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A Pre-Hospital Cardiac Arrest Patient Surviving after Dispather-Assisted Defibrillation by an Untrained Witness

응급의료전화상담원의 도움에 의해 교육 받지 않은 목격자의 제세동 시행 후 생존한 병원 전 심정지 1례

  • Kim, Jong-Ho (119 EMS Team, Paju Fire Station) ;
  • Moon, Jun-Dong (Department of Emergency Medical Service, Kongju National University)
  • 김종호 (파주소방서 119구급대) ;
  • 문준동 (공주대학교 응급구조학과)
  • Received : 2018.01.08
  • Accepted : 2018.04.06
  • Published : 2018.04.30

Abstract

A 59-year-old man with no specific medical or family history complained of chest pain and became unconscious. A member of his family, who was a witness, called 119 and gave him dispatcher-assisted cardiopulmonary resuscitation, followed by defibrillation using an automated external defibrillator placed in his apartment. Afterward, he was given two sessions of defibrillation by the 119 emergency squad, then transferred to an emergency medical center with the return of spontaneous circulation. The patient was discharged with cerebral performance category (CPC) 1 15 days later. While dispatcher-assisted cardiopulmonary resuscitation and defibrillation is at its beginning stage in South Korea, this case seems to demonstrate its effectiveness. Moreover, this case suggests it can be particularly useful for helping untrained witnesses use an automated external defibrillator, which may have important implications in regions in which there are delayed responses of the 119 emergency squad to the site. It is also important to develop a plan for improving witness access to and quantitative supply of the South Korean public access defibrillation (PAD) program.

Keywords

Cardiopulmonary resuscitation;Defibrillation;Dispatcher;Bystander;Layperson

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