FAILURE OF AMBULANCE CREW TO INITIATE CARDIOPULMONARY-RESUSCITATION

被引:7
作者
WESTON, CFM
BURRELL, CC
JONES, SD
机构
[1] Department of Cardiology, University of Wales College of Medicine, Cardiff, CF4 4XN, Heath Park
[2] Department of Epidemiology, University of Wales College of Medicine, Cardiff, CF4 4XN, Heath Park
[3] Department of Applied Public Health, University of Wales College of Medicine, Cardiff, CF4 4XN, Heath Park
关键词
OUT-OF-HOSPITAL CARDIAC ARREST; UTSTEIN STYLE OF REPORTING; CARDIOPULMONARY RESUSCITATION;
D O I
10.1016/0300-9572(94)00814-V
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The Utstein style of reporting out-of-hospital cardiac arrests requires that all confirmed cardiac arrests considered for resuscitation are analysed and that a record is made of the number of cases where no resuscitation is attempted. We report a series of 942 confirmed cardiac arrests considered for resuscitation by South Glamorgan Emergency Medical Service (EMS). There were 370 (39.3%) cases where no resuscitation was attempted by the EMS. The ages, male/female ratio and EMS response times were similar in both the group that received ambulance resuscitation and those that did not. Those not receiving resuscitation were less likely to have had an arrest of cardiac aetiology (51.3% vs. 75%, P < 0.00001). Rigor mortis or decomposition of the body was present in 50.8% of cases and in 20% a doctor had already confirmed the patient dead. In the remainder the ambulance crew failed to start resuscitation for a variety of reasons.
引用
收藏
页码:41 / 46
页数:6
相关论文
共 18 条
[1]  
Cummins, Ornato, Thies, Pepe, Improving survival from sudden cardiac arrest: the “Chain of Survival” concept, Circulation, 83, pp. 1832-1847, (1991)
[2]  
Cobb, Baum, Alvarez, Schaffer, Resuscitation from out-of-hospital ventricular fibrillation: 4 years follow-up, Circulation, 52, pp. 223-228, (1975)
[3]  
Briggs, Brown, Crabb, Cox, Ead, Hawkes, Et al., The Brighton resuscitation ambulances: a continuing experiment in prehospital care by ambulance staff, BMJ, 2, pp. 1161-1165, (1976)
[4]  
Eisenberg, Bergner, Halstrom, Paramedic programs and out-of-hospital cardiac arrest. II Impact on community mortality, Am J Public Health, 69, pp. 39-42, (1979)
[5]  
Tillinghast, Doliszny, Kottke, Gomez-Marin, Lilja, Campion, Change in survival from out-of-hospital cardiac arrest and its effect on coronary heart disease mortality, Minneapolis-St Paul, Am J Epidemiol, 134, pp. 851-861, (1991)
[6]  
Recommended guidelines for uniform reporting of data from out-of-hospital cardiac arrest the Utstein Style A statement for health professionals from a task force of the American Heart Association the European Resuscitation Council the Heart and Stroke Foundation of Canada and the Australian Resuscitation Council, Circulation, 84, pp. 960-975, (1991)
[7]  
Valenzuela, Spaite, Meislin, Clark, Wright, Ewy, Case and survival definitions in out-of-hospital cardiac arrest. Effect on survival rate calculation, J Am Med Assoc, 267, pp. 272-274, (1992)
[8]  
Sedgwick, Dalziel, Watson, Carrington, Cobbe, Performance of an established system of first responder out-of-hospital defibrillation. The results of the second year of the Heartstart Scotland Project in the “Utstein Style”, Resuscitation, 26, pp. 75-88, (1993)
[9]  
Baskett, Ethics in cardiopulmonary resuscitation, Resuscitation, 25, pp. 1-8, (1993)
[10]  
Negovsky, Death, dying and revival: ethical aspects, Resuscitation, 25, pp. 99-107, (1993)