当前位置： SCI文献检索 > ANNALS OF EMERGENCY MEDICINE期刊下所有文献 > The efficacy of an ACLS training program for resuscitation from cardiac arrest in a rural community.

The efficacy of an ACLS training program for resuscitation from cardiac arrest in a rural community.

Abstract：

STUDY OBJECTIVE:To determine whether an advanced cardiac life support (ACLS) course in a rural hospital will improve resuscitation success from cardiac arrest. DESIGN:A retrospective case review of all patients in cardiac arrest during a 13-month period before and after the institution of an ACLS training program. SETTING:Emergency department of a 42-bed rural, community hospital in a community with no prehospital advanced life support or early defibrillation. PARTICIPANTS:All patients in cardiac arrest were entered into the data base. Twenty-nine patients were included in the pre-ACLS period and 35 in the post-ACLS period. There were no significant differences in age, gender, initial rhythm, comorbid diseases, witnessed versus unwitnessed arrest, or total arrest time in the patients in the pre-ACLS period compared with those in the post-ACLS period. INTERVENTION:ACLS provider training. MAIN RESULTS:Patients in cardiac arrest who had ventricular fibrillation/tachycardia as their initial rhythm had significant improvement in resuscitation success compared with patients in ventricular fibrillation/tachycardia in the pre-ACLS period (six of 15 versus none of nine, P < .05). Out-of-hospital cardiac arrest resuscitation was more successful in the post-ACLS period than in the pre-ACLS period (five of 30 versus none of 25, P < .05). Overall, seven of 35 patients (20%) were resuscitated successfully in the post-ACLS period, with two patients surviving to hospital discharge. This was not significantly different than the two of 29 patients (7%) resuscitated in the pre-ACLS period, with one patient surviving to discharge. CONCLUSION:The institution of an ACLS-provider course in a rural community hospital was associated with improvement in initial resuscitation for patients with ventricular fibrillation/tachycardia and out-of-hospital arrest.

journal_name

Ann Emerg Med

journal_title

Annals of emergency medicine

authors

Sanders AB,Berg RA,Burress M,Genova RT,Kern KB,Ewy GA

doi

10.1016/s0196-0644(94)70009-5

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

56-9

issue

eissn

0196-0644

issn

1097-6760

pii

S0196064494002702

journal_volume

pub_type

杂志文章

在线工具

The efficacy of an ACLS training program for resuscitation from cardiac arrest in a rural community.