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Survival among pati...
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Herlitz, Johan[external],Prehospital akutsjukvård
(författare)
Survival among patients with out of hospital cardiac arrest found in electromechanical dissociation
- Artikel/kapitelEngelska1995
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Elsevier Ireland Ltd,1995
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LIBRIS-ID:oai:DiVA.org:hb-7767
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https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-7767URI
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https://doi.org/10.1016/0300-9572(94)00821-VDOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:art swepub-publicationtype
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BACKGROUND: Many patients who suffer an out-of-hospital cardiac arrest are found in electromechanical dissociation at the time the Emergency Medical Service (EMS) arrives. Since they have a poor prognosis, less attention has been paid to them. AIM: To describe a consecutive population of patients with out-of-hospital cardiac arrest found in electromechanical dissociation and to try to define indicators for an increased chance of survival in this patient population. SETTING: The municipality of Göteborg. PATIENTS: All the patients who suffered an out-of-hospital cardiac arrest between 1981-1992 and were reached by our EMS system and in whom cardiopulmonary resuscitation (CPR) was attempted. RESULTS: In all, there were 3434 patients with cardiac arrest of whom 748 (22%) were found in electromechanical dissociation. They differed from patients found in ventricular fibrillation as there were more women, a higher frequency of cardiac arrest during the night, a lower frequency of witnessed cardiac arrest and consequently a lower frequency of bystander-initiated CPR. In all, 96 patients (13%) were hospitalized alive and only 16(2%) could be discharged from hospital. In a multivariate analysis relating to age, sex, time of cardiac arrest, interval between collapse and the arrival of the first ambulance, bystander-initiated CPR and treatment with adrenaline, atropine and tribonate, no independent predictor of survival was found. CONCLUSION: Of all the patients with out-of hospital cardiac arrest in whom CPR was attempted by our EMS, 22% were found in electromechanical dissociation. Of these, 13% were hospitalized alive and 2% could be discharged from the hospital. No independent predictor of an increased chance of survival was found.
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Ekström, L
(författare)
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Wennerblom, B
(författare)
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Axelsson, Å
(författare)
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Bång, A
(författare)
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Holmberg, S
(författare)
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[external]Prehospital akutsjukvård
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Resuscitation: Elsevier Ireland Ltd29:2, s. 97-1060300-95721873-1570
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