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波兰院外心脏骤停中公共自动体外除颤器的使用情况。

Use of Public Automated External Defibrillators in Out-of-Hospital Cardiac Arrest in Poland.

作者信息

Żuratyński Przemysław, Ślęzak Daniel, Dąbrowski Sebastian, Krzyżanowski Kamil, Mędrzycka-Dąbrowska Wioletta, Rutkowski Przemysław

机构信息

Department of Medical Rescue, Faculty of Health Sciences, Medical University of Gdańsk, Dębinki 7, 80-211 Gdańsk, Poland.

Department of Anaesthesiology and Intensive Care Nursing, Medical University of Gdańsk, 80-210 Gdańsk, Poland.

出版信息

Medicina (Kaunas). 2021 Mar 22;57(3):298. doi: 10.3390/medicina57030298.

Abstract

National medical records indicate that approximately 350,000-700,000 people die each year from sudden cardiac arrest. The guidelines of the European Resuscitation Council (ERC) and the International Liaison Committee on Resuscitation (ILCOR) indicate that in addition to resuscitation, it is important-in the case of so-called defibrillation rhythms-to perform defibrillation as quickly as possible. The aim of this study was to assess the use of public automated external defibrillators in out of hospital cardiac arrest in Poland between 2008 and 2018. One hundred and twenty cases of use of an automated external defibrillator placed in a public space between 2008 and 2018 were analyzed. The study material consisted of data on cases of use of an automated external defibrillator in adults (over 18 years of age). Only cases of automated external defibrillators (AED) use in a public place other than a medical facility were analysed, additionally excluding emergency services, i.e., the State Fire Service and the Volunteer Fire Service, which have an AED as part of their emergency equipment. The survey questionnaire was sent electronically to 1165 sites with AEDs and AED manufacturers. A total of 298 relevant feedback responses were received. The analysis yielded data on 120 cases of AED use in a public place. Since 2016, there has been a noticeable increase in the frequency of use of AEDs located in public spaces. This is most likely related to the spread of public access to defibrillation and increased public awareness.

摘要

国家医疗记录显示,每年约有35万至70万人死于心脏骤停。欧洲复苏委员会(ERC)和国际复苏联合委员会(ILCOR)的指南指出,除了进行复苏外,在所谓的除颤心律情况下,尽快进行除颤也很重要。本研究的目的是评估2008年至2018年期间波兰公共场所自动体外除颤器在院外心脏骤停中的使用情况。分析了2008年至2018年期间放置在公共场所的120例自动体外除颤器使用案例。研究材料包括成人(18岁以上)自动体外除颤器使用案例的数据。仅分析了在医疗设施以外的公共场所使用自动体外除颤器(AED)的案例,此外还排除了作为应急设备配备AED的紧急服务部门,即国家消防局和志愿消防队。调查问卷通过电子邮件发送给了1165个配备AED的场所和AED制造商。共收到298份相关反馈回复。分析得出了120例公共场所AED使用案例的数据。自2016年以来,公共场所AED的使用频率显著增加。这很可能与公众除颤机会的增加和公众意识的提高有关。

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