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dc.contributor.authorSpearpoint, K.G.
dc.contributor.authorMcLean, C. P.
dc.contributor.authorZideman, D. A.
dc.identifier.citationSpearpoint , K G , McLean , C P & Zideman , D A 2000 , ' Early defibrillation and the chain of survival in 'in-hospital' adult cardiac arrest; minutes count ' , Resuscitation , vol. 44 , no. 3 , pp. 165-9 .
dc.identifier.otherPURE: 1744785
dc.identifier.otherPURE UUID: 69b9cfb5-de3b-464e-b189-3994783a5910
dc.identifier.otherPubMed: 10825615
dc.identifier.otherScopus: 0034024276
dc.description.abstractObjective: 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 patientsen
dc.titleEarly defibrillation and the chain of survival in 'in-hospital' adult cardiac arrest; minutes counten
dc.contributor.institutionCentre for Postgraduate Medicine
dc.contributor.institutionSchool of Life and Medical Sciences
dc.contributor.institutionHealth & Human Sciences Research Institute
dc.description.statusPeer reviewed
dc.relation.schoolSchool of Life and Medical Sciences
rioxxterms.typeJournal Article/Review

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