Author/Editor		White, Roger D
Title		Razvoj programa zgodnje defibrilacije v področni skupnosti: trinajstletne izkušnje z vključevanjem policistov, gasilcev in paramedikov
Translated title		Evolution of a community-wide early defibrillation program: experience over thirteen years utilizing police/fire personnel and paramedics as responders
Type		članek
Source		In: Bručan A, Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja. Zbornik 11. mednarodni simpozij o urgentni medicini; 2004 jun 9-12; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2004
Volume		str. 32-40
Language		eng
Abstract		In November 1990 a two-year trial period was initiated in which city police officers were trained in the operation of automated external defibrillators (AEDs). Following the trial the program was expanded as the city itself grew in population and area. In 1998 firefighters also were equipped with AEDs, bringing to a total 18 AEDs with police and fire personnel, in addition to paramedic capability. Call-to-shock time intervals, restoration of spontaneous circulation after defibrillation shocks only (without need for vasoactive or inotropic drug administration), and neurologically-intact survival (OPC 1 or 2) have been study end-points throughout the evaluation. As of December 2003, 193 adult patients in atraumatic cardiac arrest have presented in ventricular fibrillation (VF). Of these, 80 (41 %) were discharged neurologically-intact. Of the 159 VF patients whose arrest was bystander-witnessed 73 (46%) were discharged. Survival from non-VF arrest was very low (5%). Assessment of VF survivors demonstrated a quality of life, adjusted for age, gender, and disease, similar to that of the general population. These data demonstrate that a relatively high survival can be obtained in a city of this size and area employing a non-tiered community-wide approach within the emergency medical services (EMS) system.
Descriptors		POLICE RESCUE WORK HEART ARREST ELECTRIC COUNTERSHOCK ELECTROCARDIOGRAPHY SURVIVAL ANALYSIS