When is it futile for ambulance personnel to initiate cardiopulmonary resuscitation

摘要: Abstract Objective: To determine whether patients with unexpected prehospital cardiac arrest could be identified in whom ambulance resuscitation attempts would futile. Design: Review of and hospital records; detailed review automated external defibrillator rhythm strips no shock was advised. Setting: Scottish Ambulance Service; all cardiopulmonary after cardiorespiratory during 1988-94 included the Heartstart Scotland database. Subjects: 414 pulse or breathing on arrival personnel, bystander performed, more than 15 minutes from time to ambulance. Patients were stratified into those “shockable” “non-shockable” rhythms. Main outcome measures: Return spontaneous circulation, survival reach alive, discharge, three. Results: No patient a non-shockable who met entry criteria for analysis survived attempt. these failed find any case which tracing deemed compatible survival. Conclusions: On basis that it inappropriate initiate vigorous can as “dead” beyond help an algorithm prepared guide personnel.