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消防電子報資料庫首頁 :: 消防英文
 
Dual dispatch to cardiac arrest: can it save lives? Survival chances increase when EMT-trained firefighters are dual-dispatched with EMS units
-- 救護車及載有EMT資格消防人員消防車之雙重派遣能否增加心臟驟停患者的存活率?
文/陳思源

The American Heart Association estimates that there are more than 356,000 out-of-hospital cardiac arrests (OHCA) annually and that about 90 percent are fatal. Reducing response times to OHCAs and ensuring quicker initiation of CPR and defibrillation is critical to saving lives.(美國心臟協會估計每年美國境內約有35萬6千名到院前無心跳呼吸(以下簡稱OHCA)患者,而且其中90%可能會死亡。因此,縮短救援時效,並儘快對其進行CPR心肺復甦術及電擊除顫是極其重要的。)

A recent study involving the Houston Fire Department evaluated the survivability outcomes when EMT-trained firefighters were dual-dispatched with EMS units. It measured the return of spontaneous circulation in OHCA victims under a variety of conditions such as the type of heart rhythm, whether bystander CPR was conducted first, and whether the cardiac event was witnessed.(最近1項休士頓消防部門研究分析救護車及載有EMT資格消防人員之雙重派遣對OHCA患者存活率影響。該研究依患者的心律狀況、現場有無目擊者、旁觀者是否於第一時間進行CPR急救等不同情況統計OHCA患者經搶救後恢復自主呼吸的情形。)

Study results(研究結果)
1. In instances where bystander CPR was performed, a 1.5 minute delay in EMS response led to a 20.1 percent decrease in the probability of attaining return of spontaneous circulation. In the more common cases of ventricular fibrillation, that same 1.5 minute delay led to a 47.7 percent decreased probability of the return of spontaneous circulation.(在旁觀者於第一時間進行CPR急救,且1.5分鐘後救護人員抵達接手之案例,OHCA患者恢復自主呼吸之可能性降低20.1%;在更常見之心室顫動患者案例,同樣1.5分鐘後救護人員抵達開始救援之情形下,OHCA患者恢復自主呼吸之可能性降低47.7%。)
2. Dual dispatch of EMT-trained firefighters shortens response time and leads to a significant increase in the chance for survival.(有EMT資格消防員之雙重派遣可縮短救援時效,並可有效提升患者存活率。)










註:本文相關內容來自https://www.usfa.fema.gov/(本專欄內容可能與我國消防現況有所出入,僅供學習消防英文參考使用。)


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