McSwain G R, Garrison W B, Artz C P
Ann Emerg Med. 1980 Jul;9(7):341-5. doi: 10.1016/s0196-0644(80)80108-9.
A series of 100 consecutive victims of cardiopulmonary arrest were evaluated for treatment in the field by paramedic teams and for the patients' subsequent course. Analysis of the data correlated success rates with specific factors, including response, treatment and transportation times, proximity to the emergency center, establishment of an intravenous line and administration of drugs, pulmonary aspiration of gastric contents, cardiopulmonary resuscitation by a bystander, cardiopulmonary arrest in the presence of the team, and other factors. Successful resuscitation was accomplished in 24% of cases, and 7% of the victims ultimately returned to their previous lifestyles. Therapeutic maneuvers which prolonged time at the scene worsened prognosis. These results were compared to recent reports from other institutions with specific reference to differences in technique regarding success rates. Although the basic policy of "rush the patient to the hospital" of past years has shifted to one of evaluation, emergency treatment and stabilization at the scene before transportation, the data suggest that specific guidelines consistent with the urgency of the situation are necessary to maximize the patient salvage rate.
对连续100例心肺骤停患者进行了评估，包括护理团队在现场的治疗情况以及患者随后的病程。对数据进行分析，将成功率与特定因素相关联，这些因素包括响应时间、治疗时间和转运时间、与急救中心的距离、建立静脉通路和给药情况、胃内容物的肺吸入、旁观者进行的心肺复苏、团队在场时的心肺骤停以及其他因素。24%的病例实现了成功复苏，7%的受害者最终恢复了之前的生活方式。延长现场停留时间的治疗操作会使预后恶化。将这些结果与其他机构最近的报告进行了比较，并特别提及了成功率方面技术差异。尽管过去几年“将患者迅速送往医院”的基本政策已转变为在转运前在现场进行评估、紧急治疗和稳定病情，但数据表明，需要有与情况紧迫性相符的具体指导方针，以最大限度提高患者抢救率。
