Decision making in prehospital sudden cardiac arrest |
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| Authors: | C Aprahamian B M Thompson H W Gruchow J R Mateer J F Tucker H A Stueven J C Darin |
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| Affiliation: | 1. Laboratoire de Matière Condensée et Nanostructures (LMCN), Faculté des Sciences et Techniques Guéliz, Université Cadi Ayyad, BP 549, Marrakech, Morocco;2. CIRIMAT, Université de Toulouse, CNRS-UPS-INP, ENSIACET, 4 allée Emile Monso, BP 44362, 31030Toulouse cedex 4, France;3. Institut de Sciences des Matériaux de Mulhouse (IS2M), LRC 7228—CNRS, 15 rue Jean Starcky, BP 2488, 68057Mulhouse cedex, France;4. Laboratoire de Géosciences et Géoenvironnement, Faculté des Sciences et Techniques Guéliz, Université Cadi Ayyad, BP 549, Marrakech, Morocco;1. Department of Cardiology, Herlev-Gentofte Hospital, Copenhagen, Denmark;2. Department of Cardiology, Rigshospitalet, Copenhagen, Denmark;3. Department of Cardiology, Roskilde Hospital, Denmark;4. Department of General and Interventional Cardiology, University Heart Center, Hamburg-Eppendorf, Hamburg, Germany;5. Department of Medicine, Division of Cardiology, Nykoebing F Hospital, University of Southern Denmark, Odense, Denmark;1. Laboratoire de Matière Condensée et Nanostructures (LMCN), Faculté des Sciences et Techniques Guéliz, Université Cadi Ayyad, BP 549 Marrakech, Morocco;2. CIRIMAT, Université de Toulouse, CNRS-UPS-INP, ENSIACET, 4 allée Emile Monso, BP 44362, 31030 Toulouse, cedex 4, France;3. Institut de Sciences des Matériaux de Mulhouse (IS2M), LRC 7228 – CNRS, 15 rue Jean Starcky, BP 2488, 68057 Mulhouse cedex, France;4. Laboratoire Geoscience et Géoenvironnement, Faculté des Sciences et Techniques Guéliz, Université Cadi Ayyad, BP 549, Marrakech, Morocco;2. Department of Neurology, Coliseum Medical Centers, Macon, Georgia;3. Department of Neurology, Moses H. Cone Memorial Hospital, Greensboro, North Carolina;4. College of Medicine, University of Kentucky, Lexington, Kentucky;6. Department of Neurology, University of Kentucky, Lexington, Kentucky |
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| Abstract: | Many studies of prehospital resuscitation report on selected populations. We examined a series of 445 unselected nontraumatic cardiac arrests. Emergency cardiac care (ECC) was not initiated in 126 (28%). ECC was begun in 319 (78%), but was terminated in 132 (33%). Ninety-four (21%) were admitted to the hospital with palpable pulses and organized rhythm (successful resuscitation/save rate for patients presenting in ventricular fibrillation was 50%/25%. Multivariate regression analysis was used to identify the relative importance of significant variables in predicting survival, and the analysis identified the presence of ventricular fibrillation, short paramedic response times, and short paramedic treatment times. |
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