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2004, vol. 4, br. 1, str. 5-14
Program masovne primene defibrilacije u slučajevima vanhospitalnog ne-traumatskog srčanog zastoja - PAD program
aVojnomedicinska akademija, Klinika za anesteziologiju i intenzivnu terapiju, Beograd
bSlužba hitne medicinske pomoći, Beograd
cMinistarstvo zdravlja Republike Srbije, Beograd
Sažetak
Cilj ovog teksta je popularizacija defibrilacije kao efikasne mere u slučajevima ventrikularne fibrilacije (VF) i ventrikularne tahikardije bez pulsa (VT). Najveći broj vanhospitalnih slučajeva srčanog zastoja se dešava zbog VF/VT1 Defibrilacija je jedini poznati način lečenja VF/VT. Za svaki minut koji prođe bez defibrilacije, šanse da žrtva preživi srčani zastoj opada za 7-10%. Do skora je bilo uobičajeno da defibrilacija slučajeva vanhospitalnog srčanog zastoja bude samo u rukama osoblja hitne medicinske pomoći (HMP), a stopa preživljavanja zavisila je od kontaktiranja HMP i brzine njihovog dolaska. Na žalost i najbolji sistemi HMP kasne zbog gustog saobraćaja, osiguranih velikih zgrada, stambenih i poslovnih kompleksa i solitera. U NJujorku približno vreme dolaska HMP iznosi oko 12 minuta, tako da je stopa preživljavanja van-hospitalnog srčanog zastoja ispod 2%. Danas nova generacija automatskih spoljašnjih defibrilatora (ASD) čini mogućim da utrenirani spasilac-laik, izvede defibrilaciju. Američko udruženje za kardiologiju (AHA) razvilo je ASD kurs za spasioce i odgovorne osobe, kao što su policajci, vatrogasci, osoblje vazdušnog i pomorskog saobraćaja i ostali, kojim se odgovorne osobe pripremaju da izvedu odnovnu kardio-pulmonalnu reanimaciju (KPR) i primenu ASD - tzv. PAD (Public Access Defibrilation) program. AHA strogo preporučuje uspostavljanje PAD programa kao važnog načina za spašavanje života hiljadama žrtava van-hospitalnog srčanog zastoja ne-traumatske etiologije, širom sveta.
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O članku

jezik rada: srpski
vrsta rada: neklasifikovan
objavljen u SCIndeksu: 02.06.2007.

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