德国职业环境中自动体外除颤器的使用：一项试点研究。
Use of automated external defibrillators in the occupational setting in Germany: a pilot study.
机构信息
Institut für Anästhesiologie, Deutsches Herzzentrum München, Technische Universität München, Munich, Germany.
出版信息
J Occup Environ Med. 2012 Jul;54(7):789-91. doi: 10.1097/JOM.0b013e318256f65c.
OBJECTIVE
Automated external defibrillators (AEDs) are widely used to increase survival of patients with sudden cardiac arrest (SCA). Despite these experiences only few data exist dealing with SCA at the workplace or AED usage in the occupational setting.
METHODS
In a pilot study, occupational physicians throughout Germany were contacted and queried about the utilization of AED and the primary success rate (return of spontaneous circulation; ROSC).
RESULTS
Of 232 occupational physicians, 155 (67%) stated that the enterprise provided at least one AED. Overall, 63 AED utilizations were analyzed. An ROSC was reported in 42 patients (67%). In 48% (n = 20) ROSC was established before the arrival of the EMS.
CONCLUSION
Our study showed a high proportion of patients with ROSC after SCA. Increased attention should be turned to workplace SCA and AED programs.
目的
自动体外除颤器（AED）被广泛用于提高心搏骤停（SCA）患者的生存率。尽管有这些经验，但在工作场所或职业环境中涉及 SCA 或 AED 使用的数据很少。
方法
在一项试点研究中，联系了德国各地的职业医生，并询问他们 AED 的使用情况和主要成功率（自主循环恢复；ROSC）。
结果
在 232 名职业医生中，有 155 名（67%）表示企业至少提供了一台 AED。总共分析了 63 次 AED 使用情况。有 42 名患者（67%）报告了 ROSC。在 48%（n=20）的情况下，ROSC 在 EMS 到达之前就已经建立。
结论
我们的研究显示，心搏骤停后 ROSC 的患者比例很高。应该更加关注工作场所的心搏骤停和 AED 计划。
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