Bertrand C, Rodriguez Redington P, Lecarpentier E, Bellaiche G, Michel D, Teiger E, Morris W, Le Bourgeois J P, Barthout M
Emergency Teaching Department, CESU, Service d'Aide Medicale Urgente 94, Hôpital Henri Mondor, Creteil 94 000, France.
Resuscitation. 2004 Nov;63(2):175-81. doi: 10.1016/j.resuscitation.2004.05.011.
The positive effect of early defibrillation on survival from cardiac arrest has been demonstrated. We describe the use of AEDs over 1 year following the training of flight attendants. Air France and the University of Paris XII together designed a 1 year training programme for 14000 flight attendants. The university emergency departments (SAMU) provided 250 instructors. AEDs training and certification was conducted for crew members between November 2001 and November 2002. By January 2003, all aircraft were fully equipped with AEDs. All cases of cardiac arrest that occurred during the study were reviewed comprehensively. Comments from the crew were collected. Twelve cardiac arrests were reported between November 2002 and November 2003 out of 4194 cases of emergency care delivered to passengers. Shock treatment was advised initially in 5/12 cases. The survival rate after in-flight cardiac arrest was 3/12. The survival rate at discharge from hospital following in flight shock was 2/5. No complications arose from the use of AEDs. Training by professionals gave the flight attendants confidence and allowed for the survival of two young passengers. Our study highlights the ability of flight attendants to give better onboard care for the future. The next step is to consolidate the network between in-flight care and the medical dispatch centre in Paris.
早期除颤对心脏骤停患者生存的积极作用已得到证实。我们描述了在为空乘人员进行培训后的1年多时间里自动体外除颤器（AED）的使用情况。法国航空公司和巴黎第十二大学共同为14000名空乘人员设计了一个为期1年的培训项目。大学急诊部门（紧急医疗服务）提供了250名教员。在2001年11月至2002年11月期间为空乘人员进行了AED培训和认证。到2003年1月，所有飞机都完全配备了AED。对研究期间发生的所有心脏骤停病例进行了全面审查。收集了机组人员的意见。在为乘客提供的4194例紧急护理中，2002年11月至2003年11月期间报告了12例心脏骤停。12例中有5例最初建议进行电击治疗。飞行中发生心脏骤停后的存活率为12例中的3例。飞行中电击后出院时的存活率为5例中的2例。使用AED未出现并发症。专业人员的培训给了空乘人员信心，并使两名年轻乘客得以存活。我们的研究凸显了空乘人员未来在飞机上提供更好护理的能力。下一步是巩固飞行中护理与巴黎医疗调度中心之间的网络。
