| The causative rhythm in out-of-hospital cardiac arrests witnessed by the emergency medical services in the Heartstart Scotland Project. | |
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MedLine Citation:
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PMID: 8191028 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Out-of-hospital defibrillation has been shown to improve survival in out-of-hospital cardiac arrests. The maximum performance of defibrillation-based systems is dependent on the proportion of cardiac arrests due to tachyarrhythmias. We reviewed 4248 reported arrests in the Heartstart Scotland database. We identified 3489 arrests due to cardiac or unknown cause. From this group we selected 258 cases known to be conscious on arrival of the crew. We were able to retrieve electrocardiographic data on the period within 2 min of the arrest in 106 cases. The first recorded rhythm at the arrest was ventricular fibrillation in 64%, ventricular tachycardia 4%, bradycardia in 28% and electromechanical dissociation in 4%. Defibrillatory shocks were delivered to 96% of patients in ventricular fibrillation and 60% of these patients survived. None of the patients with bradycardic arrests survived. Preceding chest pain was noted in 79% of patients subsequently developing ventricular fibrillation as the cause of arrest compared to only 37% of those suffering bradycardic arrests. It would appear that public awareness of the importance of early contact with the emergency services after the onset of chest pain could substantially improve the survival from out-of-hospital arrests. |
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Authors:
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M L Sedgwick; K Dalziel; J Watson; D J Carrington; S M Cobbe |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Resuscitation Volume: 27 ISSN: 0300-9572 ISO Abbreviation: Resuscitation Publication Date: 1994 Jan |
Date Detail:
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Created Date: 1994-06-21 Completed Date: 1994-06-21 Revised Date: 2009-08-25 |
Medline Journal Info:
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Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: IRELAND |
Other Details:
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Languages: eng Pagination: 55-9 Citation Subset: IM |
Affiliation:
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Department of Medical Cardiology, Royal Infirmary, Glasgow, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Bradycardia / complications* Chest Pain / etiology Electric Countershock Electrocardiography Emergencies Emergency Medical Services* Heart Arrest / etiology*, mortality, physiopathology, therapy Humans Monitoring, Physiologic Scotland / epidemiology Survival Analysis Tachycardia / complications*, physiopathology, therapy |
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