Journal article
Refibrillation managed by EMT-Ds: Incidence and outcome without paramedic back-up
The American journal of emergency medicine, Vol.4(6), pp.491-495
1986
DOI: 10.1016/S0735-6757(86)80001-8
PMID: 3778591
Abstract
Some patients converted from ventricular fibrillation to organized rhythms by defibrillation-trained ambulance technicians (EMT-Ds) will refibrillate before hospital arrival. The authors analyzed 271 cases of ventricular fibrillation managed by EMT-Ds working without paramedic back-up. Of 111 patients initially converted to organized rhythms, 19 (17%) refibrillated, 11 (58%) of whom were reconverted to perfusing rhythms, including nine of 11 (82%) who had spontaneous pulses prior to refibrillation. Among patients initially converted to organized rhythms, hospital admission rates were lower for patients who refibrillated than for patients who did not (53% versus 76%, P = NS), although discharge rates were virtually identical (37% and 35%, respectively). Scene-to-hospital transport times were not predictively associated with either the frequency of refibrillation or patient outcome. Defibrillation-trained EMTs can effectively manage refibrillation with additional shocks and are not at a significant disadvantage when paramedic back-up is not available.
Details
- Title: Subtitle
- Refibrillation managed by EMT-Ds: Incidence and outcome without paramedic back-up
- Creators
- Kenneth R StultsDonald D Brown
- Resource Type
- Journal article
- Publication Details
- The American journal of emergency medicine, Vol.4(6), pp.491-495
- Publisher
- Elsevier Inc
- DOI
- 10.1016/S0735-6757(86)80001-8
- PMID
- 3778591
- ISSN
- 0735-6757
- eISSN
- 1532-8171
- Language
- English
- Date published
- 1986
- Academic Unit
- Cardiovascular Medicine; Internal Medicine
- Record Identifier
- 9984094634202771
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