Journal article
Self-adhesive monitor/defibrillation pads improve prehospital defibrillation success
Annals of emergency medicine, Vol.16(8), pp.872-877
1987
DOI: 10.1016/S0196-0644(87)80525-5
PMID: 3619167
Abstract
We compared self-adhesive, dual-function monitor/defibrillation electrode pads to standard chest monitoring leads and hand-held electrode paddles in the management of prehospital ventricular fibrillation in a single urban paramedic service. Shocks were delivered more quickly following paramedic arrival with self-adhesive pads than with hand-held paddles (1.6 vs 2.5 min;
P < .001). Ventricular fibrillation was terminated more frequently when shocks were delivered using the self-adhesive pads (55 of 58 patients, 95%) than when shocks were delivered using hand-held paddles (49 of 69 patients, 71%;
P < .005). Initial shocks delivered with self-adhesive pads were especially effective, converting 40 of 58 (69%) patients to an organized rhythm on the first or second shock; this was true of only 24 of 69 (35%) patients shocked with hand-held paddles (
P < .001). Patient survival to hospital admission improved when self-adhesive pads were used: 30 of the 58 (52%) patients shocked with self-adhesive pads achieved hospital admission, while only 21 of 69 patients (30%;
P < .025) survived to admission when hand-held paddles were used. In addition, electrical artifact that interfered with accurate rhythm interpretation was far more prevalent when standard monitoring electrodes were used, including artifact that resulted in inappropriate shock delivery (23% of patients monitored with standard electrodes vs 3% of patients monitored with self-adhesive pads;
P < .005). Self-adhesive monitor/defibrillation pads are superior to standard monitoring leads and hand-held electrode paddles in the management of prehospital ventricular fibrillation.
Details
- Title: Subtitle
- Self-adhesive monitor/defibrillation pads improve prehospital defibrillation success
- Creators
- Kenneth R Stults - Emergency Medical Services Learning Resources Center, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USADonald D Brown - Cardiovascular Center, Department of Internal Medicine, University of Iowa College of Medicine, Iowa City, Iowa, USAFrank Cooley - Des Moines Fire Department Paramedic Service, Des Moines, Iowa, USARichard E Kerber - Cardiovascular Center, Department of Internal Medicine, University of Iowa College of Medicine, Iowa City, Iowa, USA
- Resource Type
- Journal article
- Publication Details
- Annals of emergency medicine, Vol.16(8), pp.872-877
- Publisher
- Mosby, Inc
- DOI
- 10.1016/S0196-0644(87)80525-5
- PMID
- 3619167
- ISSN
- 0196-0644
- eISSN
- 1097-6760
- Language
- English
- Date published
- 1987
- Academic Unit
- Cardiovascular Medicine; Internal Medicine
- Record Identifier
- 9984094751102771
Metrics
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