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[Analysis of the intra-hospital attending of ventricular fibrilation/ventricular taquicardia simulated events]

Authors :
Miguel Antônio, Moretti
André Moreira, Bento
Ana Paula, Quilici
Márcia, Martins
Luís Francisco, Cardoso
Sérgio, Timerman
Source :
Arquivos brasileiros de cardiologia. 84(6)
Publication Year :
2005

Abstract

To analyze the time intervals between the beginning of the Ventricular Fibrilation/Ventricular Taquicardia (VF/VT) and the main procedures made.Twenty VF/VT simulations were performed and filmed in a hospital environment, using a static mannequin, on random days at random times. All teams had the same level of skills. The times (in sec.) related to basic life support (BLS) - arrival of the team (AT), confirmation of the arrest (CAT), beginning of the CPR (IT) and the times related to the advanced life support (ALS) - 1st defibrillation (DT), 1st dose of adrenalin (AT) and orotracheal intubation (OTIT). The variables were analyzed and compared in two groups: intensive care unit (ICU) and wards with telemetry (TLW).The results in both groups was in that order (GW x ICU ) - AT (70.2+38.7 x 38.6+49.2); CCA (89.4+57.1 x 71+63.9); SC (166.8+81.1 x 142+66.2); FD (282.5+142.8 x 108.4+52.5); FE (401.4+161.7 x 263.3+122.8) e OI (470.3+150.6 x 278.8+98.8). Shows the comparison of the average times between the two groups.The differences noted in relation to DT, AT and OTIT favorable to ICU are associated to the facility of performance of the ALS maneuvers in such environment. The BLS-related times were similar in both groups, which reinforce the need for the use of semi-automatic defibrillators, even in a hospital environment.

Details

ISSN :
0066782X
Volume :
84
Issue :
6
Database :
OpenAIRE
Journal :
Arquivos brasileiros de cardiologia
Accession number :
edsair.pmid..........e443b5bc7065c6c878d89bf1eb52f583