hero
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Which of the following is the most important variable associated with survival following cardiac arrest?
1. Time to defibrillation (Tdefib)
2. Early CPR
3. Access to emergency departments
4. Training and ability of the code blue team
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| RX 135
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1
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| Ivonne
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1
Early access to automated external defibrillators (AEDs) doubles the rate of survival to discharge in patients having out-of-hospital cardiac arrest, while implementation of advanced cardiac life support (ACLS) in a system already optimized for defibrillation adds no further survival benefit, according to the results of two studies published in the Aug. 12 issue of the New England Journal of Medicine.
"The four links in the chain are early access to care, early initiation of cardiopulmonary resuscitation (CPR), rapid defibrillation, and early advanced cardiac life support," he explains, adding, "By far, the most important factor for success in resuscitation is time to treatment, in particular, defibrillation.... Defibrillation should be the primary treatment focus within the first four minutes of ventricular fibrillation."
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| inkspot
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2 ?
you start with CPR and then move to defibrillation isin it?
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| SmokyWaters
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isnt this 2? hero whats the answeR?
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| arlete
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It's 1. CPR does not substitute early defibrillation.
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| farnsworth
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the answer is (1), see: http://content.nejm.org/cgi/content/abstract/358/...
Anyway, if you ever happen to find a person w/ cardiocirculatory arrest, you should initiate CPR until someone gets an AED, attaches it and lets it analyze the rhythm (you have to stop chest compressions for the analysis with the currently available devices), see flowcharts attached.
For the complete 2005 guidelines published by the American Heart Association, see (free online access!):
http://circ.ahajournals.org/content/vol112/24_sup...
Attached Files:
ERC2005 Summary.pdf (1111 KB, 1 downloads)
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| docnikki
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very good quest 
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