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Svensson, Anders
Publications (10 of 14) Show all publications
Svensson, A., Elmqvist, C., Fridlund, B., Rask, M., Andersson, R. & Stening, K. (2020). Using firefighters as medical first responders to shorten responsetime in rural areas in Sweden. The Australian journal of rural health, 28(1), 6-14
Open this publication in new window or tab >>Using firefighters as medical first responders to shorten responsetime in rural areas in Sweden
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2020 (English)In: The Australian journal of rural health, ISSN 1038-5282, E-ISSN 1440-1584, Vol. 28, no 1, p. 6-14Article in journal (Refereed) Published
Abstract [en]

Objective: To map out and describe an earlier response by using firefighters as medical first responders on while waiting for the ambulance and first incident person assignments focusing on frequency, event time and survival >30 days after performed cardiopulmonary resuscitation.

Design: Retrospective descriptive design.

Setting: Ambulance service in a county of southern Sweden with a population of 200 000 inhabitants (23/km2).

Participants: Data were collected from four data systems within different organizations; emergency medical communication centre, fire deparment, ambulance services and county hospital analysis unit.

Main outcome measure(s): Data from 600 while waiting for the ambulance assignments, whereof 120 with first incident person present, collected between 1 January 2012 and 31 December 2016. Between 1 June 2014 and 1 October 2015, the two fire departments were dually dispatched on out-of-hospital cardiac arrests.

Results: Three main findings were made: there was a prolonged process time for dispatching fire fighters on while waiting for the ambulance assignments. Dual dispatches did not shorten the process time for dispatching full-time firefighters, and, in a majority of while waiting for the ambulance assignments where cardiopulmonary resuscitation was performed, firefighters or first incident persons arrived first on the scene.

Conclusion: Minimising every minute that delays the performance of life-saving actions is crucial. By dispatching firefighters on while waiting for the ambulance assignments in rural areas, the response time in a majority of assignments was shortened. However, there was substantial delay in dispatching firefighters due to prolonged process time at the emergency medical communication centre. The emergency medical communication centre operator's ability to quickly assess the need for while waiting for the ambulance assignments plays a crucial role in the chain of survival.

Place, publisher, year, edition, pages
John Wiley & Sons, 2020
Keywords
Dual dispatch, Emergency care, Firefighters, First incident person, First responder
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-92728 (URN)10.1111/ajr.12599 (DOI)000516653900002 ()32105393 (PubMedID)
Funder
The Kamprad Family Foundation
Available from: 2020-03-05 Created: 2020-03-05 Last updated: 2020-03-19Bibliographically approved
Johnsson, M. & Svensson, A. (2019). Akut omhändertagande på skadeplats, i ambulans och under transport (2ed.). In: Carina Elmqvist & Sofia Almerud Österberg (Ed.), Akut omhändertagande av trauma: på skadeplats och akutmottagning (pp. 87-121). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Akut omhändertagande på skadeplats, i ambulans och under transport
2019 (Swedish)In: Akut omhändertagande av trauma: på skadeplats och akutmottagning / [ed] Carina Elmqvist & Sofia Almerud Österberg, Lund: Studentlitteratur AB, 2019, 2, p. 87-121Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2019 Edition: 2
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-90949 (URN)9789144127613 (ISBN)
Available from: 2020-01-16 Created: 2020-01-16 Last updated: 2020-01-16Bibliographically approved
Svensson, A. (2019). Räddningsaktörers tidiga närvaro vid akuta situationer på svensk landsbygd. (Doctoral dissertation). Växjö: Linnaeus University Press
Open this publication in new window or tab >>Räddningsaktörers tidiga närvaro vid akuta situationer på svensk landsbygd
2019 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Aim: The overall aim was to describe the first responders´ (FRs) experiences ofarriving early at emergency situations in rural areas in Sweden and the characteristicfeatures of the assignments they encounter. The four studies aimed to: describe critical incidents in which ambulance nurses experience worry in their professional life and the actions they take in order to prevent and cope with it (I), explore and describe experiences of the First Incident Person (FIP) assignment within an Fire Department (FD) (II), describe experiences of the While Waiting for the Ambulance (WWFA) assignment, as experienced by home healthcare nurses (III) and map out and describe WWFA assignments focusing on frequency, event time,CardioPulmonary Resuscitation (CPR) and survival >30 days after performed CPR (IV).

Methods: The four studies in this thesis had both descriptive and explorative designs. They were analysed with qualitative and quantitative analysis methods.

Results: By dispatching FRs in rural areas an early presence at the scene of anaccident or emergency situation can be secured, which prevent full scenarios to happen and increase the possibility to save lives. However, FRs are worried about specific emergency situations as well as situations related to their work environment.Leaving ongoing work tasks cause ethical dilemmas and inner emotional worries why support before, during and after an FR assignment is sought for.

Conclusions: Generating effective interprofessional collaboration during FR assignment requires that the FRs work conditions are adopted to the assignment requirements for immediate response. The feeling of security disappears when the FRs are excluded from the group affiliation and the need to feel support in new interprofessional collaboration structures becomes clear. Support function based on individual requests is to be designed. Continuous collaborative exercises are required where all involved FRs participate.

Place, publisher, year, edition, pages
Växjö: Linnaeus University Press, 2019. p. 84
Series
Linnaeus University Dissertations ; 349/2019
Keywords
Ambulance nurse, Dual dispatch, Emergency care, Firefighters, First incident person, First responder, Home healthcare, Nurses experiences, Prehospital emergency care, Scene of an accident, Worry.
National Category
Nursing
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-82346 (URN)978-91-88898-53-1 (ISBN)978-91-88898-54-8 (ISBN)
Public defence
2019-05-24, Myrdal, Hus K, Växjö, 10:00 (Swedish)
Opponent
Available from: 2019-05-02 Created: 2019-04-29 Last updated: 2019-08-28Bibliographically approved
Elmqvist, C., Svensson, A., Engdahl, S., Forsgärde, E.-S., Fridlund, B., Kurland, L., . . . Lundberg, U. (2019). ”Vi vill ha en statlig nationell översikt över mobil vård”. Dagens medicin (2019-09-26)
Open this publication in new window or tab >>”Vi vill ha en statlig nationell översikt över mobil vård”
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2019 (Swedish)In: Dagens medicin, ISSN 1104-7488, no 2019-09-26Article in journal, News item (Other (popular science, discussion, etc.)) Published
Abstract [sv]

Den mobila vården behöver definieras nationellt och bli en egen organisationsform och vårdnivå, skriver företrädare från Centrum för interprofessionell samverkan inom akut vård.

Place, publisher, year, edition, pages
Bonnier Business Media AB, 2019
National Category
Nursing
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-89902 (URN)
Available from: 2019-11-04 Created: 2019-11-04 Last updated: 2019-12-18Bibliographically approved
Lederman, J., Svensson, A. & Rantala, A. (2018). Absence of evidence-based and person-centred guidelines in the Swedish Emergency Medical Services - a patient safety issue?. International Emergency Nursing, 38, 56-58
Open this publication in new window or tab >>Absence of evidence-based and person-centred guidelines in the Swedish Emergency Medical Services - a patient safety issue?
2018 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 38, p. 56-58Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
Prehospital, EMS, Patient safety, person-centred care, new pathways, non-conveyance
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-76852 (URN)10.1016/j.ienj.2018.02.002 (DOI)000432470600010 ()
Available from: 2018-07-13 Created: 2018-07-13 Last updated: 2018-07-13Bibliographically approved
Herault, R. C., Lincke, A., Milrad, M., Forsgärde, E.-S., Elmqvist, C. & Svensson, A. (2018). Design and Evaluation of a 360 Degrees Interactive Video System to Support Collaborative Training for Nursing Students in Patient Trauma Treatment. In: Yang, JC Chang, M Wong, LH Rodrigo, MMT (Ed.), 26TH INTERNATIONAL CONFERENCE ON COMPUTERS IN EDUCATION (ICCE 2018): . Paper presented at 26th INTERNATIONAL CONFERENCE ON COMPUTERS IN EDUCATION, Metro Manila, PHILIPPINES, NOV 26-30, 2018 (pp. 298-303). Asia-Pacific Society for Computers in Education
Open this publication in new window or tab >>Design and Evaluation of a 360 Degrees Interactive Video System to Support Collaborative Training for Nursing Students in Patient Trauma Treatment
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2018 (English)In: 26TH INTERNATIONAL CONFERENCE ON COMPUTERS IN EDUCATION (ICCE 2018) / [ed] Yang, JC Chang, M Wong, LH Rodrigo, MMT, Asia-Pacific Society for Computers in Education, 2018, p. 298-303Conference paper, Published paper (Refereed)
Abstract [en]

Extreme catastrophe situations are rare in Sweden, which makes training opportunities important to secure the competence among emergency personnel that should be actively involved during those situations. There is a need to conceptualize, design and implement interactive learning environments that allow to educate, train and assess these catastrophe situations more often and in different settings, conditions and places. In order to address these challenges, a prototype system has been designed and developed containing immersive interactive 360 degrees educational videos that are available via a web browser. The content of these videos includes simulated learning scenes of a trauma team working at the hospital emergency department. Different types of interaction mechanisms are integrated within the videos in which learners should act upon and respond. The prototype was tested during the fall term 2017 with 17 students from the specialist nursing program, and four medical experts. These activities were assessed in order to get new insights into issues related to the proposed approach and feedback connected to the usefulness, usability and learnability of the suggested prototype. The initial outcomes of the evaluation indicate that the system can provide students with novel interaction mechanisms to improve their skills and it can be applied as a complementary tool to the methods used currently in their education.

Place, publisher, year, edition, pages
Asia-Pacific Society for Computers in Education, 2018
Keywords
emergency preparedness, interactive learning, nurse specialists, trauma, 360 degrees interactive videos
National Category
Media and Communication Technology Nursing
Research subject
Computer and Information Sciences Computer Science, Media Technology; Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-80292 (URN)000456331300047 ()2-s2.0-85060015828 (Scopus ID)
Conference
26th INTERNATIONAL CONFERENCE ON COMPUTERS IN EDUCATION, Metro Manila, PHILIPPINES, NOV 26-30, 2018
Available from: 2019-02-08 Created: 2019-02-08 Last updated: 2019-06-05Bibliographically approved
Svensson, A., Almerud Österberg, S., Fridlund, B., Stening, K. & Elmqvist, C. (2018). Firefighters as First Incident Persons: breaking the chain of events and becoming a new link in the chain of survival. International Journal of Emergency Services, 7(2), 120-133
Open this publication in new window or tab >>Firefighters as First Incident Persons: breaking the chain of events and becoming a new link in the chain of survival
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2018 (English)In: International Journal of Emergency Services, ISSN 2047-0894, E-ISSN 2047-0908, Vol. 7, no 2, p. 120-133Article in journal (Refereed) Published
Abstract [en]

Purpose In order to shorten the response time, two part-time fire departments (FDs) in Sweden initialize a first incident person (FIP) assignment. This is done by alarming the crew manager as an FIP, responding in a separate emergency vehicle, and by arriving at the scene before rest of the crew. The purpose of this paper is to explore and describe experiences of the FIP assignment within an FD. Design/methodology/approach A multimethod design was used, influenced by Creswell and Plano Clark's (2011) explanatory sequential mixed method design including emergency reports, a questionnaire and interviews. Findings The results show that the FIP assignment was a function that secured an early presence at the scene of an accident or emergency situations, which is beneficial for society in the form of a safety factor, for the firefighters in the form of early prior information on what to expect at the scene and for the patient in the form of early existential support and increased chances of survival. Originality/value In order to prevent full scenarios to happen and get the chance to save lives, an early response must be ensured. Hence, studies must be made in different settings, based on its unique conditions. This study indicates that by implementing FIP in FDs placed in a rural area, the FIP can break the chain of events and becoming a new link in the chain of survival.

Place, publisher, year, edition, pages
Elsevier, 2018
National Category
Other Medical Sciences
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-69815 (URN)10.1108/IJES-10-2017-0051 (DOI)000432829500004 ()2-s2.0-85040866305 (Scopus ID)
Available from: 2018-01-12 Created: 2018-01-12 Last updated: 2019-08-29Bibliographically approved
Forsgärde, E.-S., Svensson, A. & Sand, G. (2018). Perceptions of Learning Related to the Use of a New Interactive 360 Degrees Video Trauma Exercise. In: 3rd Global Conference on Emergency Nursing & Trauma Care 4-6 October 2018, Noordwijkerhout, The Netherlands: . Paper presented at 3rd Global Conference on Emergency Nursing & Trauma Care 4-6 October 2018, Noordwijkerhout, The Netherlands.
Open this publication in new window or tab >>Perceptions of Learning Related to the Use of a New Interactive 360 Degrees Video Trauma Exercise
2018 (English)In: 3rd Global Conference on Emergency Nursing & Trauma Care 4-6 October 2018, Noordwijkerhout, The Netherlands, 2018Conference paper, Oral presentation only (Other (popular science, discussion, etc.))
National Category
Health Sciences
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-90014 (URN)
Conference
3rd Global Conference on Emergency Nursing & Trauma Care 4-6 October 2018, Noordwijkerhout, The Netherlands
Note

Ej belagd 191206

Available from: 2019-11-12 Created: 2019-11-12 Last updated: 2019-12-06Bibliographically approved
Svensson, A., Fridlund, B., Wångmar, E. & Elmqvist, C. (2016). Home healthcare nurses’ experiences of being on stand by as a first responder in a ‘While Waiting For the Ambulance’ assignment. Nordic journal of nursing research, 36(4), 184-191
Open this publication in new window or tab >>Home healthcare nurses’ experiences of being on stand by as a first responder in a ‘While Waiting For the Ambulance’ assignment
2016 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 36, no 4, p. 184-191Article in journal (Refereed) Published
Abstract [en]

The aim of the study is to describe experiences of the ‘While Waiting for the Ambulance’ (WWFA) assignment, as described by home healthcare nurses (HHCNs). Since the early 1990s, municipal resources in Sweden, preferably firefighters, have been dispatched on WWFA. In order to further assist the local residents on an island in the southwest of Sweden, HHCNs have recently begun accompanying firefighters on WWFA. A reflective lifeworld approach was used for data analysis including in-depth interviews with eight HHCNs. When WWFA was established, the HHCNs experienced lack of clarity in where their responsibilities start and end. A split role is described, and there is a paradox in that the responders are meant to collaborate toward saving lives, when the assignment itself has a lack of collaborative structure. Ethical dilemmas and inner emotional worries led to the nurses expressing a need for support before, during and after WWFA.

Place, publisher, year, edition, pages
Sage Publications, 2016
Keywords
First responder, Home healthcare, Nurses experiences, Phenomenology, Prehospital emergency care
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-50716 (URN)10.1177/2057158516637236 (DOI)
Available from: 2016-03-15 Created: 2016-03-15 Last updated: 2017-11-30Bibliographically approved
Svensson, A., Rantala, A. & Lerderman, J. (2016). Pre-hospital assessments and patient safety: An important area of research. In: PreHospen Conference 2016, 7th PreHospen Conference in Prehospital Emergency Care, 10-11 March: . Paper presented at PreHospen Conference 2016, 7th PreHospen Conference in Prehospital Emergency Care, 10-11 March.
Open this publication in new window or tab >>Pre-hospital assessments and patient safety: An important area of research
2016 (English)In: PreHospen Conference 2016, 7th PreHospen Conference in Prehospital Emergency Care, 10-11 March, 2016Conference paper, Oral presentation only (Other academic)
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-50718 (URN)
Conference
PreHospen Conference 2016, 7th PreHospen Conference in Prehospital Emergency Care, 10-11 March
Available from: 2016-03-15 Created: 2016-03-15 Last updated: 2017-12-07Bibliographically approved
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