PMID- 8725612
OWN - NLM
STAT- MEDLINE
DCOM- 19961016
LR  - 20061115
IS  - 0021-4892 (Print)
IS  - 0021-4892 (Linking)
VI  - 45
IP  - 4
DP  - 1996 Apr
TI  - [Has the lifesaving technician system improved the outcome of out-of-hospital 
      cardiopulmonary arrest patients?].
PG  - 504-9
AB  - The role of the lifesaving technician (LST) system on the outcome of 
      out-of-hospital cardiopulmonary arrest patients was examined retrospectively. The 
      percentage of the patients resuming spontaneous circulation before arrival at the 
      hospital was 2.2-4.3 times higher in the group with the prehospital care by LSTs 
      ('93: 3.9% and '94: 2.0%) than by ordinary ambulance personnel (OAP) (0.9%), but 
      there was no difference in the percentage of return of spontaneous circulation 
      (LST '93: 33.0%, '94: 27.3%, OAP 37.8%), survival rate (LST '93: 3.1%, '94: 1.4%, 
      OAP 1.8%) and discharge rate (LST '93: 1.0%, '94: 0.7%, OAP 1.8%) of the patients 
      with cardiopulmonary arrest on arrival. Time interval from fire department 
      receipt of call to ambulance departure and arrival at the hospital was 
      significantly longer in the groups with the prehospital care by LSTs than by OAP. 
      There was no difference in the outcome of cardiopulmonary arrest patients with 
      the prehospital care by LSTs between '93 and '94. Our results suggest that making 
      much more effort with more advanced technics to start the spontaneous circulation 
      on the spot may be required to improve the outcome of out-of-hospital 
      cardiopulmonary arrest patients.
FAU - Ishikawa, S
AU  - Ishikawa S
AD  - Department of Anesthesia, Tokyo Metropolitan Fuchu Hospital, Japan.
FAU - Tanaka, N
AU  - Tanaka N
FAU - Saito, Y
AU  - Saito Y
FAU - Imamura, M
AU  - Imamura M
FAU - Maeda, M
AU  - Maeda M
FAU - Hikawa, Y
AU  - Hikawa Y
FAU - Yasuda, K
AU  - Yasuda K
LA  - jpn
PT  - English Abstract
PT  - Journal Article
PL  - Japan
TA  - Masui
JT  - Masui. The Japanese journal of anesthesiology
JID - 0413707
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Emergency Medical Technicians/*standards
MH  - Female
MH  - Heart Arrest/*mortality
MH  - Humans
MH  - Japan
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Survival Rate
MH  - Treatment Outcome
EDAT- 1996/04/01 00:00
MHDA- 1996/04/01 00:01
CRDT- 1996/04/01 00:00
PHST- 1996/04/01 00:00 [pubmed]
PHST- 1996/04/01 00:01 [medline]
PHST- 1996/04/01 00:00 [entrez]
PST - ppublish
SO  - Masui. 1996 Apr;45(4):504-9.