Research Center for Emergency Medicine, Aarhus University Hospital, Aarhus, Denmark; Clinical Research Unit, Regional Hospital of Randers, Randers, Denmark; Department of Internal Medicine, Regional Hospital of Randers, Randers, Denmark.
Research Center for Emergency Medicine, Aarhus University Hospital, Aarhus, Denmark; Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
Resuscitation. 2015 Apr;89:123-8. doi: 10.1016/j.resuscitation.2015.01.014. Epub 2015 Jan 21.
In-hospital cardiac arrests are treated by a team of health care providers. Improving team performance may increase survival. Currently, no international standards for cardiac arrest teams exist in terms of member composition and allocation of tasks.
To describe the composition of in-hospital cardiac arrest teams and review pre-arrest allocation of tasks.
A nationwide cross-sectional study was performed. Data on cardiac arrest teams and pre-arrest allocation of tasks were collected from protocols on resuscitation required for hospital accreditation in Denmark. Additional data were collected through telephone interviews and email correspondence. Psychiatric hospitals and hospitals serving outpatients only were excluded.
Data on the cardiac arrest team were available from 44 of 47 hospitals. The median team size was 5 (25th percentile; 75th percentile: 4; 6) members. Teams included a nurse anaesthetist (100%), a medical house officer (82%), an orderly (73%), an anaesthesiology house officer (64%) and a medical assistant (20%). Less likely to participate was a cardiology house officer (23%) or a cardiology specialist registrar (5%). Overall, a specialist registrar was represented on 20% of teams and 20% of cardiac arrest teams had a different team composition during nights and weekends. In total, 41% of teams did not define a team leader pre-arrest, and the majority of the teams did not define the tasks of the remaining team members.
In Denmark, there are major differences among cardiac arrest teams. This includes team size, profession of team members, medical specialty and seniority of the physicians. Nearly half of the hospitals do not define a cardiac arrest team leader and the majority do not define the tasks of the remaining team members.
院内心脏骤停由一组医护人员进行治疗。提高团队绩效可能会增加存活率。目前，在团队成员构成和任务分配方面，国际上尚无心脏骤停团队的标准。
描述院内心脏骤停团队的构成，并回顾心脏骤停前的任务分配。
进行了一项全国性的横断面研究。丹麦医院认证所需复苏方案中收集了有关心脏骤停团队和心脏骤停前任务分配的数据。通过电话访谈和电子邮件往来收集了额外的数据。排除了精神病院和仅为门诊病人服务的医院。
47 家医院中有 44 家提供了有关心脏骤停团队的数据。团队规模中位数为 5 人（25 百分位数；75 百分位数：4；6）。团队成员包括麻醉护士（100%）、内科住院医师（82%）、勤杂工（73%）、麻醉科住院医师（64%）和医疗助理（20%）。参与度较低的是心脏病学住院医师（23%）或心脏病学专科住院医师（5%）。总体而言，专科住院医师在 20%的团队中代表，20%的心脏骤停团队在夜间和周末有不同的团队构成。共有 41%的团队在心脏骤停前没有指定团队负责人，而且大多数团队没有明确其余团队成员的任务。
在丹麦，心脏骤停团队之间存在重大差异。这包括团队规模、团队成员的专业、医疗专业和医生的资历。近一半的医院没有指定心脏骤停团队负责人，而且大多数医院没有明确其余团队成员的任务。
