Title page for etd-0716125-135657


URN etd-0716125-135657 Statistics This thesis had been viewed 21 times. Download 1 times.
Author Ming-Yi Yu
Author's Email Address david843210@mail.e-land.gov.tw
Department Institute of construction technology
Year 2024 Semester 2
Degree Master Type of Document Master's Thesis
Language zh-TW.Big5 Chinese Page Count 114
Title Study on the Optimization of Dispatcher-Assisted CPR
Keyword
  • Dispatcher-assisted CPR
  • Dispatcher
  • OHCA
  • OHCA
  • Dispatcher
  • Dispatcher-assisted CPR
  • Abstract This study aims to examine the impact of the "DA-CPR ¡V Strengthening the Chain of Survival" program, promoted by the National Fire Agency, on Taiwan¡¦s emergency medical service system. The research specifically focuses on the practical challenges faced by emergency dispatchers in identifying OHCA cases and providing real-time CPR guidance during DA-CPR execution. It further explores dispatchers¡¦ coping strategies and proposes feasible recommendations.
    This study conducted in-depth interviews with 119 emergency dispatchers to analyze the identification and instruction barriers they face during the implementation of DA-CPR in frontline practice. Analysis of the interview data revealed that dispatchers frequently encounter challenges such as language barriers, emotionally unstable and highly stressed callers, and occasional communication disruptions.
    In addition, the study also examines the occupational stress experienced by dispatchers in high-pressure work environments, as well as their corresponding needs for rest and leisure.
    The study found that although the DA-CPR system has been implemented for several years, challenges persist, including suboptimal operational procedures, insufficient technological support, and inadequate training for dispatchers. To enhance the overall quality of emergency medical service and improve patient survival rates, this study recommends a comprehensive optimization of emergency dispatch and DA-CPR protocols. In the short term, efforts should focus on strengthening public education and promotion of CPR and DA-CPR to improve bystander awareness and cooperation, as well as optimizing dispatcher-assisted CPR protocols to enhance guidance effectiveness and on-site accuracy. In the medium term, the application of language support systems and video call functions should be reinforced, along with establishing a comprehensive quality management program for EMS. In the long term, systematic training programs for dispatchers should be continuously promoted to improve professional knowledge, communication skills, and emotional resilience, thereby enhancing their emergency response capabilities and instruction quality. Collectively, these strategies aim to improve the overall effectiveness and efficiency of emergency medical dispatch operations.
    Advisor Committee
  • Wen-Huay Hsu - advisor
  • Wen-Huay Hsu - co-chair
  • Yung-Ming Sun - co-chair
  • Sheng-Chieh Lee - chair
  • Files indicate access worldwide
    Date of Defense 2025-06-26 Date of Submission 2025-07-18

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