Outcomes of Rapid Defibrillation by Security Officers after Cardiac Arrest in Casinos

作者: Terence D. Valenzuela , Denise J. Roe , Graham Nichol , Lani L. Clark , Daniel W. Spaite

DOI: 10.1056/NEJM200010263431701

关键词: Medical emergencyExternal defibrillatorsVentricular fibrillationAutomated external defibrillatorHeart diseaseSudden cardiac arrestChain of survivalMedicineCardiopulmonary resuscitationDefibrillation

摘要: Background The use of automated external defibrillators by persons other than paramedics and emergency medical technicians is advocated the American Heart Association organizations. However, there are few data on outcomes when devices used nonmedical personnel for out-of-hospital cardiac arrest. Methods We studied a prospective series cases sudden arrest in casinos. Casino security officers were instructed defibrillators. locations where stored casinos chosen to make possible target interval three minutes or less from collapse first defibrillation. Our protocol called defibrillation (if feasible), followed manual cardiopulmonary resuscitation. primary outcome was survival discharge hospital. Results Automated 105 patients whose initial rhythm ventricular fibrillation. Fifty-six (53 perc...

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