Clinical record analysis of 54 cases with automatic external defibrillator in public of mainland china
10.3760/cma.j.issn.1671-0282.2020022.021-1
- VernacularTitle:应用自动体外除颤器现场急救54例病案分析
- Author:
Zhi CHEN
1
;
Yuanchun ZHANG
;
Xiaojun HE
;
Wenzhong ZHANG
;
Yu CAO
;
Hua ZHANG
;
Xiaogang WANG
;
Pengda HAN
;
Yang LIU
;
Kun WANG
;
Zhenjun XIANG
;
Hong ZHU
;
Yuefeng MA
Author Information
1. 北京急救中心 100031
- From:
Chinese Journal of Emergency Medicine
2020;29(4):608-614
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analysis the clinical characteristics of The clinical characteristics of using automated external defibrillation in the public place,To explore the feasibility and effectiveness of AED application in public places in China.Methods:From January 2014 to April 5, 2019, 54 cases of on-site emergency medical records of AED use in public places in China were analyzed retrospectively from three aspects: patient and AED user attributes, and AED clinical performance.Results:After field application of AED analysis, 54 patients did not have out of hospital cardiac arrest in 9 patients; cardiac arrest in 45 patients, cerebral resuscitation in 40 patients (88.9%), death in 5 patients (11.1%), one of them died in hospital. The accuracy of AED for defibrillation rhythm recognition and defibrillation recommendations was 100%. The success rate of shock to VF was 97.22%, and that of non pulse VT was 100%. The data shows that AEDs of different brands show clinical effectiveness in the core indicators of work. The operation level of the rescuer determines the critical time of AED shock, which is closely related to the prognosis of the patient ( P<0.05) . Conclusions:AED is reliable and effective in electric shock decision and performance.The overall efficiency of AED application can be improved by strengthening training, shortening the critical time of electric shock, rational configuration and effective management.
