Spaite D W, Criss E A, Valenzuela T D, Meislin H W, Smith R, Nelson A
Department of Surgery, College of Medicine, University of Arizona, Tucson.
Ann Emerg Med. 1988 Aug;17(8):825-8. doi: 10.1016/s0196-0644(88)80563-8.
To determine proper priorities for the provision of health care in large stadiums, we studied the medical incident patterns occurring in a major college facility and combined this with previously reported information from four other large stadiums. Medical incidents were an uncommon occurrence (1.20 to 5.23 per 10,000 people) with true medical emergencies being even more unusual (0.09 to 0.31 per 10,000 people). Cardiac arrest was rare (0.01 to 0.04 events per 10,000 people). However, the rates of successful resuscitation in three studies were 85% or higher. The previous studies were descriptive in nature and failed to provide specific recommendations for medical aid system configuration or response times. A model is proposed to provide rapid response of advanced life support care to victims of cardiac arrest. We believe that the use of this model in large stadiums throughout the United States could save as many as 100 lives during each football season.
为确定大型体育场馆提供医疗保健的适当优先事项，我们研究了一所主要大学体育设施中发生的医疗事件模式，并将其与之前其他四个大型体育场馆报告的信息相结合。医疗事件并不常见（每万人中有1.20至5.23起），真正的医疗紧急情况更为罕见（每万人中有0.09至0.31起）。心脏骤停很少见（每万人中有0.01至0.04起事件）。然而，三项研究中的成功复苏率为85%或更高。之前的研究本质上是描述性的，未能为医疗救助系统配置或响应时间提供具体建议。提出了一个模型，以便为心脏骤停受害者提供高级生命支持护理的快速响应。我们相信，在美国各地的大型体育场馆使用这个模型，每个橄榄球赛季可以挽救多达100条生命。
