Martens P, Vanhaute O, Mullie A, Bourgeois M
A.Z. St-Jan, Critical Care Department, Brugge, Belgium.
Eur J Emerg Med. 1996 Sep;3(3):157-62. doi: 10.1097/00063110-199609000-00004.
All in-hospital interventions by the crash team of our hospital were recorded and evaluated retrospectively from 1 January 1992 to December 1994 and prospectively for 1995. The most frequent diagnosis was some type of cardiac arrest with a maximal incidence of 32.4% in 1994. Intubation was required in 58.7% of the cases in 1995. Outcome is better on surgical wards and for emergencies in the catheter laboratory compared with medical wards. The inappropriate overruling of the 'do not attempt resuscitation' (DNAR) policy eventually resulted in one survivor. We identified at least five cardiac arrest patients with an unacceptable delay in advanced life support. Our in-hospital critical incident registry resulted in a better policy for appropriate and timely intensive care unit referral.
对我院急救小组1992年1月1日至1994年12月期间在院内进行的所有干预措施进行了回顾性记录和评估，并对1995年进行了前瞻性记录和评估。最常见的诊断是某种类型的心脏骤停，1994年发病率最高，为32.4%。1995年，58.7%的病例需要插管。与内科病房相比，外科病房和导管实验室的急诊患者预后更好。对“不要尝试复苏”（DNAR）政策的不当否决最终导致一名患者存活。我们确定至少有五名心脏骤停患者在高级生命支持方面存在不可接受的延迟。我们的院内重大事件登记导致了一项更好的政策，以实现适当和及时的重症监护病房转诊。
