Out-of-Hospital Transcutaneous Pacing by Emergency Medical Technicians in Patients with Asystolic Cardiac Arrest
作者： Richard O. Cummins , Judith Reid Graves , Mary Pat Larsen , Alfred P. Hallstrom , Thomas R. Hearne
DOI: 10.1056/NEJM199305133281903
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摘要: Background Transcutaneous cardiac pacemakers generate electrical stimuli that pace the heart through external electrodes adhere to chest wall. pacing has been useful in some patients with bradycardia, but its efficacy asystole and full arrest limited, possibly because of delays initiation pacing. We studied early transcutaneous out-of-hospital asystolic arrest. Methods For three years we provided about half fire districts a large emergency-medical-services system (the intervention group). In these districts, authorized emergency medical technicians (EMTs) begin primary or post-defibrillation asystole. Pacing was done as possible, before endotracheal intubation intravenous medication. EMTs other control group) treated similar basic c...
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