대표어
한국학술지인용색인(NRF)
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|---|
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정보검색
소장정보 검색
결과 내 검색
동의어 포함
초록보기
Purpose: The purpose of this study was to investigate the
use of an AED by 119 rescuers in prehospital cardiac
arrest.
Methods: 132 patients who experienced prehospital cardiac
arrest and was defibrillated by 119 rescuers using AED
from January 2003 to December 2004 were included in this
study. They were reviewed retrospectively based on 119
rescue service records and ECG. We analyzed patients’
general characteristics, types of ECG rhythm, time intervals
from EMS activation to arrival and from EMS activation to
the first defibrillation, numbers of defibrillation, and return of
spontaneous circulation (ROSC).
Results: The mean age was 57.33±17.84 years with 92
males and 40 females. 68 patients showed shockable
rhythms (coarse ventricular fibrillation 41, fine ventricular fibrillation
24, pulseless ventricular tachycardia 3) and 39
patients showed unshockable rhythms (pulseless electrical
activity 19 , asystole 18, normal sinus rhythm 2) as an initial
rhythm at EMS arrival. Unshockable rhythms were changed
to shockable rhythms after cardiopulmonary resuscitation.
25 patients had no ECG rhythms on 119 rescue service
records. In the patients with shockable rhythms initially (68
patients), 18 patients experienced ROSC, whereas only 1patients experienced ROSC in the patients with unshockable
rhythms initially (39 patients). The patients with shockable
rhythms initially had higher ROSC rates than the
patients with unshockable rhythms initially (26.1% vs 2.6%,
p=0.001) and received less defibrillation than the patients
with unshockable rhythms initially (1.37±0.60 vs 2.49±
1.87, p=0.016). There were no significant differences in the
time intervals from EMS activation to arrival (5.74±2.13
minutes vs 7.12±4.33 minutes, p=0.529) and from EMS
activation to the first defibrillation (14.20±7.97 minutes vs
13.75±7.30 minutes, p=0.542) between ROSC group &
non-ROSC group. There was no significant difference in
ROSC between male and female (13% vs 17.5%, p=0.164).
Conclusion: The patients with shockable rhythms initially
had higher ROSC rates than the patients with unshockable
rhythms initially (26.1% vs 2.6%, p=0.001) and received
less defibrillation than the patients with unshockable
rhythms initially (1.37±0.60 vs 2.49±1.87, p=0.016).권호기사
참고문헌 (26건) : 자료제공( 네이버학술정보 )
| 번호 | 참고문헌 | 국회도서관 소장유무 |
|---|---|---|
| 1 | CLOSED-CHEST CARDIAC MASSAGE  |
미소장 |
| 2 | Cardiac arrest and resuscitation: A tale of 29 cities |
미소장 |
| 3 | Changing incidence of out-of-hospital ventricular fibrillation, 1980-2000. |
미소장 |
| 4 | Rea TD, Eisenberg MS, Sinibaldi G, White RD. Incidence of EMS-treated out-of-hospital cardiac arrest in the United States. Resuscitation 2004;63:17-24. | 미소장 |
| 5 | Sudden arrhythmic cardiac death—Mechanisms, resuscitation and classification: The seattle perspective |
미소장 |
| 6 | Cardiac arrest care and emergency medical services in Canada. |
미소장 |
| 7 | Standards and Guidelines for Cardiopulmonary resuscitation(CPR) and Emergency Cardiac Care(ECC). JAMA 1992;268:2171-302,2905-84. | 미소장 |
| 8 | Prehospital Ventricular Defibrillation |
미소장 |
| 9 | Public Access Defibrillation |
미소장 |
| 10 | Efficacy of an automated external defibrillator in the management of out-of-hospital cardiac arrest: validation of the diagnostic algorithm and initial clinical experience in a rural environment. |
미소장 |
| 11 | An evaluation of automated defibrillation and manual defibrillation by emergency medical technicians in a rural setting |
미소장 |
| 12 | Huszar RJ. Basic dysrhythmias. Interpretation and management. 3rd ed. Philadelphia: Mosby; 2001. p.155. | 미소장 |
| 13 | Factors influencing survival after out-of-hospital cardiac arrest |
미소장 |
| 14 | From concept to standard-of-care? Review of the clinical experience with automated external defibrillators |
미소장 |
| 15 | The ACLS Score |
미소장 |
| 16 | Diack AW, Welborn WS, Rullman RG, Walter CW, Wayne MA. An automatic cardiac resuscitator for emergency treatment of cardiac arrest. Med Instrum 1979;13:78-83. | 미소장 |
| 17 | USE OF AN AUTOMATED EXTERNAL DEFIBRILLATOR-PACEMAKER BY AMBULANCE STAFF |
미소장 |
| 18 | Aronson AL, Haggar B. The automatic external defibrillator-pacemaker: Clinical rationale and engineering design. Med Instrum 1986;20:27-35. | 미소장 |
| 19 | Cardiac arrest treated with a new automatic external defibrillator by out-of-hospital first responders |
미소장 |
| 20 | Outcome of out-of-hospital postcountershock asystole and pulseless electrical activity versus primary asystole and pulseless electrical activity |
미소장 |
| 21 | Response times and outcomes for cardiac arrests in las vegas casinos |
미소장 |
| 22 | Outcome of Nontraumatic Prehospital Cardiac Arrest | 소장 |
| 23 | Waveform analysis of ventricular fibrillation to predict defibrillation. |
미소장 |
| 24 | The location of collapse and its effect on survival from cardiac arrest |
미소장 |
| 25 | Jennings P, Pasco J. Survival from out-of-hospital cardiac arrest in the Geelong region of Victoria, Australia. Emerg Med Australsia 2001;13:319-25. | 미소장 |
| 26 | Current Status of CPR in Korea |
미소장 |
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