Quality of bystander cardiopulmonary resuscitation influences outcome after prehospital cardiac arrest
作者： Lars Wik , Petter Andreas Steen , Nicholas G. Bircher
DOI: 10.1016/0300-9572(94)90064-7
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摘要: Abstract To evaluate the influence of quality bystander cardiopulmonary resuscitation (CPR) on outcome in prehospital cardiac arrest we consecutively included patients with treated by paramedics a community run ambulance system Oslo, Norway from 1985 to 1989. Good CPR was defined as palpable carotid or femoral pulse and intermittent chest expansion inflation attempts. Outcome measure hospital discharge rate. One hundred forty-nine 334 (45%) received CPR. The rate after good BCPR (23%) higher than no (1%, P = 0.1114). There were differences paramedic response interval between groups, but mean start unconsciousness initiation (arrest-CPR interval) significantly shorter group receiving (2.5 min, 95% confidence (CI): 1.7–3.3 min) (6.6 CI: 5.2–8.0 (7.8 Cl: 7.2–8.4 min). Bystanders started more frequently public patient's home (58 vs. 34%,
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