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首页> 外文期刊>Resuscitation. >Vigilance, awareness and a phone line: 20 years of expediting CPR for enhancing survival after out-of-hospital cardiac arrest. The 'SHL'-Telemedicine experience in Israel.
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Vigilance, awareness and a phone line: 20 years of expediting CPR for enhancing survival after out-of-hospital cardiac arrest. The 'SHL'-Telemedicine experience in Israel.

机译：警惕性，意识和电话线：在院外心脏骤停后加快心肺复苏以提高生存率的20年。以色列的“ SHL”远程医疗经验。

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OBJECTIVES: The only large-scale report (1988) by the Israeli national ambulance service Magen David Adom (MDA) on the outcome of cardiac arrest victims who underwent cardiopulmonary resuscitation (CPR) by paramedics called for more frequent and more promptly initiated CPR and shorter time to arrival of paramedic care to improve survival. We report the 1987-2007 experience of resuscitation of out-of-hospital cardiac arrest victims who were 'SHL'-Telemedicine subscribers and who underwent CPR by SHL-Telemedicine mobile intensive care units (MICUs) personnel or under their instructions. METHODS: 'SHL's records of MICU reports and specifics of CPR maneuvers and outcome of resuscitated patients, as recorded by its MICU physicians, were analyzed to determine whether the system enhanced survival. RESULTS: A total of 1810 'SHL'-Telemedicine subscribers (mean age 76+/-12 years [16-104], 67% males) were resuscitated after cardiac arrest, 597 (33%) were hospitalized and 279 (15.4%) were discharged alive. Factors associated with successful resuscitation included witnessed collapse and documented ventricular fibrillation upon MICU arrival. A history of diabetes, hyperlipidemia, stroke or advanced age adversely affected the outcome. Time from collapse to CPR initiation and duration of CPR correlated significantly with survival. Laymen instructed telephonically by the 'SHL'-Telemedicine center performed CPR on 121 patients: 13 (10%) survived to hospital discharge. CONCLUSIONS: 'SHL'-Telemedicine's policy of bi-monthly contact with its subscribers led to heightened awareness of warning signs and need for rapid summoning of medical assistance in the setting of out-of-hospital sudden cardiac arrest.
机译：目标：以色列国家救护车服务公司Magen David Adom（MDA）唯一的大规模报告（1988），关于由医护人员进行心肺复苏（CPR）的心脏骤停患者的结局，要求更频繁，更迅速地开始CPR，​​并缩短手术时间护理人员护理的到达时间，以提高生存率。我们报告了1987-2007年为“ SHL”-远程医疗订户并由SHL-远程医疗重症监护室（MICU）人员或根据其指示进行了CPR的院外心脏骤停受害者的复苏经验。方法：分析其MICU医师记录的'SHL's MICU报告记录，CPR操作细节和复苏患者的结局，以确定该系统是否提高了生存率。结果：共有1810名“ SHL”远程医疗用户（平均年龄76 +/- 12岁[16-104]，男性67％）在心脏骤停后复苏，597例（33％）住院和279例（15.4％）还活着复苏成功的相关因素包括目击昏迷和MICU到达时室颤的记录。有糖尿病，高血脂，中风或高龄的病史会对结果产生不利影响。从崩溃到开始心肺复苏的时间和心肺复苏的持续时间与生存率显着相关。由“ SHL”-远程医疗中心以电话指导的外行对121例患者进行了CPR：13例（10％）存活到出院。结论：'SHL'-Telemedicine与其订户每两个月接触一次的政策导致对警告信号的意识增强，在院外突发性心脏骤停的情况下需要迅速召集医疗援助。

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