2016.6.17 cprで胸骨圧迫を持続してやるべきか中断すべきか

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Back groundCPREMSCPR

picoP:I:C:O:

MethodStudy design and oversight

10EMSResuscitation Outcomes Consortium(ROC)114EMS

methodPatient populationEMSEMSDNREMSCPRCPR

Vf

methodStudy intervention

1:110/100/(continuous)VS 30:2(interrupted)

run-inphaseactivephase

CPR

methodOutcomes

Primary outcomeSecond outcomemodifiedRanking(06) Hospital-free survivalHospital-free survival

methodSTASTICAL ANALYSIS(p=0.05)90%23600(11800)active-enrollment phaseactive-enrollment phaserun-in phase95%

methodprimary outcomesecondary outcomeper-protocolper-protocolCPRper-protocolCPR

Per-protocol

result

Screening and Rondomization

CharacteristicsPretreatment:Table1

EMS (table 1,2)

13

CharacteristicsPosttreatment:Table

EMSCPRTable 2 ,SA-FigS4

14

Per-protocolCPRper-protocolcontinuous6108interrupted7371per-protocolEMSInterventioncontrolshockable rhythmVFPEA

Primary andsecondaryoutcome(Table3)

16

Additional analyses

17

Discussioncontinuousinterrupted continuousinterruptedper-protocolcontinuousinterrupted

discussionShcockable rhythmEMSshockable rhythmCPR

19

discussionCPR

discussion90%CPRCPRCPRevidence-based practice guidelineper-protocolcontinuousinterruptedcontinuousinterrupted

CPRCPRpractice guideline21

Limitation

.2.EMSEMS3.4.

conclusionEMSCPR