Abstract
In an attempt to reduce the number of people who die from a cardiac arrest in the Stockport area ambulances were equipped with automatic external defibrillator-pacemakers, and ambulance personnel were trained in their use. Over an 18 month period ambulance personnel attended 113 patients in cardiac arrest with these devices. One patient subsequently survived, and three patients survived for up to three days. The reasons for these poor initial results include the failure of bystanders to provide cardiopulmonary resuscitation, a delay in calling for the ambulance, and too few defibrillators being available.
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- Briggs R. S., Brown P. M., Crabb M. E., Cox T. J., Ead H. W., Hawkes R. A., Jequier P. W., Southall D. P., Grainger R., Williams J. H. The Brighton resuscitation ambulances: a continuing experiment in prehospital care by ambulance staff. Br Med J. 1976 Nov 13;2(6045):1161–1165. doi: 10.1136/bmj.2.6045.1161. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Eisenberg M. S., Copass M. K., Hallstrom A. P., Blake B., Bergner L., Short F. A., Cobb L. A. Treatment of out-of-hospital cardiac arrests with rapid defibrillation by emergency medical technicians. N Engl J Med. 1980 Jun 19;302(25):1379–1383. doi: 10.1056/NEJM198006193022502. [DOI] [PubMed] [Google Scholar]
- Ferguson-Smith M. A. Prenatal chromosome analysis and its impact on the birth incidence of chromosome disorders. Br Med Bull. 1983 Oct;39(4):355–364. doi: 10.1093/oxfordjournals.bmb.a071848. [DOI] [PubMed] [Google Scholar]
- Hampton J. R., Nicholas C. Randomised trial of a mobile coronary care unit for emergency calls. Br Med J. 1978 Apr 29;1(6120):1118–1121. doi: 10.1136/bmj.1.6120.1118. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Heber M. Out-of-hospital resuscitation using the "Heart-Aid", an automated external defibrillator-pacemaker. Int J Cardiol. 1983 Jul;3(4):456–458. doi: 10.1016/0167-5273(83)90118-3. [DOI] [PubMed] [Google Scholar]
- Jaggarao N. S., Heber M., Grainger R., Vincent R., Chamberlain D. A., Aronson A. L. Use of an automated external defibrillator-pacemaker by ambulance staff. Lancet. 1982 Jul 10;2(8289):73–75. doi: 10.1016/s0140-6736(82)91692-0. [DOI] [PubMed] [Google Scholar]
- Rowley J. M., Garner C., Handy M., Hampton J. R. Simple training programme for ambulance personnel in the management of cardiac arrest in the community. Br Med J (Clin Res Ed) 1985 Oct 19;291(6502):1099–1101. doi: 10.1136/bmj.291.6502.1099. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stults K. R., Brown D. D., Schug V. L., Bean J. A. Prehospital defibrillation performed by emergency medical technicians in rural communities. N Engl J Med. 1984 Jan 26;310(4):219–223. doi: 10.1056/NEJM198401263100403. [DOI] [PubMed] [Google Scholar]