Effect of fire department first-responder automated defibrillation

作者: Michael Shuster , Jana L Keller

DOI: 10.1016/S0196-0644(05)81856-6

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摘要: Study objective: To examine the effect of fire department first-responder defibrillation on time to in a mid-sized community with two tiers emergency medical services (EMS) ambulance response. Design: Retrospective cohort. Setting: The study area was region Hamilton-Wentworth, which has more than 445,000 inhabitants and covers 1,136 km 2 (438 square miles). Type participants: We studied 297 victims out-of-hospital cardiac arrest presenting EMS system between May 1, 1990, April 30, 1991. Measurements main results: mean interval decreased from 11.96 minutes 8.50 ( P Conclusion: In our system, first-responders were able provide significantly shorter times attendants. Other systems should review their response consider instituting as one means reducing intervals.

参考文章(33)
R. J. Brison, J. F. Dreyer, D. P. Munkley, J. Maloney, B. H. Rowe, H. M. O'Connor, J. R. Davidson, G. Jones, Cardiac arrest in Ontario: circumstances, community response, role of prehospital defibrillation and predictors of survival. Canadian Medical Association Journal. ,vol. 147, pp. 191- 199 ,(1992)
Lance B Becker, May Pat Ostrander, John Barrett, George T Kondos, Outcome of CPR in a large metropolitan area - where are the survivors? Annals of Emergency Medicine. ,vol. 20, pp. 355- 361 ,(1991) , 10.1016/S0196-0644(05)81654-3
David W Olson, Jacques LaRochelle, Daniel Fark, Charles Aprahamian, Tom P Aufderheide, James R Mateer, Kathleen M Hargarten, Harlan A Stueven, EMT-defibrillation: the Wisconsin experience. Annals of Emergency Medicine. ,vol. 18, pp. 806- 811 ,(1989) , 10.1016/S0196-0644(89)80200-8
David R Eitel, Stacy L Walton, Alan D Guerci, Dean R Hess, Nancy K Sabulsky, Out-of-hospital cardiac arrest: a six-year experience in a suburban-rural system. Annals of Emergency Medicine. ,vol. 17, pp. 808- 812 ,(1988) , 10.1016/S0196-0644(88)80560-2
Kenneth R. Stults, Donald D. Brown, Vicki L. Schug, Judith A. Bean, Prehospital Defibrillation Performed by Emergency Medical Technicians in Rural Communities The New England Journal of Medicine. ,vol. 310, pp. 219- 223 ,(1984) , 10.1056/NEJM198401263100403
Bruce M Thompson, Harlan A Stueven, James R Mateer, Charles C Aprahamian, John F Tucker, Joseph C Darin, Comparison of clinical CPR studies in Milwaukee and elsewhere in the United States Annals of Emergency Medicine. ,vol. 14, pp. 750- 754 ,(1985) , 10.1016/S0196-0644(85)80052-4
Bruce E. Haynes, A Statewide Early Defibrillation Initiative Including Laypersons and Outcome Reporting JAMA: The Journal of the American Medical Association. ,vol. 266, pp. 545- 547 ,(1991) , 10.1001/JAMA.1991.03470040109031
W Douglas Weaver, Leonard A Cobb, Alfred P Hallstrom, Michael K Copass, Roberta Ray, Michael Emery, Carol Fahrenbruch, Considerations for improving survival from out-of-hospital cardiac arrest Annals of Emergency Medicine. ,vol. 15, pp. 1181- 1186 ,(1986) , 10.1016/S0196-0644(86)80862-9
Joseph P Ornato, Susan E McNeill, Edward J Craren, Norman M Nelson, Limitation on Effectiveness of Rapid Defibrillation by Emergency Medical Technicians in a Rural Setting Annals of Emergency Medicine. ,vol. 13, pp. 1096- 1099 ,(1984) , 10.1016/S0196-0644(84)80331-5