Gordon P N, Williamson S, Lawler P G
South Cleveland Hospital, Middlesbrough TS4 3BW.
BMJ. 1998 Sep 19;317(7161):780-3. doi: 10.1136/bmj.317.7161.780.
To determine the frequency and accuracy with which cardiopulmonary resuscitation is portrayed in British television medical dramas.
Observational study.
64 episodes of three major British television medical dramas: Casualty, Cardiac Arrest, and Medics.
Frequency of cardiopulmonary resuscitation shown on television; age, sex, and diagnosis of the patients undergoing resuscitation; rate of survival through resuscitation.
Overall 52 patients had a cardiorespiratory arrest on screen and 3 had a respiratory arrest alone, all the arrests occurring in 40 of the 64 episodes. Of the 52 patients having cardiorespiratory arrest, 32 (62%) underwent an attempt at cardiopulmonary resuscitation; 8 attempts were successful. All 3 of the patients having respiratory arrests alone received ventilatory support and survived. On 48% of occasions, victims of cardiac arrest seemed to be less than 35 years old.
Cardiorespiratory resuscitation is often depicted in British television medical dramas. Patients portrayed receiving resuscitation are likely to be in a younger age group than in real life. Though the reasons for resuscitation are more varied and more often associated with trauma than in reality, the overall success rate is nevertheless realistic. Widespread overoptimism of patients for survival after resuscitation cannot necessarily be blamed on British television medical dramas.
确定英国电视医疗剧中心肺复苏术的呈现频率及准确性。
观察性研究。
英国三部主要电视医疗剧《急诊室的故事》《心跳停止》和《实习医生》的64集剧集。
电视上呈现心肺复苏术的频率;接受复苏患者的年龄、性别及诊断情况;复苏后的生存率。
总体而言,屏幕上有52例患者发生心跳呼吸骤停,3例单独发生呼吸骤停,所有这些骤停均出现在64集中的40集中。在52例心跳呼吸骤停患者中,32例(62%)接受了心肺复苏尝试;8次尝试成功。3例单独发生呼吸骤停的患者均接受了通气支持并存活。在48%的情况下,心脏骤停受害者似乎不到35岁。
心肺复苏术在英国电视医疗剧中经常出现。剧中接受复苏的患者年龄可能比现实生活中的患者更年轻。尽管复苏的原因比现实中更多样化,且更常与创伤相关,但总体成功率是符合实际的。复苏后患者普遍过度乐观的情况不一定归咎于英国电视医疗剧。