The role of bystanders, first responders, and emergency medical service providers in timely defibrillation and related outcomes after out-of-hospital cardiac arrest: Results from a statewide registry.
作者： Carolina Malta Hansen , Kristian Kragholm , Christopher B. Granger , David A. Pearson , Clark Tyson
DOI: 10.1016/J.RESUSCITATION.2015.09.002
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摘要: Abstract Aim Defibrillation by bystanders and first responders has been associated with increased survival, but limited data are available from non-metropolitan areas. We examined time 911-call to defibrillation (according who defibrillated patients) survival in North Carolina. Methods Through the Cardiac Arrest Registry Enhance Survival, we identified 1732 out-of-hospital cardiac arrests counties complete case capture (population 2.7 million) 2010 2013. Results Most patients (60.9%) were >10 min. A minority (8.0%) was 10 min: 13.2%). Odds of favorable neurologic outcome adjusted for age, sex, bystander CPR improved faster ( reference). Conclusion Bystanders mainly responsible within 5 min, independent location arrest. initiated half arrest cases only a those. Timely and/or strongly survival. Strategic efforts increase first-responder warranted after
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