Convergence Analysis of 119 Multi-tiered Ambulance Service in Gyeonggido - Case of Out-of-hospital Cardiac Arrest Patients -

초록

The purpose of the study is to carry out the convergence analysis of out-of-hospital cardiac arrest patients transferred by 119 multi-tiered ambulance service in Gyeonggido. From July to December, 2017, among 5,621 out-of-hospital cardiac arrest patients, 2,650 patients data were analyzed except DNR(don not resuscitate), traumatic cardiac arrest, pediatric cardiac arrest, helicpoter transport case, and cardiac arrest in ambulance. Dispatch consisted of one ambulance, two ambulances, one ambulance plus one pump vehicle, and two ambulances plus one pump vehicle. by each dispatch team, the paramedic certificate holders were classified from one person to four persons. There were no significant difference in return of spontaneous circulation (ROSC) between the dispatch types and certificate. Fluid therapy and epinephrine administration enhanced ROSC. The dispatch type and paramedic certificate were the important factor in advanced life support skills.

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