Treatment of out-of-hospital cardiac arrests with rapid defibrillation by emergency medical technicians.
Treatment of out-of-hospital cardiac arrests with rapid defibrillation by emergency medical technicians.
复制标题
紧急医疗技术人员通过快速除颤治疗院外心脏骤停。
DOI：
--
复制
发表时间：
1980
影响因子：
158.5
通讯作者：
L. Cobb
中科院分区：
文献类型：
--
作者：
M. Eisenberg;M. Copass;A. Hallstrom;B. Blake;L. Bergner;F. Short;L. Cobb
在仅由急救医疗技术人员提供急救服务的社区，院外心脏骤停患者的存活率很低。我们在一个有79,000人的郊区社区培训了这样的技术人员，以识别和治疗院外室颤，最多使用三次电击，而不使用药物或特殊的气道保护。在两个时期内确定了由基础心脏病引起的心脏骤停的结局：两年由急诊医疗技术人员进行标准护理，一年由经过急救培训的技术人员进行护理。在标准治疗期间，100例心脏骤停患者中有4例复苏并活着出院，而在接受麻醉师培训的技术人员治疗期间，54例患者中有10例复苏并活着出院（P <0.01）。在38例室颤患者中，有12例在除颤器技术人员给予电击后出现稳定的灌注心律。心脏骤停后存活率的提高令人鼓舞，急救医疗技术人员有必要进一步试验除颤。
The survival rate for patients with out-of-hospital cardiac arrest is low in communities where emergency service is provided solely by emergency medical technicians. We trained such technicians in a suburban community of 79,000 to recognize and treat out-of-hospital ventricular fibrillation with up to three defibrillatory shocks without the use of medications or special airway protection. Outcomes from cardiac arrest due to underlying heart disease were determined during two periods: two years with standard care by emergency medical technicians and one year with defibrillator-trained technicians. During the period with standard care, four of 100 patients with cardiac arrest were resuscitated and discharged alive from the hospital, as compared with 10 of 54 patients during the period with defibrillator-trained technicians (P less than 0.01). In 12 of 38 patients with ventricular fibrillation, a stable perfusing cardiac rhythm followed defibrillatory shocks given by defibrillator technicians. The enhanced survival after cardiac arrest is encouraging, and further trials of defibrillation by emergency medical technicians are warranted.