CLINICAL-EXPERIENCE WITH 3 DIFFERENT DEFIBRILLATORS FOR RESUSCITATION OF OUT OF HOSPITAL CARDIAC-ARREST

被引:12
作者
JAKOBSSON, J
REHNQVIST, N
NYQVIST, O
机构
[1] Department of Anaesthesia and Intensive Care, Danderyd University Hospital
[2] Department of Internal Medicine, Danderyd University Hospital
[3] Department of Internal Medicine, Huddinge University Hospital, Stockholm
关键词
Cardiac arrest; Resuscitation; Ventricular fibrillation;
D O I
10.1016/0300-9572(90)90040-L
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Three defibrillators, one manual and two different semiautomatic, were prospectively compared during a one year period for out-of-hospital use by ordinary ambulance personnel with short additional training. Eighty-three cardiac arrest patients were treated with one of two different semiautomatic defibrillators and 26 by an ordinary manual defibrillator. Twenty-nine were found in ventricular fibrillation. Five of these patients were successfully resuscitated and admitted for further hospital care, two survived to be discharged home. The semiautomatic defibrillators were found to be accurate in ECG interpretation, sensitivity and specificity was 100%, respectively, and both were equally effective in defibrillation. There were no differences in conversion rate or in the clinical outcome between the three defibrillators tested. Both semiautomatic defibrillators tested seemed to be safe, reliable and cost-effective. The low survival rate found is most certainly due to a long ambulance delay. © 1990.
引用
收藏
页码:167 / 173
页数:7
相关论文
共 17 条
[1]  
Jakobsson, Nyquist, Rehnqvist, Cardiac arrest in Stockholm with special reference to the ambulance organization, Acta Med. Scand., 222, pp. 117-122, (1987)
[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, Bean, Prehospital defibrillation performed by emergency medical technicians in rural communities, N. Engl. J. Med., 310, pp. 219-223, (1984)
[4]  
Cummins, Eisenberg, Hallstrom, Hearne, Graves, Litwin, What is a “save”? Outcome measures in clinical evaluations of automatic external defibrillators, American Heart Journal, pp. 1133-1136, (1985)
[5]  
Weaver, Hill, Fahrenbruch, Cobb, Copass, Hallstrom, Martin, Automatic external defibrillators: Importance of field testing to evaluate performance, J. Am. Coll. Cardiol., 10, 6, pp. 1259-1264, (1987)
[6]  
Jakobsson, Nyquist, Rehnqvist, Concise education of ambulance personnel in ECG interpretation and out of hospital defibrillation, Eur. Heart J., 8, pp. 229-233, (1987)
[7]  
Fraser, Preventive Cardiology, pp. 3-22, (1986)
[8]  
Wikland, Medically unattended fatal cases of ischemic heart disease in a defined population, Dissertation, (1971)
[9]  
Eisenberg, Hallstrom, Gopass, Bergner, Short, Pierce, Treatment of ventricular fibrillation. Emergency medical technician defibrillation and paramedic services, J. Am. Med. Assoc., 251, 13, pp. 1723-1726, (1984)
[10]  
Hearne, Cummins, Improved survival from cardiac arrest in community, PACE, 11, pp. 1968-1973, (1988)