Outcomes of rapid defibrillation by security officers after cardiac arrest in casinos

Article Abstract:

Non-medical personnel can be trained to use an automatic external defibrillator, according to a study of 105 people who went into cardiac arrest at several casinos. Security guards were trained to use the device, and 53% of the patients survived to be discharged from the hospital. Patients who could be defibrillated within 3 minutes had the best chance of surviving.

Health aspects, Care and treatment, Training, Defibrillators, Security guards

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Case and survival definitions in out-of-hospital cardiac arrest: effect on survival rate calculation

Article Abstract:

A review of 372 patients resuscitated after an out-of-hospital cardiac arrest found that the percentage who survived varied depending on the case and survival definitions used. Of the total number of patients, 20% survived to be admitted to a hospital, but only 6% were still alive at discharge. Among the patients whose arrest was witnessed, 26% survived to admission but only 10% were alive at discharge. Among those whose arrest was witnessed and were found to be in ventricular fibrillation, 38% survived to admission but only 15% were alive at discharge. It is recommended that all prehospital emergency care systems adopt uniform case and survival definitions so that physicians can compare the effectiveness of different interventions.

Patient outcomes, Mortality

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Advanced cardiac life support in out-of-hospital cardiac arrest

Article Abstract:

This controlled clinical trial was designed to assess the incremental value of prehospital advanced-life-support interventions. 5638 patients who had cardiac arrest outside the hospital were enrolled. The addition of advanced-life-support interventions did not improve the rate of survival after out-of-hospital cardiac arrest in a previously optimized emergency-medical-services system of rapid defibrillation.

Diagnosis, Risk factors, Patient care, Life support systems (Critical care), Life support care

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