DEFIBRILLATION BY BASIC EMERGENCY MEDICAL TECHNICIANS - EFFECT ON SURVIVAL

被引：29

作者：

WATTS, DD ^{[1
]}

机构：

[1] FAIRFAX REG TRAUMA CTR,DEPT TRAUMA SERV,FALLS CHURCH,VA

来源：

ANNALS OF EMERGENCY MEDICINE | 1995年 / 26卷 / 05期

关键词：

D O I：

10.1016/S0196-0644(95)70017-X

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Several studies have examined the effect of early defibrillation by basic EMTs on patient survival. Although the studies have a common theme of early basic EMT difibrillation, they are diverse in locations, devices, control groups, caregivers, and protocols. They provide a confusing array of information that is difficult to review synthesize, and interpret. Metaanalysis allows data pooling of these primary studies to combine results and statistically compare the observed Variation in study outcomes. The purpose of this metaanalysis was to examine the published studies of early basic EMT defibrillation to learn whether this treatment has an effect on survival of out-of-hospital cardiac arrest. Analysis of the 10 studies that met inclusion criteria showed that despite variations in design, the overall effect size for all the studies was .092, indicating a 9.2% increase in survival over what would have been expected had the EMT-Ds not intervened.

引用

页码：635 / 639

页数：5

共 25 条

[1]

Anonymous, Standards and guidelines for cardiopulmonary resuscitation and emergency cardiac care, JAMA: The Journal of the American Medical Association, 255, pp. 2905-2984, (1986)

[2]

Eisenberg, Horwood, Cummins, Et al., Cardiac arrest and resuscitation: A tale of 29 cities, Ann Emerg Med, 19, pp. 179-186, (1990)

[3]

Denker, Pollock, Fasting serum insulin levels in essential hypertension, Arch Intern Med, 152, pp. 1649-1651, (1992)

[4]

Cooper, Hedges, The Handbook of Research Synthesis, (1994)

[5]

Hoekstra, Banks, Martin, Et al., Effect of first-responder automated defibrillation on time to therapeutic interventions during out-of-hospital cardiac arrest, Ann Emerg Med, 22, pp. 1247-1253, (1993)

[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]

Eisenberg, Copass, Hallstrom, Et al., Treatment of out-of-hospital cardiac arrest with rapid defibrillation by emergency medical technicians, N Engl J Med, 302, pp. 1379-1383, (1980)

[8]

Vukov, White, Backman, New perspectives on rural EMT defibrillation, Ann Emerg Med, 17, pp. 318-321, (1988)

[9]

Bachman, McDonald, O'Brien, A study of out-of-hospital cardiac arrests in northern Minnesota, JAMA, 256, pp. 477-483, (1986)

[10]

Eisenberg, Hallstrom, Copass, Et al., Treatment of ventricular fibrillation: Emergency medical technician defibrillation and paramedic services, JAMA, 251, pp. 1723-1726, (1984)

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