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标题：NECESSITY OF INTRODUCING THE UNIQUE PROTOCOLS FOR TELEPHONE- ASSISTED CARDIOPULMONARY REANIMATION FROM THE DISPATCH CENTER
其他标题：NEOPHODNOST UVOĐENJA JEDINSTVENOG PROTOKOLA ZA TELEFONSKIM PUTEM ASISTIRANU KARDIOPULMONALNU REANIMACIJU IZ DISPEČERSKOG CENTRA
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作者：Radojka Jokšić-Mazinjanin ; Radojka Jokšić-Mazinjanin ; Milena Jokšić-Zelić 等
期刊名称：Zbornik Radova Akademije Umetnosti
印刷版ISSN：2334-8666
电子版ISSN：2560-3108
出版年度：2014
卷号：14
期号：1
页码：15-20
语种：English
出版社：Akademija umetnosti Univerziteta u Novom Sadu
摘要：INTRODUCTION: Sudden cardiac arrest (SCA) is defined as a cessation of normal circulation of blood due to failure of the heart to contract effectively during the systole. Timely treatment of SCA improves chances for survival up to three times, until the discharge from a hospital. OBJECTIVE: Prove that there is a need to introduce a unified protocol for telephone-assisted cardiopulmonary reanimation (CPR) in dispatching centers. MATERIALS AND METHODS: Retrospective, observational research was conducted at the in the Institute for Emergency Medical Service Novi Sad (IEMSNS) in the period from 01 January 2008 to 31 December 2012. Data were collected from application forms indicators of quality of work of emergency medical services (EMS). All the data were calculated by using a statistic package Statistica 7th. RESULTS: During the five-year period, ambulance squads of IEMS Novi Sad had 183.882 patients on the field. CPR was initiated in 198 patients. Prehospital in 213 (25.33%) patients had established spontaneous circulation after CPR applied measures. In the last three years in 68.19% of cases of sudden cardiac arrest was an eyewitness to a layman, and survival in this group of patients was 19.30%. In the group of patients where the eyewitness was the team EMS survival was 36.78%. Activation time and reaction time were increasing trend from 2009 to 2011 that 2012 amounted to 1.32 minutes and 7.67 minutes. At the same time, the trend of successful prehospital CPR where the eyewitness was a layman he was dropped from 23.13% in 2010 to 18.95% in 2012. Trend of successful CPR where the team EMS witnessed was a significant increase, from 29.41% in 2010 to 40% in 2012. CONCLUSION: The increase in population in Novi Sad increasing calls for the dispatch center IEMSNS which results in an extension of the activation time. Greater traffic congestion led to the extension of reaction time. Better equipment and training team leads to a rise in the number of successful CPR when an eyewitness team EMS. At the same time it reduces the number of successful CPR which witnessed sudden cardiac arrest layman. Therefore, it is necessary to introduce a unique dispatching protocol for telephone- assisted CPR to as many laymen eyewitnesses began CPR before the arrival of EMS teams.
其他摘要：Uvod: Iznenadni srčani zastoj se definiše kao nagli prestanak cirkulacije krvi usled nemogućnosti miokarda da se kontrahuje tokom sistole. Odmah preduzete mere kardiopulmonalne reanimacije (KPR) kod pacijenta sa srčanim zastojem povećavaju šansu za preživ
关键词：sudden cardiac arrest; CPR; telephone-assisted CPR; unique dispatching protocol for CPR
其他关键词：iznenadni srčani zastoj; KPR; telefonski asistirana KPR; jedinstveni dispečerski protokol za KPR