Document Detail


Sudden cardiac arrest outside the hospital--value of defibrillators in ambulances.
MedLine Citation:
PMID:  1650029     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a region with a population of 250,000 people, all emergency calls for cardiac arrest were prospectively registered during a period of 6 years. Timing of events were carefully registered as were treatment and the participation of 3 ambulances equipped with defibrillators. When time until initial treatment of cardiac arrest was below 5 min, 12% could be resuscitated and discharged alive. This figure decreased to 2% in the period between 5 and 10 min and was zero to above 10 min. Similarly, a reasonable 12% of patients experiencing ventricular fibrillation at a public place could be resuscitated and discharged alive whereas only 5% of ventricular fibrillation occurring at the patients home could be successfully resuscitated. Asystolia was rarely treated successfully. Faster treatment improved results much and 63% of patients having ventricular fibrillation in the emergency room left hospital alive. Results of cardioversion in ambulances did not depend on time from initiation of cardiac arrest, but all patients receiving cardioversion later than 10 min died without regaining consciousness. The results were compared with other more effective programs. The study region apparently had much fewer cardiac arrest than a similar region in Seattle, U.S.A. In those cases where treatment could be initiated within 5 min, results were comparable.
Authors:
C Torp-Pedersen; E Birk Madsen; A Pedersen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Resuscitation     Volume:  21     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  1991 Apr 
Date Detail:
Created Date:  1991-08-23     Completed Date:  1991-08-23     Revised Date:  2009-08-25    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  283-8     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Glostrup County Hospital, Denmark.
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MeSH Terms
Descriptor/Qualifier:
Ambulances*
Denmark / epidemiology
Electric Countershock / instrumentation*,  utilization
Heart Arrest / mortality,  therapy*
Humans
Resuscitation*
Time Factors
Ventricular Fibrillation / mortality,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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