People who suffer a cardiac arrest while in a GP clinic are twice as likely to survive if they defibrillate quickly with an automated external defibrillator instead of waiting to be defibrillated after ‘arrival of paramedics, according to the authors of the research published today by Australian Medical Journal.
More than 25,000 out-of-hospital cardiac arrests are recorded each year in Australia; the average survival rate until hospital discharge or 30 days is 12 percent.
“Effectively manage a patient experiencing a cardiac arrest, clinic staff must immediately take the initial steps of the “survival chain”: call, 000, provide cardiopulmonary resuscitation, and act defibrillation with an automated external defibrillator (AED), ”wrote the authors, led by Brian Haskins, a paramedic professor at Monash University.
“Although the clinic’s administrative staff must undergo cardiopulmonary resuscitation training every 3 years, accreditation from the Royal Australian College of General Practitioners does not require general practices have DAE in situ. “
Haskins and colleagues from the Victorian Ambulance Registry stopped looking for patients with non-traumatic cardiac arrests that emergency medical personnel tried to resuscitate between January 1, 2000. and December 30, 2019. They found 6363 cases of heart disease. stop: 216 in general practice clinics (3.4 percent) and 6,147 in the presence of health professionals (96.6 percent).
“The proportion of general practice clinic cases in which defibrillation was provided in the clinic increased from 2 of 37 in 2000-2003 (5 percent) to 19 of 57 patients in 2016-2019 (33 percent) “, they reported.
“Survival increased from 7 of 37 (19%) to 23 of 57 patients (40%).
“For patients with initially shocking rates, 57 of 126 patients in clinical cases (45%) and 1221 of 1929 people in paramedic control cases (63.3%) survived hospital discharge; of 47 general practice patients defibrillated by clinic staff, 27 survived (57 percent).
“For patients with initially shocking rhythms, the chances of survival were higher after paramedic testimonies [adjusted odds ratio [aOR], 3.39) or general clinic detentions with defibrillation by clinic staff (aOR, 2.23) than for general practice clinic detentions in which arriving paramedics provided defibrillation. “
Haskins and colleagues called for DEAs to become standard equipment in general practice clinics to allow rapid defibrillation when needed.
Brian Haskins et al, Cardiac arrests in general practice or face-to-face clinics for emergency medical services: a 20-year retrospective study, Australian Medical Journal (2021). DOI: 10.5694 / mja2.51139
Citation: Defibrillators in GP clinics should be standard (2021, July 5), retrieved July 5, 2021 at https://medicalxpress.com/news/2021-07-defibrillators-gp- clinics-standard.html
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