救急隊員により目撃された心停止症例の検討  ウツタイン大阪プロジェクトより

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タイトル別名
  • Cardiac Arrest Witnessed by Emergency Medical Technician (EMT) in Osaka Prefecture.
  • ウツタイン大阪プロジェクトより

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We studied out-of-hospital cardiac arrest witnessed by emergency medical technicians (EMTs) based on Utstein recom-mendations. Among 5, 047 such arrests in Osaka prefecture from May 1, 1998, to April 30, 1999, subjects were 312 witnessed by EMTs after collapsed. In 175, cardiac arrests were of cardiac cause. In the remaining 137, cardiac arrests were of noncardiac cause. One-year survival was 6.2% (11/175) in arrests of cardiac cause and 4.4% (6/137) in those of noncardiac cause. Compared data from regions including New York, Helsinki, and South Glamorgan in the UK, the incidence and survival of such arrests of cardiac origin witnessed by EMTs was low. In the 175 of cardiac cause, only 30 showed ventricular fibrillation or ventricular tachycardia (VF/VT) in initial rhythm. A low incidence of VF/VT was noted related to this low survival. Among 30 arrests of VF/VT, only 12 underwent defibrillation (40%). It took 5.7±4.9 minutes for ambulance personnel to defibrillate from arrest onset. The incidence and survival of arrests of noncardiac cause were similar to results of the Helsinki study, so the low survival of arrests of cardiac cause in our region is related to the low incidence of VF/VT causes and the delay in defibrillation by EMTs.

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