[Prehospital cardiopulmonary resuscitation: what makes it possible?].
No Thumbnail Available
Date
1992-05-14
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
OBJECTIVE To identify the logistical organizational characteristics which affect the survival results of pre hospital resuscitation in MSC cases DESIGN Retrospective study LOCATION 7 Mobile ICUs in the province of Ciudad Real activated for all types of emergency PATIENTS Those which between July 1987 and July 1990 suffered loss of pulse and respiration without a record and or risk factors which suggested a cause other than coronary MAIN RESULTS AND MEASUREMENTS Advanced Vital Support measures carried out in situ Immediate survival was evaluated which was 12 22 of 185 cases of MSC Of 94 cases which occurred in the presence of witnesses survival was 17 2 which is not significant 44 cases where RCPb treatment was carried out by witnesses the survival rate was 20 45 which is not significantly different from the overall figure A delay of over 2 minutes in witnesses calling 006 resulted in survival of 5 5 times less p 0 001 Each minute of delay equalled survival of 7 points less which is significant CONCLUSIONS For the Mobile ICU service to be effective in RCP of MSC cases it is not essential according to our results for witnesses to know RCPb techniques but it is essential that they phone for help immediately and that the Mobile ICU is capable of reaching the patient in a short space of time 15 minutes being the maximum limit