CARDIAC RESUSCITATION IN THE COMMUNITY - IMPORTANCE OF RAPID PROVISION AND IMPLICATIONS FOR PROGRAM PLANNING
CARDIAC RESUSCITATION IN THE COMMUNITY - IMPORTANCE OF RAPID PROVISION AND IMPLICATIONS FOR PROGRAM PLANNING
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DOI：
10.1001/jama.241.18.1905
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发表时间：
1979-01-01
影响因子：
120.7
通讯作者：
HALLSTROM, A
中科院分区：
文献类型：
--
作者：
EISENBERG, MS;BERGNER, L;HALLSTROM, A
研究了涉及院外心脏骤停复苏的几个时间相关变量。从虚脱到开始心肺复苏（CPR）和提供最终护理的短时间间隔与心脏骤停的生存率显著相关。这两个时间是共同相关的，一个短时间没有另一个不太可能导致生存。如果在4分钟内开始心肺复苏术，如果在8分钟内提供明确的护理，43%的患者存活。如果任何一个时间被超过，生存的机会急剧下降。开始CPR和确定性护理的时间是直接受紧急医疗服务计划决定影响的因素。一个现实的选择，以改善时间开始心肺复苏术是广泛的公民心肺复苏术培训。一个可能的选择，以改善时间，以确定性的护理是培训紧急医疗技术人员在除颤。
Several time-related variables involving resuscitation from out-of-hospital cardiac arrest were studied. Short time intervals from collapse to initiation of cardiopulmonary resuscitation (CPR) and to provision of definitive care were significantly associated with survival from cardiac arrest. The two times were jointly related, and one short time without the other was unlikely to result in survival. If CPR was initiated within 4 min and if definitive care was provided within 8 min, 43% of patients survived. If either time was exceeded, the chances of survival fell dramatically. The time to initiation of CPR and definitive care are factors directly influenced by emergency medical service program decisions. A realistic option to improve time to initiation of CPR is widespread citizen CPR training. A possible option to improve the time to definitive care is the training of emergency medical technicians in defibrillation.