Eisenberg M S, Hallstrom A P, Carter W B, Cummins R O, Bergner L, Pierce J
Am J Public Health. 1985 Jan;75(1):47-50. doi: 10.2105/ajph.75.1.47.
We initiated a program of telephone CPR (cardiopulmonary resuscitation) instruction provided by emergency dispatchers to increase the percentage of bystander-initiated CPR for out-of-hospital cardiac arrest. Cardiac arrests in King County, Washington were studied for 20 months before and after the telephone CPR program began. Bystander-initiated CPR increased from 86 of 191 (45 per cent) cardiac arrests before the program to 143 of 255 (56 per cent) cardiac arrests after the program. During the after period, 58 patients received CPR as a result of telephone instruction, 12 of whom were discharged. We estimate that four lives may have been saved by the program. A review of hospital records revealed no excess morbidity in the group of patients receiving dispatcher-assisted CPR.
我们启动了一项由急救调度员提供电话心肺复苏(CPR)指导的项目,以提高院外心脏骤停时旁观者实施心肺复苏的比例。在华盛顿州金县,对电话心肺复苏项目开展前后各20个月内发生的心脏骤停情况进行了研究。在该项目开展前,191例心脏骤停事件中有86例(45%)由旁观者实施了心肺复苏;项目开展后,255例心脏骤停事件中有143例(56%)由旁观者实施了心肺复苏。在项目开展后的阶段,有58例患者因电话指导接受了心肺复苏,其中12例出院。我们估计该项目可能挽救了4条生命。对医院记录的审查显示,接受调度员协助进行心肺复苏的患者组中没有出现额外的发病率。