
#1395 1395醫生救我?是我們的目標
<<1分鐘內CPR,3分鐘內AED電擊,超過95%的人清醒存活出院>>
我們總是說,到院前心跳停止及早急救,讓病人有更多機會恢復心跳清醒出院。
如果要等到救護車來,常常會來不及,如果要等到送醫院,那麼幾乎就沒有機會了,因此我們要打造一個願意互助的社會,讓每個需要都幫助的人都會藉由資源整合獲得協助。
在實驗室裡,馬上CPR與電擊可以讓病人恢復心跳,每晚一分鐘存活率下降5-10%,但是總是看到大家疑惑的眼晴。
急救不是應該讓專業的來嗎?在真實生活裡,大家會害怕,沒有辨識瀕死呼吸,不敢急救或是不會急救,
所以我們看到存活出院的數據從來不是100%也沒有超過50%。
從2007年到2020年超過300萬個馬拉松跑者,發生了42件到院前心跳停止,22件在1分鐘內接受CPR,3分鐘內接受AED電擊,超過95%的人清醒存活出院。
這就是我們的目標,超過95%的人都能清醒存活出院
#聽見AED
#愛陌生
Abstract
Objective To describe neurological outcomes after sudden cardiac arrests (SCAs) in road and long-distance races using a rapid mobile automated external defibrillator system (RMAEDS) intervention.
Methods A total of 42 SCAs from 3 214 701 runners in 334 road and long-distance races from 1 February 2007 to 29 February 2020 were examined. Demographics, SCA interventions, EMS-related data and SCA-related outcomes were measured. Primary endpoints were favourable neurological outcomes (Cerebral Performance Categories 1–2) at 1-month and 1-year post-SCA. Secondary endpoints were factors related to the field return of spontaneous circulation (ROSC) and resuscitation characteristics, including the initial ECG waveform classification and resuscitation sequence times according to the initial ECG rhythm.
Results The SCA incidence rate was 1.31 per 100 000 runners (age: median (IQR), 51 (36.5, 58.3) years). Field ROSC and full neurological recovery at 1-month post-SCA was achieved 90.4% and 92.9% of cases, respectively. In 22 cases in which bystander cardiopulmonary resuscitation was initiated within 1 min and defibrillation performed within 3 min, full neurological recovery was achieved at 1-month and 1-year post-SCA in 95.5.% and 95.5% of cases, respectively.
Conclusions The RMAEDS successfully treated patients with SCA during road and long-distance races yielding a high survival rate and favourable neurological outcomes. These findings support rapid intervention and the proper placement of healthcare teams along the race course to initiate chest compressions within 1 min and perform defibrillation within 3 min.
本文轉載自 聽見AED Facebook 粉絲專頁(2023年8月29日)。想即時收到急救資訊與救援故事,歡迎加入 聽見AED LINE 官方帳號。


