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Experience with use of automated external defibrillators in out of hospital cardiac arrest
[external]. (Prehospital akutsjukvård)
[external]. (Prehospital akutsjukvård)
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1998 (Engelska)Ingår i: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 37, nr 1, s. 3-7Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

AIM: To describe the sequences of arrhythmias, number of shocks delivered and the number of failures in a consecutive series of patients with out-of-hospital cardiac arrest attended by our emergency medical service (EMS) and in whom cardio-pulmonary resuscitation (CPR) was initiated and in whom automated external defibrillators (AEDs) were used. PATIENTS: All patients with out-of-hospital cardiac arrest attended by the EMS and in whom AEDs were used. Time for inclusion in the study: January 1st, 1987 to December 31st, 1992. RESULTS: In all there were 1781 out of hospital cardiac arrests during the study period. Among them AEDs were used in 383 cases (22%). The total number of interpreted rhythms delivered in these patients was 2719. Among all rhythm sequences coarse ventricular fibrillation (VF) was found on 375 occasions (14%); fine VF on 107 occasions (4%) and ventricular tachycardia (VT) on 12 occasions (0.4%). In ten cases with coarse VF (nine patients) the AED did not advise a shock (2.7%). In five of those nine patients a human error was interpreted as the explanation and in four there was a possible technical error. In these four patients defibrillation was delayed by 33-43 s, respectively. Among the 2225 rhythm sequences not judged as VF/VT the AED advised a shock on one occasion (0.04%). CONCLUSION: Among patients with coarse VF AED gave inaccurate instructions in 2.7%. However, the majority of the failures were judged to be caused by human errors.

Ort, förlag, år, upplaga, sidor
Elsevier Ireland Ltd , 1998. Vol. 37, nr 1, s. 3-7
Nationell ämneskategori
Medicin och hälsovetenskap
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URN: urn:nbn:se:hb:diva-7860DOI: 10.1016/S0300-9572(98)00032-XLokalt ID: 2320/8744OAI: oai:DiVA.org:hb-7860DiVA, id: diva2:888742
Tillgänglig från: 2015-12-22 Skapad: 2015-12-22 Senast uppdaterad: 2017-09-12Bibliografiskt granskad

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Herlitz, JohanBång, A

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