Cardiac Arrest Witnessed by Emergency Medical Technician (EMT) in Osaka Prefecture.
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- Uejima Toshifumi
- Department of Emergency and Critical Care Medicine, Kinki University School of Medicine
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- Hiraide Atsushi
- Department of General Medicine, Osaka University Medical School
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- Ikeuchi Hiroshi
- Department of Emergency Medicine, Osaka Prefectural Hospital
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- Shigemoto Tatsuhiro
- Department of Emergency and Critical Care Medicine, Osaka City General Hospital
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- Matsuzaka Masanori
- Osaka Prefectural Nakakawachi Medical Center of Acute Medicine
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- Takahashi Hitoshi
- Department of Emergency and Critical Care Medicine, Kinki University School of Medicine
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- Sakata Ikuhiro
- Department of Emergency and Critical Care Medicine, Kinki University School of Medicine
Bibliographic Information
- Other Title
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- 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
- ウツタイン大阪プロジェクトより
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Abstract
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.
Journal
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- Nihon Kyukyu Igakukai Zasshi
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Nihon Kyukyu Igakukai Zasshi 13 (11), 695-702, 2002
Japanese Association for Acute Medicine
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Details 詳細情報について
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- CRID
- 1390282679347470208
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- NII Article ID
- 130003625848
- 10010217332
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- NII Book ID
- AN10284604
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- ISSN
- 18833772
- 0915924X
- http://id.crossref.org/issn/0915924X
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
- KAKEN
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- Abstract License Flag
- Disallowed