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Study of Out-of-hospital Cardiac Arrest Patients for whom 119 Rescuers used an Automated External Defibrillator in the Metropolitan Area
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ÀÌÇöÈñ(Lee Hyun-Hee) - °æºÏ´ëÇб³ ÀÇ°ú´ëÇÐ ÀÀ±ÞÀÇÇб³½Ç
¼°¼®(Seo Kang-Suk) - °æºÏ´ëÇб³ ÀÇ°ú´ëÇÐ ÀÀ±ÞÀÇÇб³½Ç
Á¤Á¦¸í(Chung Jae-Myung) - °æºÏ´ëÇб³ ÀÇ°ú´ëÇÐ ÀÀ±ÞÀÇÇб³½Ç
¹ÚÁ¤¹è(Park Jeong-Bae) - °æºÏ´ëÇб³ ÀÇ°ú´ëÇÐ ÀÀ±ÞÀÇÇб³½Ç
·ùÇö¿í(Ryoo Hyun-Wook) - °æºÏ´ëÇб³ ÀÇ°ú´ëÇÐ ÀÀ±ÞÀÇÇб³½Ç
±èÁ¾±Ù(Kim Jong-Kun) - ´ë±¸ÆÄƼ¸¶º´¿ø ÀÀ±ÞÀÇÇаú
¼Áؼ®(Seo Jun-Seok) - ´ë±¸ÀÀ±ÞÀÇ·áÁ¤º¸¼¾ÅÍ
ÀÌ»ï¹ü(Lee Sam-Beom) - ¿µ³²´ëÇб³ ÀÇ°ú´ëÇÐ ÀÀ±ÞÀÇÇб³½Ç
ÃÖ¿ìÀÍ(Choi Woo-Ik) - °è¸í´ëÇб³ ÀÇ°ú´ëÇÐ µ¿»êÀÇ·á¿ø ÀÀ±ÞÀÇÇб³½Ç
ÀÌ°æ¿ø(Lee Kyung-Won) - ´ë±¸°¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ÀÀ±ÞÀÇÇб³½Ç
Abstract
Purpose: To report characteristics of out-of-hospital cardiac arrest (OHCA) patients in whom 119 rescuers used an automated external defibrillator (AED) in the metropolitan area
Methods: 1,689 OHCA patients were transferred to hospitals by 119 rescuers between 1 January and 31 December, 2006. Among them, 106 OHCA patients for whom 119 rescuers used an AED were enrolled retrospectively.
Results: Shockable rhythm with AED use was 70.8%, witnessed arrest was 46.2%, and bystander cardiopulmonary resuscitation (CPR) was 6.6%. The most common location of cardiac arrest was in the home, at 74.5%. Response time was 7.1(¡¾3.9) minutes. Chest compression during transport was done by 119 rescuers in 87.7% of cases, and assisted ventilations such as advanced airway management and bag valve mask ventilation were performed by
119 rescuers in 17.0%. Initial ECG findings at ED were asystole(59.4%), PEA(25.5%), VF/pulseless VT(8.5%),sinus rhythm(4.7%), and others(1.9%). The most common etiology of cardiac arrest was presumed cardiac origin in 68.9% of cases. Sustained return of spontaneous circulation (ROSC) was 26.4%. The proportion of patients discharged alive was 11.3%.
Conclusion: The performance of bystander CPR and usage of AED, and appropriate CPR done by 119 rescuers
were unsatisfactory in metropolitan Daegu. There is a marked need to establish basic life support education in the areas of bystander CPR, and a quantitative and qualitative development of 119 rescue capability.
Å°¿öµå
Heart Arrest, Cardiopulmonary resuscitation, Automated external defibrillators, AEDs
KMID :
0385920080190030245
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À¯È¿¼º°á°ú(Recomendation)
The proportion of patients discharged alive was 11.3%. ; There is a marked need to establish basic life support education in the areas of bystander CPR.