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下面之論文摘要，供大家參考....
論文題目：Seven years' experience with early defibrillation by police and
paramedics in an emergency medical services system
Abstract
Primary objective: To assess the outcome of patients with out-of-hospital
cardiac arrest with ventricular fibrillation as the presenting rhythm
in an emergency medical services system utilizing
a combined police/paramedic response to provide early defibrillation.
Materials and methods: Police and paramedics were dispatched from
law enforcement and ambulance communications centers, respectively.
First-arriving personnel delivered initial shocks,
all using automated external defibrillators.
Patients were classified according to response to initial shocks:
restoration of pulses with shocks only or in need of advanced life support,
including epinephrine.
Discharge survival was defined as return to home
without disabling neurologic injury.
Results: Over the 7-year period of study 131 patients presented
with ventricular fibrillation;
58 were first treated by police and 73 by paramedics.
Restoration of pulses with shocks only and discharge survival
were not different in police and paramedic groups,
with overall survival of 40% (53 of 131 patients).
Among the survivors, 19% (18/95 patients) obtained a spontaneous circulation
only after administration of epinephrine and other ALS interventions.
Conclusion: Both restoration of a functional circulation,
without need for advanced life support interventions,
and discharge survival without neurologic disability are very dependent upon
the rapidity with which defibrillation is accomplished,
regardless of who delivers the shocks.
In addition, a smaller but significant number of patients
who require ALS interventions,
including epinephrine, for restoration of a spontaneous circulation survive
to discharge.
Short time differences, on the order of 1 min,
are significant determinants of both immediate response to shocks
and discharge survival.
Keywords: Advanced life support (ALS); Automated external defibrillator (AED);
Cardiac arrest; Cardiopulmonary resuscitation; Defibrillation;
Emergency medical services;
First responder; Out-of-hospital CPR; Ventricular fibrillation
上面之摘要之出處和作者如下：
Resuscitation 39 (1998) 145-151
Roger D. White, Daniel G. Hankins, Thomas F. Bugliosi
Department of Anesthesiology, Mayo Clinic, 200 First Street SW,
Rochester, MN 55905, USA
Department of Internal Medicine, Division of Emergency Medical Services,
Mayo Clinic, 200 First Street SW, Rochester MN 55905, USA
Gold Cross Ambulance Service, Rochester, MN, USA
Received 7 July 1998; received in revised form 14 October 1998;
accepted 14 Oct
1998 Elsevier Science Ireland Ltd. All rights reserved.
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