochigi residents either strongly agreed or agreed to have a CFR system in their community, and 16.7% of Tochigi's residents chose to participate. The two CFR introduction prerequisites were identified as: (1) an information delivery system for CFR and (2) budget preparation. CFR introduction guidelines were developed, and a CFR system was introduced in Shioya town on 4 November 2012 with 32 participants. On 1 January 2013, a CFR responded for the first time, and the CFR system worked efficiently.

Conclusions: By providing information about the CFR system to the community and preparing several infrastructural elements, it was possible to introduce and operate a successful CFR system in Japan.

No MeSH data available.


Related in: MedlinePlus

Individual survey results. Reason for declining to participate as a CFR in three municipalities in Tochigi prefecture.
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Figure 1: Individual survey results. Reason for declining to participate as a CFR in three municipalities in Tochigi prefecture.

Mentions: The two most common reasons for declining to participate were not being able to rely on their own quality of first aid (47.1%) and being worried about something happening to the patients being cared for, such as death (41.2%) (FigureĀ 1).


Introduction of the community first responder system into Japan: is that possible?

Toyokuni Y, Suzukawa M, Yamashita K, Yonekawa C, Kubota K, Yasuda Y, Kobayashi A, Matsubara H - Int J Emerg Med (2013)

Individual survey results. Reason for declining to participate as a CFR in three municipalities in Tochigi prefecture.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3852586&req=5

Figure 1: Individual survey results. Reason for declining to participate as a CFR in three municipalities in Tochigi prefecture.
Mentions: The two most common reasons for declining to participate were not being able to rely on their own quality of first aid (47.1%) and being worried about something happening to the patients being cared for, such as death (41.2%) (FigureĀ 1).

Bottom Line: CFR introduction guidelines were developed, and a CFR system was introduced in Shioya town on 4 November 2012 with 32 participants.On 1 January 2013, a CFR responded for the first time, and the CFR system worked efficiently.By providing information about the CFR system to the community and preparing several infrastructural elements, it was possible to introduce and operate a successful CFR system in Japan.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Emergency and Critical Care Medicine, Jichi Medical University, Tochigi, Japan. d1023@jichi.ac.jp.

ABSTRACT

Background: To improve out-of-hospital cardiac arrest (OHCA) survival rates in Japan, implementation of a community first responder (CFR) system is considered one of the most effective emergency medical service options. We investigated the possibility of introducing a CFR system in Japan.

Methods: Cross-sectional surveys were given to 1,350 residents over the age of 18 who were selected from resident registration lists in Tochigi prefecture. Residents were questioned whether they would agree to have a CFR system in their community and whether they would participate as a responder. Positive attitudes about the cross-sectional study led us to conduct pilot CFR trials. Trials were conducted in rural areas of Tochigi prefecture by local EMS personnel. We were able to discuss and develop CFR introduction guidelines for Japanese communities using the results of the individual surveys, pilot trials, and other countries' guidelines. Finally, our CFR system, which referred to developed CFR introduction guidelines, was introduced into Ishikawa prefecture's Shioya town (population of 710).

Results: A total of 92.5% of Tochigi residents either strongly agreed or agreed to have a CFR system in their community, and 16.7% of Tochigi's residents chose to participate. The two CFR introduction prerequisites were identified as: (1) an information delivery system for CFR and (2) budget preparation. CFR introduction guidelines were developed, and a CFR system was introduced in Shioya town on 4 November 2012 with 32 participants. On 1 January 2013, a CFR responded for the first time, and the CFR system worked efficiently.

Conclusions: By providing information about the CFR system to the community and preparing several infrastructural elements, it was possible to introduce and operate a successful CFR system in Japan.

No MeSH data available.


Related in: MedlinePlus