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Survival after prehospital cardiac arrest in a consecutive sample of patients
PO22
PO21 SURVIVAL AFTER PREHOSPITAL CARDIAC CONSECUTIVE SAMPLE OF PATIENTS
ARREST
IN A
Cardiac Rrrest.
PO23
Pre-Hospital
Care.
PO24 EARLY DEFIBRILLATION IN THE HOSPITAL BY STAFF NURSES (RN-Ds) USING AUTGMATED EKTERNAL DEFIBRILLATORS: TRAINING AND RETENTION ISSUES W. KAYE*, M. E. MANCINI, K. K. GIULIAN(r. D. M. NAGID. C. A. MARLfiR. N. RICHARDS*. S. SAWYER-SILVA*. Bmwn Univasity-Thz Miriam Hoapiul*, 164 Summit Ave. Rovidcacc. RI and Parkland Memorial Hospital. 5201 Harry Hines Blvd. DalIas. TX
m ‘llx life supparwnined fibrillation (VF) is unmonitored arrests ktween recognition
.Amxica,, Heart Awcciation (AHA) has dmncd early &fibriIIadon by basic first res ndm 18 dw standard of care. Survival following ventricul~ inverse p” y pmpordonaI to the duration of VP. A two-year review of in The Mriam Ho iul documented a &lay of five or more minurca of tic arrest and $ c fusl defihrilIuion following dte lnivll of du
t&b& All nursing staff (akeady trained in basic life support)) on thra medical-surgieaI units in each of ” hospinIs were uaincd UI w ABDs in a two how training pmgmm which foIIowed AHA gwdeIines. Emphasized wu hmds-ca pm&c of VFIABD tigorithm (recogniz arrest; get, attach, activate ABD: defibrillate: ICLSSCM;t-me minute of CPR if unsnccersful: reassess and reactivate Au), etc.). perfw was tested u end of initial training and I-3. M and 7-9 mondw Iam. Suisfactory pctforman.x was ddiied as delivery of fimt AED shock within 2 minutes of recognition of am% @his incIudss M rsonds for recognition. gcning and turning on AED plus the ABA standard of 90 soxds hctwen tuning o” ABD and fin shock). lkwk We tined arthccndofinitillmin’ momhsand240f27u7
140 nursea as RN-Da. All but one damnsanted suisf,cay .77~tcstedfm~ti~3Iof32aI-3mollths.IgofIgu~ monthsdwvmsucd smis.facmrypIfmmuur (waall
$
perfom,,nce nfn,
95%).
smcdard ?f we, RN-D programs shotdd be wideIy implemented in ail hoqdula. The next step is to dstermmc whether AU) we by RN-Ds as tint nsponda, actually shortens dte time L the fra detibri11ati0n.
PO21 SURVIVAL AFTER PREHOSPITAL CARDIAC CONSECUTIVE SAMPLE OF PATIENTS
ARREST
IN A
Cardiac Rrrest.
PO23
Pre-Hospital
Care.
PO24 EARLY DEFIBRILLATION IN THE HOSPITAL BY STAFF NURSES (RN-Ds) USING AUTGMATED EKTERNAL DEFIBRILLATORS: TRAINING AND RETENTION ISSUES W. KAYE*, M. E. MANCINI, K. K. GIULIAN(r. D. M. NAGID. C. A. MARLfiR. N. RICHARDS*. S. SAWYER-SILVA*. Bmwn Univasity-Thz Miriam Hoapiul*, 164 Summit Ave. Rovidcacc. RI and Parkland Memorial Hospital. 5201 Harry Hines Blvd. DalIas. TX
m ‘llx life supparwnined fibrillation (VF) is unmonitored arrests ktween recognition
.Amxica,, Heart Awcciation (AHA) has dmncd early &fibriIIadon by basic first res ndm 18 dw standard of care. Survival following ventricul~ inverse p” y pmpordonaI to the duration of VP. A two-year review of in The Mriam Ho iul documented a &lay of five or more minurca of tic arrest and $ c fusl defihrilIuion following dte lnivll of du
t&b& All nursing staff (akeady trained in basic life support)) on thra medical-surgieaI units in each of ” hospinIs were uaincd UI w ABDs in a two how training pmgmm which foIIowed AHA gwdeIines. Emphasized wu hmds-ca pm&c of VFIABD tigorithm (recogniz arrest; get, attach, activate ABD: defibrillate: ICLSSCM;t-me minute of CPR if unsnccersful: reassess and reactivate Au), etc.). perfw was tested u end of initial training and I-3. M and 7-9 mondw Iam. Suisfactory pctforman.x was ddiied as delivery of fimt AED shock within 2 minutes of recognition of am% @his incIudss M rsonds for recognition. gcning and turning on AED plus the ABA standard of 90 soxds hctwen tuning o” ABD and fin shock). lkwk We tined arthccndofinitillmin’ momhsand240f27u7
140 nursea as RN-Da. All but one damnsanted suisf,cay .77~tcstedfm~ti~3Iof32aI-3mollths.IgofIgu~ monthsdwvmsucd smis.facmrypIfmmuur (waall
$
perfom,,nce nfn,
95%).
smcdard ?f we, RN-D programs shotdd be wideIy implemented in ail hoqdula. The next step is to dstermmc whether AU) we by RN-Ds as tint nsponda, actually shortens dte time L the fra detibri11ati0n.