?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Early+Outcomes+of+Out-of-Hospital+Cardiac+Arrest+after+Early+Defibrillation%3A+a+24+Months+Retrospective+Analysis%0A&rft.creator=Terranova%2C+Paolo&rft.creator=Valli%2C+Paolo&rft.creator=Dell'Orto%2C+Simonetta&rft.creator=Greco%2C+Enrico+Maria&rft.subject=Indian+Pacing+and+Electrophysiology+Journal&rft.description=Introduction%3A+Cardiovascular+disease+remains+the+most+common+cause+of+death+in+the+United+States+and+most+other+Western+nations.+Among+these+deaths%2C+sudden%2C+out-of-hospital+cardiac+arrest+claims+approximately+1000+lives+each+day+in+the+United+States+alone.+Most+of+these+cardiac+arrests+are+due+to+ventricular+fibrillation.+Though+highly+reversible+with+the+rapid+application+of+a+defibrillator%2C+ventricular+fibrillation+is+otherwise+fatal+within+minutes%2C+even+when+cardiopulmonary+resuscitation+is+provided+immediately.+The+overall+survival+rate+in+the+United+States+is+estimated+to+be+less+than+5+percent.+Recent+developments+in+automated-external-defibrillator+technology+have+provided+a+means+of+increasing+the+rate+of+prompt+defibrillation+after+out-of-hospital+cardiac+arrest.+After+minimal+training%2C+nonmedical+personnel+(e.g.%2C+flight+attendants+and+casino+workers)+are+also+able+to+use+defibrillators+in+the+workplace%2C+with+lifesaving+effects.+Nonetheless%2C+such+programs+have+involved+designated+personnel+whose+job+description+includes+assisting+persons+who+have+had+sudden+cardiac+arrest.+Data+are+still+lacking+on+the+success+of+programs+in+which+automated+external+defibrillators+have+been+installed+in+public+places+to+be+used+by+persons+who+have+no+specific+training+or+duty+to+act.++++++++%0A%0AMaterials+and+Methods%3A+All+patients+who+had+an+out-of-hospital+cardiac+arrest+between+January+2003+and+December+2004+and+who+received+early+defibrillation+for+ventricular+fibrillation+were+included.+We+conducted+a+24+months+retrospective+population-based+analysis+of+the+outcome+in+our+population.%0A%0AResults%3A+Over+a+24+month+period%2C+446+people+had+non%E2%80%93traumatic+cardiac+arrest%2C+and+in+all+of+them+it+was+observed+to+be+ventricular+fibrillation.+In+a+very+few+cases%2C+the+defibrillator+operators+were+good+Samaritans%2C+acting+voluntarily.+Eighty-nine+patients++(about+19%25)+with+ventricular+fibrillation+were+successfully+resuscitated%2C+including+eighteen+who+regained+consciousness+before+hospital+admission.%0A%0AConclusion%3A+Automated+external+defibrillators+deployed+in+readily+accessible%2C+well-marked+areas%2C+are+really+very+effective+in+assisting+patients+with+cardiac+arrest.+However%2C+it's+quite+true+that%2C+in+the+cases+of+survivors%2C+most+of+our+users+had+good+prior+training+in+the+use+of+these+devices.%0A%0A&rft.publisher=Indian+Pacing+and+Electrophysiology+Group&rft.contributor=Singh%2C+Balbir&rft.contributor=Lokhandwala%2C+Yash&rft.contributor=Francis%2C+Johnson&rft.contributor=Gupta%2C+Anup&rft.contributor=Ghosh%2C+Joydeep&rft.date=2006-10&rft.type=Journal+(Paginated)&rft.type=PeerReviewed&rft.format=text%2Fhtml&rft.identifier=http%3A%2F%2Fcogprints.org%2F5242%2F1%2Fterranova3.htm&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F5242%2F2%2Fterranova3.pdf&rft.identifier=++Terranova%2C+Paolo+and+Valli%2C+Paolo+and+Dell'Orto%2C+Simonetta+and+Greco%2C+Enrico+Maria++(2006)+Early+Outcomes+of+Out-of-Hospital+Cardiac+Arrest+after+Early+Defibrillation%3A+a+24+Months+Retrospective+Analysis.++%5BJournal+(Paginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F5242%2F