In:
Prehospital and Disaster Medicine, Cambridge University Press (CUP), Vol. 11, No. S2 ( 1996-09), p. S27-S27
Abstract:
Hypothesis : Do paramedics influence the outcome of out of hospital cardiac arrests in a rural setting? Methods : Retrospective analysis of cardio-respiratory arrests of ALS-EMS system in rural Southeastern Alaska for 9 years. There were two patient groups treated by EMT-III or paramedics. EMT-III vs. paramedics differ in training/experience but not technical skills. Statistical analyses were done by chi square. Results : Thirty-seven patients (52%) were treated by paramedics, thirty-four (48%) by EMT-III. Demographics/CPR variables for the groups were not significantly different. Comparing paramedics vs. EMT-III: successful ET placement (87% vs. 62%, p 〈 0.02), successful IV placement (87% vs. 62%, p 〈 0.02), return of spontaneous circulation (ROSC) 46% (17/37 pts.) vs. 18% (6/34 pts.) ( p = 0.01), ICU admission 38% (14/37) vs. 15% (5/34) ( p = 0.03), hospital discharge 20% (7/35) vs. 9% (3/34) ( p = NS). There was no correlation between successful ET placement or IV insertion and outcome.
Type of Medium:
Online Resource
ISSN:
1049-023X
,
1945-1938
DOI:
10.1017/S1049023X00045593
Language:
English
Publisher:
Cambridge University Press (CUP)
Publication Date:
1996
detail.hit.zdb_id:
2162069-6
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