Drajer S

Language: Spanish
References: 0
Page: 227-228
PDF size: 166.04 Kb.

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The emergency medical care services have developed an extraordinary efficiency in the treatment of conditions that require an immediate medical solution, but this efficiency is strongly subjected to the time of arrival and action of the emergency services since the beginning of the cardiac arrest. As an example, the effect on out-of-hospital sudden deaths in untreated cardiac arrests is highlighted when the time of attendance of the ambulance to the site of the arrest is reduced (usually less than 15 minutes).
Out of 13820 registered arrests, complete data were obtained in 10554 (76%). A total of 663 patients survived to hospital discharge (6%). When adjusting the significant covariates, it was found that reducing the time of arrival of the Medical Emergency Systems (MES) was associated with a greater chance of defibrillation and improved survival figures of those who could be defibrillated. Reducing the time of arrival from 90 to 8 minutes increased the survival to 8%, and reducing it to 5 minutes, increased it to 10.13%, almost twice the initial value.