제세동 가능 심정지 환자의 병원전 응급처치 수행에 대한 분석
Analysis to performance of prehospital emergency care for cardiac arrest pt,. Showing shockable rhythm on EKG
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Purpose : Prehospital emergency care for shockable rhythm is one of major concerns of emergency medical services. But, in Korea, prehospital medical service systems are not yet well established. We tried to offer one of the fundamental data to develop of these system. Method : After application of exclusion criteria, 200 patients who had shockable rhythm from January to December, 2008 were included in this study. Restrospective review of Prehospital care Reports of these patients was done. Result : Total 200 cases of shockable rhythm and prehospital arrest were analyzed. The rates of assessment of vital signs were 89.0%, the rate of level of consiousness was 99.5%. Just 6.0% were communicated with medical director providing the prehospital care. The frequency of defibrillation was performed 58.5%. Conclusion : Survival rate was higher in defibrillation group than that of nondefibrillation group(20.5% vs 2.4%, p=0.000).
Abstract
Purpose : Prehospital emergency care for shockable rhythm is one of major concerns of emergency medical services. But, in Korea, prehospital medical service systems are not yet well established. We tried to offer one of the fundamental data to develop of these system. Method : After application of exclusion criteria, 200 patients who had shockable rhythm from January to December, 2008 were included in this study. Restrospective review of Prehospital care Reports of these patients was done. Result : Total 200 cases of shockable rhythm and prehospital arrest were analyzed. The rates of assessment of vital signs were 89.0%, the rate of level of consiousness was 99.5%. Just 6.0% were communicated with medical director providing the prehospital care. The frequency of defibrillation was performed 58.5%. Conclusion : Survival rate was higher in defibrillation group than that of nondefibrillation group(20.5% vs 2.4%, p=0.000).
참고문헌 (19)
- Closed-chest cardiac massage, "Kouwenhoven WB", JAMA, 1064~1067 (1960)
- Eisenberg MS, "Cardiac arrest and resuscitation; a tale of 29 cities", Ann Emerg Med, 19, pp.179~186 (1990)
- 이재성, "경기도 지역 119 구급대원들의 자동제세동기 사용에 대한 고찰", 대한응급의학회지, 19(1), pp.15~21 (2008), 대한응급의학회
- Changing incidence of out-of-hospital ventricular fibrillation, 1980-2000, "Cobb LA", 3008~3013 (2002)
- Rea TD, "Incidence of EMS-treated out-ofhospital cardiac arrest in the United States", Resuscitation, 63, pp.17~24 (2004)
- Greene HL, "Sudden arrhythmic cardiac death mechanisms, resuscitation and classification: the Seattle perspective", Am J Cardiol, 65, pp.4~12 (1990)
- Liberthson RR, "Prehospital ventricular fibrillation. Prognosis and follow-up course", N Engl Med, 291, pp.317~321 (1974)
- Weisfeldt ML, "Public access defibrillation: a statement for healthcare professionals from the American Heart Association Task Force on Automated External Defibrillation", Circulation, 92, pp.2740~2747 (1995)
- 조준호, "구급차 이송 도중 자동제세동기의 정확도에 대한 연구", 대한응급의학회지, 19(5), pp.449~453 (2008), 대한응급의학회
- Lund I, "Cardiopulmonary resuscitation by lay people", pp.702~704 (1976), Lancet 2
- 김세진, "응급의학과 심폐소생술팀이 병원전 심정지 환자 예후에 미치는 영향", 대한응급의학회지, 16(1), pp.99~103 (2005), 대한응급의학회
- 고봉연, "구급일지를 통한 병원전 심정지 환자의 임상적 특성과 병원전 응급처치", 한국산학기술학회논문지, 11(4), pp.1540~1546 (2010), 한국산학기술학회
- 은상준, "119구급대의 병원 전 처치에 대한 전향적 다기관 평가", 대한응급의학회지, 18(3), pp.177~189 (2007), 대한응급의학회
- 황성오, "병원전 심정지환자의 심폐소생술 결과", 대한응급의학회지, 3(1), pp.27~36 (1992)
- 김성은, "일개 3차 의료기관에 내원한 병원전 심정지 환자의 심폐소생술 결과", 대한응급의학회지, 16(5), pp.495~504 (2005), 대한응급의학회
- Swor RA, "Does advanced age matter in outcomes after out-of-hospital cardiac arrest in community-dwelling adults", Acad Emerg Med, 7, pp.762~768 (2007)
- Weston CF, "Predicting survival from out-of-hospital cardiac arrest: a multivariate analysis", Resuscitation, 34, pp.27~34 (1997)
- 윤한덕, "2년간 응급실에 내원한 비외상성 병원전 심정지 환자에 대한 임상적 분석-광주,전남 지역을 중심으로", 대한응급의학회지, 8(3), pp.341~346 (1997)
- 고봉연, "심정지 환자 이송 시 구급대원의 자동제세동기 사용현황", 한국응급구조학회지, 10(2), pp.53~62 (2006), 사단법인 한국응급구조학회