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Type of arrhythmia at EMS arrival on scene in out-of-hospital cardiac arrest in relation to interval from collapse and whether a bystander initiated CPR.

Artikel i vetenskaplig tidskrift
Författare Johan Herlitz
L Ekström
Bertil Wennerblom
Åsa B. Axelsson
A Bång
S Holmberg
Publicerad i The American journal of emergency medicine
Volym 14
Nummer/häfte 2
Sidor 119-23
ISSN 0735-6757
Publiceringsår 1996
Publicerad vid Hjärt-kärlinstitutionen
Sidor 119-23
Språk en
Länkar dx.doi.org/10.1016/S0735-6757(96)90...
Ämnesord Adolescent, Adult, Aged, Arrhythmias, Cardiac, complications, Cardiopulmonary Resuscitation, Child, Child, Preschool, Emergency Medical Services, Female, Heart Arrest, complications, therapy, Humans, Infant, Male, Middle Aged, Prognosis, Time Factors, Ventricular Fibrillation, complications
Ämneskategorier Kardiologi

Sammanfattning

Outcome after cardiac arrest is strongly related to whether the patient has ventricular fibrillation at the time the emergency medical service (EMS) arrives on the scene. The occurrence of various arrhythmias at the time of EMS arrival among patients with out-of-hospital cardiac arrest was studied in relation to the interval from collapse and whether cardiopulmonary resuscitation (CPR) was initiated by a bystander. The patients studied were all those with out-of-hospital cardiac arrest in Goteborg, Sweden, between 1980 and 1992 in whom CPR was attempted by the arriving EMS and for whom the interval between collapse and the arrival of EMS was known. In all, information on the time of collapse and the arrival of EMS was available for 1,737 patients. Among patients for whom EMS arrived within 4 minutes of collapse, 53% were found in ventricular fibrillation/tachycardia. There was a successive decline in occurrence of such arrhythmias with time. However, when the interval exceeded 20 minutes, ventricular fibrillation/tachycardia was still observed in 27% of cases. Bystander CPR increased the occurrence of such arrhythmias regardless of the interval between collapse and EMS arrival.

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