COMPARISON OF 2 METHODS OF TRANSPORTING PARAMEDICS TO CARDIAC ARRESTS OUTSIDE HOSPITAL

被引：3

作者：

WRIGHT, D ^{[1
]}

BANNISTER, J ^{[1
]}

RYDER, M ^{[1
]}

MACKINTOSH, AF ^{[1
]}

机构：

[1] ST JAMES UNIV HOSP,LEEDS LS9 7TF,W YORKSHIRE,ENGLAND

来源：

RESUSCITATION | 1992年 / 23卷 / 03期

关键词：

OUT-OF-HOSPITAL CARDIAC ARREST; PARAMEDICS; METHODS OF DEPLOYMENT; SURVIVAL;

D O I：

10.1016/0300-9572(92)90002-T

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Objective: To compare the deployment of paramedics in a separate rapid response unit with their deployment in a standard emergency ambulance. Design: A one year period of each deployment, Setting: Throughout the community in some parts of West Yorkshire. Participants: All patients receiving resuscitation for cardiac arrest by paramedics. Interventions: Using the same group of paramedics and central control, 12 months with the paramedics deployed in separate cars in addition to the standard ambulances (period 1) were followed by another 12 months when they were deployed as one crew member of a standard emergency ambulance (period 2). Main outcome measures: Number of arrests attended, number of patients in ventricular fibrillation at paramedic arrival, response times, survival to leave hospital. Results: In period 1, 580 arrests were attended with 31 survivors. In period 2, 462 arrests resulted in 25 survivors. The mean response time was shorter in period 1 (6.24 versus 6.60 min, Cl - 0.01-0.73 min). In period 1, 217 patients were found in ventricular fibrillation (23 survivors): In period 2, 141 patients were found in ventricular fibrillation (11 survivors). Conclusion: Separating paramedics from the standard emergency ambulances increases the number of survivors of cardiac arrest but the difference may not be sufficiently large to justify the additional expenditure.

引用

页码：193 / 197

页数：5

共 6 条

[1]

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[2]

Wright, Bannister, Ryder, Mackintosh, Resuscitation of patients with cardiac arrest by ambulance staff with extended training in West Yorkshire, Br. Med. J., 301, pp. 600-602, (1990)

[3]

Weaver, Cobb, Hallstram, Fahrenbruch, Copass, Ray, Factors influencing survival after out of hospital cardiac arrest, J. Am. Coll. Cardiol., 7, pp. 752-757, (1986)

[4]

Ambulance Staff Training Committee, Extended training in Ambulance Aid, (1987)

[5]

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[6]

Briggs, Brown, Crabb, Cox, Ead, Hawkes, Jequier, Southall, Grainger, Williams, Chamberlain, The Brighton Resuscitation Ambulances: a containing experiment in pre-hospital care by ambulance staff, Br. Med. J., 2, pp. 1161-1165, (1976)

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