The efficacy of an ACLS training program for resuscitation from cardiac arrest in a rural community
Study objective: To determine whether an advanced cardiac life support (ACLS) course in a rural hospital will improve resuscitation success from cardiac arrest. Design: A retrospective case review of all patients in cardiac arrest during a 13-month period before and after the institution of an ACLS...
Gespeichert in:
| Veröffentlicht in: | Annals of emergency medicine 1994-01, Vol.23 (1), p.56-59 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 59 |
|---|---|
| container_issue | 1 |
| container_start_page | 56 |
| container_title | Annals of emergency medicine |
| container_volume | 23 |
| creator | Sanders, Arthur B Berg, Robert A Burress, Marlene Genova, Ronald T Kern, Karl B Ewy, Gordon A |
| description | Study objective: To determine whether an advanced cardiac life support (ACLS) course in a rural hospital will improve resuscitation success from cardiac arrest.
Design: A retrospective case review of all patients in cardiac arrest during a 13-month period before and after the institution of an ACLS training program.
Setting: Emergency department of a 42-bed rural, community hospital in a community with no prehospital advanced life support or early defibrillation.
Participants: All patients in cardiac arrest were entered into the data base. Twenty-nine patients were included in the pre-ACLS period and 35 in the post-ACLS period. There were no significant differences in age, gender, initial rhythm, comorbid diseases, witnessed versus unwitnessed arrest, or total arrest time in the patients in the pre-ACLS period compared with those in the post-ACLS period.
Intervention: ACLS provider training.
Main results: Patients in cardiac arrest who had ventricular fibrillation/tachycardia as their initial rhythm had significant improvement in resuscitation success compared with patients in ventricular fibrillation/tachycardia in the pre-ACLS period (six of 15 versus none of nine, P |
| doi_str_mv | 10.1016/S0196-0644(94)70009-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_76330017</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0196064494700095</els_id><sourcerecordid>76330017</sourcerecordid><originalsourceid>FETCH-LOGICAL-c389t-f2f7e0d0ed31c602545d37510f368fb67249b6c290ff10d205a6a5293c6dc1e33</originalsourceid><addsrcrecordid>eNqFkE1vEzEQhi0EKmnhJ1TyASF6WBivd-34hKqILykSh5azNZm1i9GuXezdSvn3OE2UKycf3mc87zyMXQv4KECoT3cgjGpAdd0H091oADBN_4KtBBjdKK3gJVudkdfsspQ_B6ZrxQW7WLdaGgUrRve_HXfeB0La8-Q5Rn672d7xOWOIIT7wx5weMk7cp8yzK0uhMOMcUuQ-p4kT5iEgccw1nHmIHHleMo6c0jQtMcz7N-yVx7G4t6f3iv36-uV-873Z_vz2Y3O7bUiuzdz41msHA7hBClLQ9l0_SN0L8FKt_U7ptjM7Ra0B7wUMLfSosG-NJDWQcFJesffHf2vlv0ttY6dQyI0jRpeWYrWSEkDoCvZHkHIqJTtvH3OYMO-tAHuQa5_l2oM5azr7LNf2de76tGDZTW44T51s1vzdKcdCOPqMkUI5Y_VKKeVh_ecj5qqMp-CyrU5dJDeE7Gi2Qwr_KfIPdXSVvg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>76330017</pqid></control><display><type>article</type><title>The efficacy of an ACLS training program for resuscitation from cardiac arrest in a rural community</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Sanders, Arthur B ; Berg, Robert A ; Burress, Marlene ; Genova, Ronald T ; Kern, Karl B ; Ewy, Gordon A</creator><creatorcontrib>Sanders, Arthur B ; Berg, Robert A ; Burress, Marlene ; Genova, Ronald T ; Kern, Karl B ; Ewy, Gordon A</creatorcontrib><description>Study objective: To determine whether an advanced cardiac life support (ACLS) course in a rural hospital will improve resuscitation success from cardiac arrest.
Design: A retrospective case review of all patients in cardiac arrest during a 13-month period before and after the institution of an ACLS training program.
Setting: Emergency department of a 42-bed rural, community hospital in a community with no prehospital advanced life support or early defibrillation.
Participants: All patients in cardiac arrest were entered into the data base. Twenty-nine patients were included in the pre-ACLS period and 35 in the post-ACLS period. There were no significant differences in age, gender, initial rhythm, comorbid diseases, witnessed versus unwitnessed arrest, or total arrest time in the patients in the pre-ACLS period compared with those in the post-ACLS period.
Intervention: ACLS provider training.
Main results: Patients in cardiac arrest who had ventricular fibrillation/tachycardia as their initial rhythm had significant improvement in resuscitation success compared with patients in ventricular fibrillation/tachycardia in the pre-ACLS period (six of 15 versus none of nine, P<.05). Out-of-hospital cardiac arrest resuscitation was more successful in the post-ACLS period than in the pre-ACLS period (five of 30 versus none of 25, P<.05). Overall, seven of 35 patients (20%) were resuscitated successfully in the post-ACLS period, with two patients surviving to hospital discharge. This was not significantly different than the two of 29 patients (7%) resuscitated in the pre-ACLS period, with one patient surviving to discharge.
Conclusion: The institution of an ACLS-provider course in a rural community hospital was associated with improvement in initial resuscitation for patients with ventricular fibrillation/tachycardia and out-of-hospital arrest.</description><identifier>ISSN: 0196-0644</identifier><identifier>EISSN: 1097-6760</identifier><identifier>DOI: 10.1016/S0196-0644(94)70009-5</identifier><identifier>PMID: 8273960</identifier><identifier>CODEN: AEMED3</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Cardiopulmonary Resuscitation - education ; Evaluation Studies as Topic ; Female ; Heart Arrest - therapy ; Hospital Bed Capacity, under 100 ; Hospitals, Community ; Hospitals, Rural ; Humans ; Inservice Training ; Male ; Medical sciences ; Miscellaneous ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Retrospective Studies ; Teaching. Deontology. Ethics. Legislation ; United States ; Workforce</subject><ispartof>Annals of emergency medicine, 1994-01, Vol.23 (1), p.56-59</ispartof><rights>1994 American College of Emergency Physicians. All rights reserved</rights><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-f2f7e0d0ed31c602545d37510f368fb67249b6c290ff10d205a6a5293c6dc1e33</citedby><cites>FETCH-LOGICAL-c389t-f2f7e0d0ed31c602545d37510f368fb67249b6c290ff10d205a6a5293c6dc1e33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0196-0644(94)70009-5$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,4024,27923,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3893337$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8273960$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sanders, Arthur B</creatorcontrib><creatorcontrib>Berg, Robert A</creatorcontrib><creatorcontrib>Burress, Marlene</creatorcontrib><creatorcontrib>Genova, Ronald T</creatorcontrib><creatorcontrib>Kern, Karl B</creatorcontrib><creatorcontrib>Ewy, Gordon A</creatorcontrib><title>The efficacy of an ACLS training program for resuscitation from cardiac arrest in a rural community</title><title>Annals of emergency medicine</title><addtitle>Ann Emerg Med</addtitle><description>Study objective: To determine whether an advanced cardiac life support (ACLS) course in a rural hospital will improve resuscitation success from cardiac arrest.
Design: A retrospective case review of all patients in cardiac arrest during a 13-month period before and after the institution of an ACLS training program.
Setting: Emergency department of a 42-bed rural, community hospital in a community with no prehospital advanced life support or early defibrillation.
Participants: All patients in cardiac arrest were entered into the data base. Twenty-nine patients were included in the pre-ACLS period and 35 in the post-ACLS period. There were no significant differences in age, gender, initial rhythm, comorbid diseases, witnessed versus unwitnessed arrest, or total arrest time in the patients in the pre-ACLS period compared with those in the post-ACLS period.
Intervention: ACLS provider training.
Main results: Patients in cardiac arrest who had ventricular fibrillation/tachycardia as their initial rhythm had significant improvement in resuscitation success compared with patients in ventricular fibrillation/tachycardia in the pre-ACLS period (six of 15 versus none of nine, P<.05). Out-of-hospital cardiac arrest resuscitation was more successful in the post-ACLS period than in the pre-ACLS period (five of 30 versus none of 25, P<.05). Overall, seven of 35 patients (20%) were resuscitated successfully in the post-ACLS period, with two patients surviving to hospital discharge. This was not significantly different than the two of 29 patients (7%) resuscitated in the pre-ACLS period, with one patient surviving to discharge.
Conclusion: The institution of an ACLS-provider course in a rural community hospital was associated with improvement in initial resuscitation for patients with ventricular fibrillation/tachycardia and out-of-hospital arrest.</description><subject>Biological and medical sciences</subject><subject>Cardiopulmonary Resuscitation - education</subject><subject>Evaluation Studies as Topic</subject><subject>Female</subject><subject>Heart Arrest - therapy</subject><subject>Hospital Bed Capacity, under 100</subject><subject>Hospitals, Community</subject><subject>Hospitals, Rural</subject><subject>Humans</subject><subject>Inservice Training</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Retrospective Studies</subject><subject>Teaching. Deontology. Ethics. Legislation</subject><subject>United States</subject><subject>Workforce</subject><issn>0196-0644</issn><issn>1097-6760</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1vEzEQhi0EKmnhJ1TyASF6WBivd-34hKqILykSh5azNZm1i9GuXezdSvn3OE2UKycf3mc87zyMXQv4KECoT3cgjGpAdd0H091oADBN_4KtBBjdKK3gJVudkdfsspQ_B6ZrxQW7WLdaGgUrRve_HXfeB0La8-Q5Rn672d7xOWOIIT7wx5weMk7cp8yzK0uhMOMcUuQ-p4kT5iEgccw1nHmIHHleMo6c0jQtMcz7N-yVx7G4t6f3iv36-uV-873Z_vz2Y3O7bUiuzdz41msHA7hBClLQ9l0_SN0L8FKt_U7ptjM7Ra0B7wUMLfSosG-NJDWQcFJesffHf2vlv0ttY6dQyI0jRpeWYrWSEkDoCvZHkHIqJTtvH3OYMO-tAHuQa5_l2oM5azr7LNf2de76tGDZTW44T51s1vzdKcdCOPqMkUI5Y_VKKeVh_ecj5qqMp-CyrU5dJDeE7Gi2Qwr_KfIPdXSVvg</recordid><startdate>199401</startdate><enddate>199401</enddate><creator>Sanders, Arthur B</creator><creator>Berg, Robert A</creator><creator>Burress, Marlene</creator><creator>Genova, Ronald T</creator><creator>Kern, Karl B</creator><creator>Ewy, Gordon A</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199401</creationdate><title>The efficacy of an ACLS training program for resuscitation from cardiac arrest in a rural community</title><author>Sanders, Arthur B ; Berg, Robert A ; Burress, Marlene ; Genova, Ronald T ; Kern, Karl B ; Ewy, Gordon A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-f2f7e0d0ed31c602545d37510f368fb67249b6c290ff10d205a6a5293c6dc1e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Biological and medical sciences</topic><topic>Cardiopulmonary Resuscitation - education</topic><topic>Evaluation Studies as Topic</topic><topic>Female</topic><topic>Heart Arrest - therapy</topic><topic>Hospital Bed Capacity, under 100</topic><topic>Hospitals, Community</topic><topic>Hospitals, Rural</topic><topic>Humans</topic><topic>Inservice Training</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Retrospective Studies</topic><topic>Teaching. Deontology. Ethics. Legislation</topic><topic>United States</topic><topic>Workforce</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sanders, Arthur B</creatorcontrib><creatorcontrib>Berg, Robert A</creatorcontrib><creatorcontrib>Burress, Marlene</creatorcontrib><creatorcontrib>Genova, Ronald T</creatorcontrib><creatorcontrib>Kern, Karl B</creatorcontrib><creatorcontrib>Ewy, Gordon A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sanders, Arthur B</au><au>Berg, Robert A</au><au>Burress, Marlene</au><au>Genova, Ronald T</au><au>Kern, Karl B</au><au>Ewy, Gordon A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The efficacy of an ACLS training program for resuscitation from cardiac arrest in a rural community</atitle><jtitle>Annals of emergency medicine</jtitle><addtitle>Ann Emerg Med</addtitle><date>1994-01</date><risdate>1994</risdate><volume>23</volume><issue>1</issue><spage>56</spage><epage>59</epage><pages>56-59</pages><issn>0196-0644</issn><eissn>1097-6760</eissn><coden>AEMED3</coden><abstract>Study objective: To determine whether an advanced cardiac life support (ACLS) course in a rural hospital will improve resuscitation success from cardiac arrest.
Design: A retrospective case review of all patients in cardiac arrest during a 13-month period before and after the institution of an ACLS training program.
Setting: Emergency department of a 42-bed rural, community hospital in a community with no prehospital advanced life support or early defibrillation.
Participants: All patients in cardiac arrest were entered into the data base. Twenty-nine patients were included in the pre-ACLS period and 35 in the post-ACLS period. There were no significant differences in age, gender, initial rhythm, comorbid diseases, witnessed versus unwitnessed arrest, or total arrest time in the patients in the pre-ACLS period compared with those in the post-ACLS period.
Intervention: ACLS provider training.
Main results: Patients in cardiac arrest who had ventricular fibrillation/tachycardia as their initial rhythm had significant improvement in resuscitation success compared with patients in ventricular fibrillation/tachycardia in the pre-ACLS period (six of 15 versus none of nine, P<.05). Out-of-hospital cardiac arrest resuscitation was more successful in the post-ACLS period than in the pre-ACLS period (five of 30 versus none of 25, P<.05). Overall, seven of 35 patients (20%) were resuscitated successfully in the post-ACLS period, with two patients surviving to hospital discharge. This was not significantly different than the two of 29 patients (7%) resuscitated in the pre-ACLS period, with one patient surviving to discharge.
Conclusion: The institution of an ACLS-provider course in a rural community hospital was associated with improvement in initial resuscitation for patients with ventricular fibrillation/tachycardia and out-of-hospital arrest.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>8273960</pmid><doi>10.1016/S0196-0644(94)70009-5</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0196-0644 |
| ispartof | Annals of emergency medicine, 1994-01, Vol.23 (1), p.56-59 |
| issn | 0196-0644 1097-6760 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_76330017 |
| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Biological and medical sciences Cardiopulmonary Resuscitation - education Evaluation Studies as Topic Female Heart Arrest - therapy Hospital Bed Capacity, under 100 Hospitals, Community Hospitals, Rural Humans Inservice Training Male Medical sciences Miscellaneous Public health. Hygiene Public health. Hygiene-occupational medicine Retrospective Studies Teaching. Deontology. Ethics. Legislation United States Workforce |
| title | The efficacy of an ACLS training program for resuscitation from cardiac arrest in a rural community |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T07%3A40%3A53IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20efficacy%20of%20an%20ACLS%20training%20program%20for%20resuscitation%20from%20cardiac%20arrest%20in%20a%20rural%20community&rft.jtitle=Annals%20of%20emergency%20medicine&rft.au=Sanders,%20Arthur%20B&rft.date=1994-01&rft.volume=23&rft.issue=1&rft.spage=56&rft.epage=59&rft.pages=56-59&rft.issn=0196-0644&rft.eissn=1097-6760&rft.coden=AEMED3&rft_id=info:doi/10.1016/S0196-0644(94)70009-5&rft_dat=%3Cproquest_cross%3E76330017%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=76330017&rft_id=info:pmid/8273960&rft_els_id=S0196064494700095&rfr_iscdi=true |