Type of arrhythmia at EMS arrival on scene in out-of-hospital cardiac arrest in relation to interval from collapse and whether a bystander initiated CPR.

Herlitz, Johan,1949Gothenburg University,Göteborgs universitet,Hjärt-kärlinstitutionen,Cardiovascular Institute,[external],Prehospital akutsjukvård (författare)

Outcome after cardiac arrest is strongly related to whether the patient has ventricular fibrillation at the time the emergency medical service (EMS) arrives on the scene. The occurrence of various arrhythmias at the time of EMS arrival among patients with out-of-hospital cardiac arrest was studied in relation to the interval from collapse and whether cardiopulmonary resuscitation (CPR) was initiated by a bystander. The patients studied were all those with out-of-hospital cardiac arrest in Goteborg, Sweden, between 1980 and 1992 in whom CPR was attempted by the arriving EMS and for whom the interval between collapse and the arrival of EMS was known. In all, information on the time of collapse and the arrival of EMS was available for 1,737 patients. Among patients for whom EMS arrived within 4 minutes of collapse, 53% were found in ventricular fibrillation/tachycardia. There was a successive decline in occurrence of such arrhythmias with time. However, when the interval exceeded 20 minutes, ventricular fibrillation/tachycardia was still observed in 27% of cases. Bystander CPR increased the occurrence of such arrhythmias regardless of the interval between collapse and EMS arrival.

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
Adolescent
Adult
Aged
Arrhythmias
Cardiac
complications
Cardiopulmonary Resuscitation
Child
Child
Preschool
Emergency Medical Services
Female
Heart Arrest
complications
therapy
Humans
Infant
Male
Middle Aged
Prognosis
Time Factors
Ventricular Fibrillation
complications

Ekström, L (författare)
Wennerblom, Bertil,1940 (författare)
Axelsson, Åsa B.,1955Gothenburg University,Göteborgs universitet,Hjärt-kärlinstitutionen,Cardiovascular Institute,[external],Prehospital akutsjukvård(Swepub:hb)aba (författare)
Bång, A (författare)
Holmberg, S (författare)
Göteborgs universitetHjärt-kärlinstitutionen (creator_code:org_t)

Ingår i:The American journal of emergency medicine: W.B. Saunders Co.14:2, s. 119-230735-67571532-8171

Av författaren/redakt...: Herlitz, Johan, ...; Ekström, L; Wennerblom, Bert ...; Axelsson, Åsa B. ...; Bång, A; Holmberg, S

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kardiologi

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.