CPR AND THE SINGLE RESCUER - AT WHAT AGE SHOULD YOU CALL FIRST RATHER THAN CALL FAST

被引：51

作者：

APPLETON, GO

CUMMINS, RO

LARSON, MP

GRAVES, JR

机构：

来源：

ANNALS OF EMERGENCY MEDICINE | 1995年 / 25卷 / 04期

关键词：

D O I：

10.1016/S0196-0644(95)70264-4

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Study objective: To determine whether the age-related frequency of ventricular fibrillation (VF) in cardiac arrest supports the guideline that single rescuers should ''call first'' for all victims of sudden collapse older than 8 years. Design: Analysis of data on all nontraumatic cardiac arrests treated by emergency medical service (EMS) personnel in King County, Washington, between 1976 and 1992. Measurements: Age, initial cardiac rhythm, witnessed versus unwitnessed status, whether patient was discharged alive. Results: We analyzed 10,992 cardiac arrests. Initial rhythm was VF in 4,252 (40%) and non-VF in 6,740 (60%). VF frequencies were 3% (0 to 8 years old), 17% (8 to 30 years), and 42% (30 years or older). Conclusion: Most patients under age 30 were not in VF at the time of EMS evaluation. Our data suggest that a ''call fast'' strategy may be more effective when a single rescuer is present and the victim is between 8 and 30 years old.

引用

页码：492 / 494

页数：3

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