Part One: General Information Survey

1. Age: years old*

2. Gender:

Male

Female

4. Occupation:

Doctor

Nurse

Other, please specify

5. Title:

Junior

Intermediate

Senior

6. Years of work experience in elderly care institutions: years*

7. Have you worked in the following medical institutions? (Multiple choices allowed)[Multiple]

8. Have you worked in the following medical departments? (Multiple choices allowed)[Multiple]

9. During your work in the elderly care institution, have there been any emergencies among the elderly?

Yes (please continue to answer questions 10 and 11)

11. Have you participated in the emergency treatment of the above emergencies?

Yes

Part One: Knowledge Questionnaire on Emergency Care for Common Emergencies in the Elderly

Situations for the following emergency scenarios are all set within a residential facility. All questions are single-choice.

1. The main indicators for identifying cardiac arrest are:

A. Loss of consciousness, unilateral dilated pupil

B. Loss of consciousness, clenched jaw, convulsions

C. Loss of consciousness, no breathing or gasping, carotid pulse disappearance

D. Lethargy, cold and wet all over the body, unable to touch the radial pulse

E. Don't know

2. Regarding adult cardiopulmonary resuscitation, the incorrect statement is:

A. Chest compression frequency is 100-120 times per minute

B. Chest compression depth should be at least 5cm, preferably not exceeding 6cm

C. Chest compression interruption time should not exceed 10 seconds

D. Forceful artificial respiration, each ventilation time lasting 1 second

E. Don't know

3. Regarding the use of Automated External Defibrillator (AED), the incorrect statement is:

A. The first step in operating an AED is to turn on the power

B. After an AED arrives at the patient's side, chest compressions should be completed before defibrillation

C. When an AED analyzes the rhythm, everyone around should be evacuated

D. After AED defibrillation, immediate chest compressions should begin for CPR

E. Don't know

5. How to use epinephrine for patients with cardiac arrest?

6. When an elderly person suddenly puts their hand to their neck during eating, unable to speak or cough, and their face turns purple, the emergency measure to take is:

7. An elderly person takes an overdose of sleeping pills due to insomnia, appears drowsy, slurred speech, shallow breathing. Vital signs are listed as follows: T 37.3℃; P 70 beats per minute; R 10 breaths per minute; BP 136/80mmHg; SpO2 90%. The incorrect emergency treatment is:

8. An elderly person's arm is scalded by boiling water, the incorrect first aid measure is:

A. Ice pack on the scalded area for at least 10 minutes

B. Rinse with cold water on the scalded area for at least 10 minutes

C. Soak the scalded area with cold water for at least 10 minutes

D. Cover the burn area with a cold, clean dressing

E. Don't know

9.An elderly person falls from bed, complains of right hip pain and swelling, unable to stand, the next correct action is:

A. Instruct the patient to lie flat and immobilize with a splint

B. Help the patient back to bed and immobilize with a splint

C. Gently rub the painful area and take painkillers

D. Elevate the lower limbs to relieve swelling

E. Don't know

10. An elderly person falls and sprains their right ankle, swollen and painful, unable to move, the next correct action is:

11. An elderly person has a nosebleed with a large amount of bleeding, the first thing to do is:

A. Let the elderly lean forward and press the nostrils on both sides for several minutes

B. Apply an ice towel or ice water on the forehead or both sides of the neck to constrict blood vessels and reduce bleeding

C. Use clean cotton to stuff the nasal cavity to stop bleeding

D. Let the elderly lean back, raise the arms

E. Don't know

12. An elderly person touches a leaking electrical appliance during recreational activities and suddenly falls to the ground, unresponsive. The first thing to do is:

A. Immediately assess the patient's vital signs

B. Immediately cut off the power supply

C. Immediately perform AED defibrillation

D. Immediately perform cardiopulmonary resuscitation

E. Don't know

13. 70-year-old male showed thirst, dizziness, chest tightness, palpitations, nausea, flushed face, body temperature reached 38.3℃ during a summer outdoor recreational activity, the first thing to do is:

A. Immediately drink salted water

B. Immediately move to an air-conditioned room

C. Immediately give oxygen

D. Immediately wipe the whole body with a wet towel to cool down

E. Don't know

14. An elderly person has a severe allergic reaction leading to shock, the first-choice rescue medication is:

15. An elderly person has a cold with fever and cough, vital signs are listed as follows: T 38.0℃; P 130 beats per minute; R 30 breaths per minute; BP 128/82mmHg; SpO2 92%, the incorrect treatment is:

16. An elderly woman, 76 years old, with a history of gastric ulcer for more than 10 years. This morning after breakfast, she suddenly had a sharp pain in the upper abdomen, which then spread to the whole abdomen, accompanied by nausea and vomiting. The incorrect emergency treatment is:

17. An elderly man, 83 years old, with a history of chronic obstructive pulmonary disease for 20 years. After being infected with the new coronavirus, he has low fever, drowsiness, confusion, shallow breathing, SpO2 78%, the first aid measure to take is:

18. An elderly man, 75 years old, with a history of hypertension and atherosclerosis for 20 years. After breakfast, he suddenly has blurred vision, left limb weakness, and cannot stand. As a medical staff, the quick assessment you should not include when you arrive at the scene is:

A. Smile test: Ask the patient to bare teeth or smile

B. Hand-raising test: Ask the patient to close their eyes, extend both arms, and hold their palms up flat for 10 seconds

C. Speech test: Ask the patient to repeat a sentence

D. Sensory test: Touch the patient's hand with cotton and ask if they have sensation

E. Don't know

19. An elderly man, 75 years old, feels continuous chest pain for half an hour, radiating to the left shoulder, and does not relieve after rest. History of hypertension and coronary heart disease for 10 years. Vital signs: T 37.5℃; P 100 beats per minute; R 22 breaths per minute; BP 85/55mmHg; SpO2 92%. The incorrect first aid measure is:

20. An elderly woman, 76 years old, with a history of diabetes for 25 years. Two days ago, due to gastrointestinal cold, she had nausea, vomiting, and diarrhea, and the symptoms gradually worsened. Two hours ago, she became unresponsive, indifferent, and drowsy, vital signs: T 37.1℃; P 87 beats per minute; BP 125/85mmHg; R 18 breaths per minute; blood sugar 61mmol/L. The correct emergency treatment is:

A. Rapid and then slow intravenous fluid replacement, give a small dose of short-acting insulin

Slow and then rapid intravenous fluid replacement, give a small dose of short-acting insulin

C. Rapid and then slow intravenous fluid replacement, give a large dose of short-acting insulin

D. Slow and then rapid intravenous fluid replacement, give a large dose of short-acting insulin

E. Don't know

Part Two: Attitude Questionnaire on Pre-hospital Emergency Care for the Elderly by Medical Staff in Elderly Care Institutions

We would like to understand your attitudes and opinions as medical staff in residential facilities regarding pre-hospital emergency care for the elderly. Please mark the option that best represents your attitude.

1. Implementing emergency care for common emergencies among the elderly is one of the responsibilities of residential facilities.

Completely Disagree

Completely Agree

2. The emergency care ability of medical staff in residential facilities is very important for promoting the safety and quality of medical care for the elderly.

Completely Disagree

Completely Agree

3. Residential facilities should establish a comprehensive pre-hospital emergency care system.

Completely Disagree

Completely Agree

4. Residential facilities should establish and regularly update emergency plans according to the types of common emergencies among the elderly, and implement emergency care according to these plans.

Completely Disagree

Completely Agree

5. Residential facilities should regularly organize and carry out drills and reviews of emergency plans.

Completely Disagree

Completely Agree

6. Residential facilities should establish standards for emergency medication and manage procurement and storage according to these standards.

Completely Disagree

Completely Agree

7. Medical staff in residential facilities should keep records of emergency care.

Completely Disagree

Completely Agree

8. Residential facilities should regularly conduct pre-hospital emergency care training within the institution.

Completely Disagree

Completely Agree

9. Medical staff in residential facilities should participate in first aid training and refresher courses from authoritative organizations (such as the Red Cross, American Heart Association, etc.) and obtain qualification certifications.

Completely Disagree

Completely Agree

10. Medical staff in residential facilities should independently learn about the emergency care knowledge and skills for common emergencies among the elderly.

Completely Disagree

Completely Agree

Part Three: Pre-hospital Emergency Care Behavior Questionnaire for Medical Staff in Elderly Care Institutions

We would like to understand your behavior and responses as medical staff in residential facilities during your daily work and when emergencies occur among the elderly. Please fill in the options that best reflect your situation.

1. I am well aware of the pre-hospital emergency care system and emergency plans of this institution.

Completely Disagree

Completely Agree

2. I actively participate in pre-hospital emergency care training, drills, and reviews within this institution.

Completely Disagree

Completely Agree

3. I assist in the management of emergency medication and equipment within this facility.

Completely Disagree

Completely Agree

4. I actively participate in pre-hospital emergency care training conducted by authoritative organizations (such as the Red Cross, American Heart Association, etc.).

Completely Disagree

Completely Agree

5. I proactively learn about the knowledge and skills related to pre-hospital emergency care for the elderly.

Completely Disagree

Completely Agree

6. In my work, I screen for high-risk groups of emergencies among the elderly, monitor their vital signs, and take measures to prevent the occurrence of emergencies among the elderly.

Completely Disagree

Completely Agree

7. When an elderly person has an emergency, I can timely identify and accurately assess the condition.

Completely Disagree

Completely Agree

8. When an elderly person has an emergency, I skillfully carry out corresponding according to the emergency plan.

Completely Disagree

Completely Agree

9. When an elderly person has an emergency, I communicate efficiently with the patient, their family, and the 120 team.

Completely Disagree

Completely Agree

10. When an elderly person has an emergency, I work closely with other colleagues.

Completely Disagree

Completely Agree

11. When an elderly person has an emergency, I fill in the emergency care records in a standardized manner.

Completely Disagree

Completely Agree