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航空会社の心停止プログラムです
M F O'Rourke1, E Donaldson, J S Geddes
1University of New South Wales, St Vincent's Hospital, Sydney, Australia. M.ORourke@unsw.edu.au
Circulation
|December 31, 1997
まとめ
航空機の半自動外部除細動器 (AED) は,心停止の管理を改善します. AEDによる迅速な défibrillationは,緊急サービスに匹敵する実行可能な生存率を提供し,不必要な航空機のダイバーションを削減します.
科学分野:
- 航空医学 航空医学
- 緊急の心臓ケアについて
- 公衆衛生は公衆衛生である.
背景:
- 心臓発作は,商用フライトで年間1000人の命を奪っています.
- 室細動 (VF) は迅速な除細動が必要ですが,現在の航空会社の方針はしばしば治療を遅らせます.
- この研究では,機内半自動外部除細動器 (AED) が,飛行中の心臓の緊急事態に及ぼす影響を評価した.
研究 の 目的:
- 航空旅客における心停止の管理における半自動外部除細動器 (AED) の有効性を評価する.
- 飛行中の生存率と医療意思決定に対するAEDの利用可能性の影響を決定する.
主な方法:
- AEDは国際フライトやターミナルに配備され,乗務員は使用と心肺蘇生の訓練を受けた.
- 医療監督は,ボランティアや遠隔航空会社の医師によって提供されました.
- AEDの使用,心停止,患者のアウトカムに関する64ヶ月間にわたって収集されたデータ.
主要な成果:
- AEDは,心停止のために46回,モニタリングのために63回使用されました. 初期除細動の成功率は91% (21/23) でした.
- VFによる長期生存率は26% (6/23) であり,病院前でのサービスと比べられる.
- リズムモニタリングは,アシストーラ/イディオヴェントリキュラーリズム症例の不必要なダイバーションを防止し,ダイバーションの決定を助けました.
結論:
- 機内のAEDと訓練された乗務員は,飛行中の心臓の緊急事態を効果的に管理します.
- AEDを使用したVFの生存率は実用的で,緊急医療サービスと比べることができます.
- AEDの導入は,機体の非不可欠なダイバーションを回避することにより,費用対効果を高めます.
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