tailieunhanh - Báo cáo y học: "A first city-wide early defibrillation project in a German city: 5-year results of the Bochum against sudden cardiac arrest study"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: A first city-wide early defibrillation project in a German city: 5-year results of the Bochum against sudden cardiac arrest study | Hanefeld Scandinavian Journal ofTrauma Resuscitation and Emergency Medicine 2010 18 31 http content 18 1 31 SCANDINAVIAN JOURNAL OF Et emergency medicine ORIGINAL RESEARCH Open Access Afirstcity-wide early defibrillation project in a German city 5-year results of the Bochum against sudden cardiac arrest study Christoph Hanefeld Abstract Background Immediate defibrillation is the decisive determinant of prognosis in patients suffering from cardiac circulatory arrest caused by ventricular fibrillation VF . Therefore various national and international associations recommend that first responders use defibrillators as soon as possible and also recommend public access to early defibrillation programmes. Here we report the results of the first city-wide early defibrillation project in a large German urban area. Methods There were 155 automated external defibrillators AEDs put into operation in the Bochum municipal area and 6 294 people took part in cardiopulmonary resuscitation CPR and AED training. Free accessible AEDs were installed in places with large volumes of people. Additionally emergency forces were progressively equipped with AEDs. Results Twelve AED administrations prior to the arrival of an emergency physician were recorded and analysed over a period of 5 years 08 2004-08 2009 . Rhythm analysis via AED demonstrated VF in seven cases non-malignant dysrhythmias in four cases and asystole in one case. Two of the seven patients with VF were successfully defibrillated and survived cardiac circulatory arrest without any neurological sequelae. Eight of the 12 AED applications were performed by laymen. The mean time between switching the unit on and applying the electrodes to the patient was 39 seconds SD -20 sec . On average another 20 seconds elapsed before the AED recommendation of shock delivery was displayed and a total of 96 seconds elapsed before shock administration 56 sec . Conclusion Consistent with other reports our findings show that the .

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