Refibrillation managed by EMT-Ds: incidence and outcome without paramedic back-up
| Autor: | Donald D. Brown, Kenneth R. Stults |
|---|---|
| Rok vydání: | 1986 |
| Předmět: |
medicine.medical_specialty
Time Factors Defibrillation medicine.medical_treatment Allied Health Personnel Electric Countershock Out of hospital cardiac arrest Sudden cardiac death Recurrence medicine Humans business.industry Incidence (epidemiology) General Medicine medicine.disease Prognosis Surgery Emergency Medical Technicians Transportation of Patients Anesthesia Hospital admission Ventricular fibrillation Ventricular Fibrillation Emergency Medicine Emergencies business |
| Zdroj: | The American journal of emergency medicine. 4(6) |
| ISSN: | 0735-6757 |
| Popis: | Some patients converted from ventricular fibrillation to organized rhythms by defibrillation-trained ambulance technicians (EMT-Ds) will refibrillate before hospital arrival. The authors analyzed 271 cases of ventricular fibrillation managed by EMT-Ds working without paramedic back-up. Of 111 patients initially converted to organized rhythms, 19 (17%) refibrillated, 11 (58%) of whom were reconverted to perfusing rhythms, including nine of 11 (82%) who had spontaneous pulses prior to refibrillation. Among patients initially converted to organized rhythms, hospital admission rates were lower for patients who refibrillated than for patients who did not (53% versus 76%, P = NS), although discharge rates were virtually identical (37% and 35%, respectively). Scene-to-hospital transport times were not predictively associated with either the frequency of refibrillation or patient outcome. Defibrillation-trained EMTs can effectively manage refibrillation with additional shocks and are not at a significant disadvantage when paramedic back-up is not available. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|