Multicenter, Randomized, Controlled Trial of 150-J Biphasic Shocks Compared With 200- to 360-J Monophasic Shocks in the Resuscitation of Out-of-Hospital Cardiac Arrest Victims
for the Optimized Response to Cardiac Arrest (ORCA) Investigators Background—In the present study, we compared an automatic external defibrillator (AED) that delivers 150-J biphasic shocks with traditional high-energy (200- to 360-J) monophasic AEDs. Methods and Results—AEDs were prospectively rando...
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ftciteseerx:oai:CiteSeerX.psu:10.1.1.462.148 2023-05-15T17:53:54+02:00 Multicenter, Randomized, Controlled Trial of 150-J Biphasic Shocks Compared With 200- to 360-J Monophasic Shocks in the Resuscitation of Out-of-Hospital Cardiac Arrest Victims Thomas Schneider Leo Bossaert The Pennsylvania State University CiteSeerX Archives application/pdf http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.462.148 http://210.38.57.228/151/re2/CPCR/asp/Resource/pdf/150J DF And 200-360J DF.pdf en eng http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.462.148 http://210.38.57.228/151/re2/CPCR/asp/Resource/pdf/150J DF And 200-360J DF.pdf Metadata may be used without restrictions as long as the oai identifier remains attached to it. http://210.38.57.228/151/re2/CPCR/asp/Resource/pdf/150J DF And 200-360J DF.pdf text ftciteseerx 2016-10-16T00:03:52Z for the Optimized Response to Cardiac Arrest (ORCA) Investigators Background—In the present study, we compared an automatic external defibrillator (AED) that delivers 150-J biphasic shocks with traditional high-energy (200- to 360-J) monophasic AEDs. Methods and Results—AEDs were prospectively randomized according to defibrillation waveform on a daily basis in 4 emergency medical services systems. Defibrillation efficacy, survival to hospital admission and discharge, return of spontaneous circulation, and neurological status at discharge (cerebral performance category) were compared. Of 338 patients with out-of-hospital cardiac arrest, 115 had a cardiac etiology, presented with ventricular fibrillation, and were shocked with an AED. The time from the emergency call to the first shock was 8.963.0 (mean6SD) minutes. Conclusions—The 150-J biphasic waveform defibrillated at higher rates, resulting in more patients who achieved a return of spontaneous circulation. Although survival rates to hospital admission and discharge did not differ, discharged patients who had been resuscitated with biphasic shocks were more likely to have good cerebral performance. (Circulation. 2000;102:1780-1787.) Key Words: defibrillation n resuscitation n heart arrest n heart-arrest device Sudden cardiac arrest associated with ventricular fibrilla-tion (VF) remains a leading cause of unexpected death in the Western world.1,2 Rapid-response programs3,4 with auto- Text Orca Unknown |
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for the Optimized Response to Cardiac Arrest (ORCA) Investigators Background—In the present study, we compared an automatic external defibrillator (AED) that delivers 150-J biphasic shocks with traditional high-energy (200- to 360-J) monophasic AEDs. Methods and Results—AEDs were prospectively randomized according to defibrillation waveform on a daily basis in 4 emergency medical services systems. Defibrillation efficacy, survival to hospital admission and discharge, return of spontaneous circulation, and neurological status at discharge (cerebral performance category) were compared. Of 338 patients with out-of-hospital cardiac arrest, 115 had a cardiac etiology, presented with ventricular fibrillation, and were shocked with an AED. The time from the emergency call to the first shock was 8.963.0 (mean6SD) minutes. Conclusions—The 150-J biphasic waveform defibrillated at higher rates, resulting in more patients who achieved a return of spontaneous circulation. Although survival rates to hospital admission and discharge did not differ, discharged patients who had been resuscitated with biphasic shocks were more likely to have good cerebral performance. (Circulation. 2000;102:1780-1787.) Key Words: defibrillation n resuscitation n heart arrest n heart-arrest device Sudden cardiac arrest associated with ventricular fibrilla-tion (VF) remains a leading cause of unexpected death in the Western world.1,2 Rapid-response programs3,4 with auto- |
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The Pennsylvania State University CiteSeerX Archives |
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Text |
author |
Thomas Schneider Leo Bossaert |
spellingShingle |
Thomas Schneider Leo Bossaert Multicenter, Randomized, Controlled Trial of 150-J Biphasic Shocks Compared With 200- to 360-J Monophasic Shocks in the Resuscitation of Out-of-Hospital Cardiac Arrest Victims |
author_facet |
Thomas Schneider Leo Bossaert |
author_sort |
Thomas Schneider |
title |
Multicenter, Randomized, Controlled Trial of 150-J Biphasic Shocks Compared With 200- to 360-J Monophasic Shocks in the Resuscitation of Out-of-Hospital Cardiac Arrest Victims |
title_short |
Multicenter, Randomized, Controlled Trial of 150-J Biphasic Shocks Compared With 200- to 360-J Monophasic Shocks in the Resuscitation of Out-of-Hospital Cardiac Arrest Victims |
title_full |
Multicenter, Randomized, Controlled Trial of 150-J Biphasic Shocks Compared With 200- to 360-J Monophasic Shocks in the Resuscitation of Out-of-Hospital Cardiac Arrest Victims |
title_fullStr |
Multicenter, Randomized, Controlled Trial of 150-J Biphasic Shocks Compared With 200- to 360-J Monophasic Shocks in the Resuscitation of Out-of-Hospital Cardiac Arrest Victims |
title_full_unstemmed |
Multicenter, Randomized, Controlled Trial of 150-J Biphasic Shocks Compared With 200- to 360-J Monophasic Shocks in the Resuscitation of Out-of-Hospital Cardiac Arrest Victims |
title_sort |
multicenter, randomized, controlled trial of 150-j biphasic shocks compared with 200- to 360-j monophasic shocks in the resuscitation of out-of-hospital cardiac arrest victims |
url |
http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.462.148 http://210.38.57.228/151/re2/CPCR/asp/Resource/pdf/150J DF And 200-360J DF.pdf |
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http://210.38.57.228/151/re2/CPCR/asp/Resource/pdf/150J DF And 200-360J DF.pdf |
op_relation |
http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.462.148 http://210.38.57.228/151/re2/CPCR/asp/Resource/pdf/150J DF And 200-360J DF.pdf |
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Metadata may be used without restrictions as long as the oai identifier remains attached to it. |
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1766161603426779136 |