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        Early defibrillation and the chain of survival in 'in-hospital' adult cardiac arrest; minutes count

        Author
        Spearpoint, K.G.
        McLean, C. P.
        Zideman, D. A.
        Attention
        2299/12585
        Abstract
        Objective: To report the outcomes from and the impact of the chain of survival in ‘in-hospital’ cardiac arrest where the presenting rhythm was VF/VT, the arrest was witnessed, defibrillation was conducted rapidly and no other resuscitation interventions were required. Outcome measures: Any return of spontaneous circulation and discharge from hospital. Methods: A 2-year prospective resuscitation audit using the Utstein style was conducted within a major London NHS Hospital Group. Results: There were 124 patients who had primary VF/VT arrest. Eight were excluded from the study and 14 had non-witnessed cardiac arrest. Twenty one patients had witnessed VF/VT arrest but with delayed defibrillation, 81 patients had witnessed VF/VT arrest with rapid defibrillation, 69 patients had witnessed VF/VT arrest with rapid defibrillation, CPR and other additional interventions. There were 15 patients that had witnessed cardiac arrest with a presenting rhythm of VF/VT, who received rapid defibrillation and had no ventilation or chest compression prior to or following defibrillation. All 15 patients achieved a return of spontaneous circulation, and 12 were discharged alive. Conclusions: Rapid defibrillation prior to any other resuscitation intervention is associated with increased survival from witnessed VF/VT arrest in in-hospital cardiac arrest victims, and that the time to first shock is critical in enhancing the prospects of long-term survival in these patients
        Publication date
        2000-05
        Published in
        Resuscitation
        Other links
        http://hdl.handle.net/2299/12585
        Relations
        School of Life and Medical Sciences
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