Improved neurologic recovery and survival after early defibrillation.

Abstract:

:Eighty-seven patients who had out-of-hospital cardiac arrests received defibrillating shocks delivered by minimally trained first responders before the arrival of paramedics in a city with short emergency response times. Their outcomes were compared with those of 370 other victims who received only basic life support by first responders until paramedics arrived. Survival was improved by early defibrillation in cases in which there was a delay in initiating cardiopulmonary resuscitation and in which paramedic response times exceeded 9 min; there was 62% survival after early defibrillation by first responders and 27% if first responders provided only basic life support (p less than .02). Neurologic recovery was also improved after early defibrillation. Eighteen of 46 resuscitated patients (39%) receiving early defibrillation were awake at 24 hr compared with 49 of 204 patients (24%) who received only basic life support while awaiting paramedics (p less than .02). Incorporating defibrillation as part of basic life support can reduce both mortality and morbidity from cardiac arrest, even in cities with established, rapidly responding emergency care systems.

journal_name

Circulation

journal_title

Circulation

authors

Weaver WD,Copass MK,Bufi D,Ray R,Hallstrom AP,Cobb LA

doi

10.1161/01.cir.69.5.943

subject

Has Abstract

pub_date

1984-05-01 00:00:00

pages

943-8

issue

5

eissn

0009-7322

issn

1524-4539

journal_volume

69

pub_type

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