Frandsen F, Nielsen J R, Gram L, Larsen C F, Jørgensen H R, Haghfelt T
Ugeskr Laeger. 1989 Jul 17;151(29):1864-6.
During the period 1.10.1986-30.9.1987, all patients with cardiac arrest outside hospital brought to the casualty department in Odense Hospital were registered. Out of 160 patients, 133 (83%) could be primarily resuscitated, 19 (12%) were resuscitated but died later in hospital and eight patients (5%) were resuscitated and could be discharged alive from hospital. Out of the eight patients who were discharged alive, only two (1%) had retained reasonable cerebral function as assessed by dementia testing. Treatment of the cardiac arrest prior to the arrival of the ambulance, duration of the cardiac arrest for less than six minutes and staffing of the ambulance with three first-aid men were factors of decisive importance for survival of the patients. The results of this investigation demonstrate that treatment of cardiac arrest outside hospital is unsatisfactory. Proposals for improvement of treatment include: 1. Information to the population. 2. Training of first-aid staff in treatment of cardiac arrest. 3. Quicker arrival of ambulances and 4. Better staffing and training of ambulance staff in the use of a defibrillator possibly with participation of a doctor.
在1986年10月1日至1987年9月30日期间，所有在欧登塞医院急诊部送来的院外心脏骤停患者都进行了登记。在160名患者中，133名（83%）可初步复苏成功，19名（12%）复苏成功但随后在医院死亡，8名患者（5%）复苏成功并可出院存活。在8名出院存活的患者中，经痴呆测试评估，只有2名（1%）保留了合理的脑功能。救护车到达前对心脏骤停的治疗、心脏骤停持续时间少于6分钟以及救护车上配备3名急救人员是患者存活的决定性因素。这项调查结果表明，院外心脏骤停的治疗情况并不理想。改进治疗的建议包括：1. 向公众宣传。2. 对急救人员进行心脏骤停治疗培训。3. 救护车更快到达。4. 更好地配备救护车工作人员并对其使用除颤器进行培训，可能需要医生参与。
