The effect of experience of on-site physicians on survival from prehospital cardiac arrest.
Copyright (c) 1996 Elsevier Science B.V. All rights reserved.
Outcome from prehospital cardiac arrest was studied 1 year before (Period I) and after (Period II) a reorganisation of the work and the simultaneous change of all physicians participating in the care of prehospital patients in the emergency medical service system in Helsinki.
There were 444 patients during Period I and 395 patients during Period II.
Resuscitation was initiated in 279 patients during Period I and in 323 patients (P<0.001) during Period II.
The number of patients with ventricular fibrillation who suffered a witnessed cardiac arrest due to presumed heart disease was 120 and 130, respectively.
During Period I, 70 of these patients were successfully resuscitated and admitted to hospital, 41 (34%) survived to discharge home from hospital.
Corresponding figures during Period II were 79 and 33 (25%, NS).
Compared with Period I, a larger proportion of the successfully resuscitated patients either died in hospital or were discharged to an institution during Period II (P<0.05).
Mots-clés Pascal : Réanimation cardiocirculatoire, Arrêt cardiocirculatoire, Période préhospitalière, Médecin, Secours première urgence, Expérience professionnelle, Pratique professionnelle, Evaluation, Pronostic, Survie, Homme, Etats Unis, Amérique du Nord, Amérique, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Intensive cardiocirculatory care, Cardiocirculatory arrest, Prehospital period, Physician, First emergency care, Professional experience, Professional practice, Evaluation, Prognosis, Survival, Human, United States, North America, America, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0229136
Code Inist : 002B27B01. Création : 199608.