TRANSTELEPHONIC DEFIBRILLATION

被引:2
作者
FELDSTEIN, JS
OCONNOR, RE
HENRY, J
SIMMONS, B
NITOWSKI, L
机构
[1] Department of Emergency Medicine, The Medical Center of Delaware, Wilmington
关键词
defibrillation; transtelephonic;
D O I
10.1016/S0196-0644(05)82599-5
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Study objectives: This study was undertaken to assess the safety and reliability of a device for transtelephonic defibrillation. Design: The transtelephonic system consists of a patient unit and a base station. The patient unit contains a monitor-defibrillator, electrode pads, microphone, microprocessor, and DC defibrillator. The base station comprises a control panel, computer, and ECG display. Setting: Fifteen patients who were treated in our emergency department for cardiac arrest were placed on patient units that activated our base station in a remote location within the ED. Type of participants: Thirteen patients were treated for ventricular fibrillation, and two patients were treated for ventricular tachycardia. Interventions: Thirty-one shocks were delivered transtelephonically. Measurements and main results: In all cases, voice and ECG transmission were established without difficulty. Conclusions: We conclude that this system represents a safe and reliable method for the treatment of ventricular fibrillation, and we advocate additional use to study the prehospital applications of transtelephonic defibrillation. © 1990 American College of Emergency Physicians.
引用
收藏
页码:1367 / 1370
页数:4
相关论文
共 10 条
[1]  
Eisenberg, Hallstron, Copass, Et al., Treatment of ventricular fibrillation, JAMA, 251, pp. 1723-1726, (1984)
[2]  
Eisenberg, Copass, Hallstrom, Et al., Treatment of out-of-hospital cardiac arrests with rapid defibrillation by emergency medical technicians, N Engl J Med, 302, pp. 1379-1383, (1980)
[3]  
Stults, Brown, Schug, Et al., Pre-hospital defibrillation performed by emergency medical technicians in rural communities, New England Journal of Medicine, 210, pp. 219-223, (1984)
[4]  
Eital, Walton, Guerci, Et al., Out-of-hospital cardiac arrest A six-year experience in a suburban-rural system, Annals of Emergency Medicine, 17, pp. 808-812, (1988)
[5]  
Moore, Eisenberg, Cummins, Et al., Lay person use of automatic external defibrillation, Ann Emerg Med, 16, pp. 669-672, (1987)
[6]  
Weaver, Copass, Hill, Et al., Cardiac arrest treated with a new automatic external defibrillator by out-of-hospital first responders, Am J Cardiol, 57, pp. 1017-1021, (1986)
[7]  
Weaver, Hill, Fahrenbruck, Et al., Use of the automatic external defibrillator in the management of out-of-hospital cardiac arrest, N Engl J Med, 319, pp. 661-666, (1988)
[8]  
Gessman, Trans-telephonic resuscitation — A new approach to sudden death, Am J Cardiol, 43, (1979)
[9]  
Ruffy, Gessman, Barbey, Et al., Pilot study of transtelephonic cardioversion/defibrillation in man, Circulation, 76, pp. IV-463, (1987)
[10]  
Dalzell, Pruzina, Magee, Et al., Assessment of a device for trans-telephonic control of defibrillation, Lancet, 1, pp. 695-697, (1988)