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一个航空公司的心脏骤停计划
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
概括
飞机上的半自动外部除器 (AED) 改善了心脏骤停的管理. 使用AED的快速除提供了与紧急服务相当的可行的生存率,减少了不必要的飞机转移.
科学领域:
- 航空医学 航空医学
- 紧急心脏病护理 紧急心脏病护理
- 公共卫生 公共卫生
背景情况:
- 心脏骤停每年在商业航班上夺去了多达1000人的生命.
- 心室动 (VF) 需要及时除,但目前的航空公司政策往往会推迟治疗.
- 这项研究评估了机载半自动外部除器 (AED) 对飞行中的心脏紧急情况的影响.
研究的目的:
- 评估半自动外部除器 (AED) 在航空旅客心脏骤停的管理中的有效性.
- 为了确定AED可用性对生存率和飞行期间医疗决策的影响.
主要方法:
- 在国际航班和航站楼部署了AED,机组人员接受了使用和心肺复苏方面的培训.
- 医疗监督由志愿者或远程航空公司医生提供.
- 收集了超过64个月的关于AED使用,心脏骤停事件和患者结果的数据.
主要成果:
- 治疗心脏骤停的AED被使用了46次,监测心脏骤停的AED被使用了63次. 最初的除成功率为91% (21/23).
- 来自VF的长期存活率为26% (6/23),相当于医院前服务.
- 节律监测有助于转移决策,防止在 asystole/idioventricular节律病例中不必要的转移.
结论:
- 机上AED和训练有素的机组人员有效地管理飞行中的心脏紧急情况.
- 使用AED的VF的生存率是可行的,并且与紧急医疗服务相比较.
- 通过避免非必要的飞机转移,AED的实施提高了成本效益.
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