Prehospital defibrillation performed by emergency medical technicians in rural communities.
Prehospital defibrillation performed by emergency medical technicians in rural communities.
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由紧急医疗技术人员在农村社区进行院前除颤。
DOI：
10.1056/nejm198401263100403
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发表时间：
1984
期刊：
影响因子：
--
通讯作者：
J. A. Bean
中科院分区：
文献类型：
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作者：
K. Stults;D. D. Brown;V. Schug;J. A. Bean
在只有基本救护车服务的社区，院外心脏骤停后的生存率很低，但传统的先进院前护理对大多数农村社区来说不是一种选择。18个小社区（平均人口10 400人）的救护车技术人员接受了识别和预防室颤的培训。未使用气管插管或药物。另外12个类似规模的社区没有尝试这种早期除颤提供了对照数据。在早期除颤可用的社区中，64例室颤患者中有12例（19%）被发现复苏并活着出院;在对照社区中，31例此类患者中只有1例（3%）是如此，那里只有基本的生命支持（P <0.05）。10名（83%）长期幸存者受到了技术人员单独实施的电击。由受过最低限度培训的救护车技术人员进行早期除颤是农村社区紧急心脏护理的有效方法。
Survival after out-of-hospital cardiac arrest is poor in communities served only by basic ambulance services, but conventional advanced prehospital care is not an option for most rural communities. Ambulance technicians in 18 small communities (average population, 10,400) were trained to recognize and defibrillate ventricular fibrillation. Neither endotracheal intubation nor medication was used. Twelve additional communities of similar size where such early defibrillation was not attempted provided control data. In the communities where early defibrillation was available, 12 of 64 patients (19 per cent) who were found in ventricular fibrillation were resuscitated and discharged alive from the hospital; this was true of only 1 of 31 such patients (3 per cent) in the control communities, where only basic life support was available (P less than 0.05). Ten (83 per cent) of the long-term survivors received electrical shocks administered solely by the technicians. Early defibrillation by minimally trained ambulance technicians is an effective approach to emergency cardiac care in rural communities.