到院前無生命徵象患者存活率之探討-以高雄市為例

Investigation of Factors Related to Survival for Patients with Out-Of-Hospital Cardiac Arrest – Data Analysis of Kaoshiung City

沈永年、施武鈞
Y. N. Sheen and W. C. SHIH 高雄應用科技大學 土木工程與防災科技研究所

摘要

　　本研究係針對104年高雄市政府消防局所執行到院前創傷OHCA傷患為研究對象，透過文獻探討、統計軟體分析相關實際案例，並將到院前救護，分為出勤人員狀況、現場急救處置、救護時間以及後送醫院等級四個構面，期望找出對到院前創傷OHCA傷患存活率最相關因子並建議消防局日後能針對相關因子加以強化訓練，期能使到院前創傷OHCA傷者能有更高的存活率。

關鍵字：創傷OHCA、現場急救時間、存活率、醫院緊急醫療能力。

ABSTRACT

Current paper investigates the relevant factors for survival rate of those patients with trauma of Out of Hospital Cardiac Arrest (OHCA) from the emergent operations by Kaoshiung City Fire Bureau in 2015. Through literature reviews and statistical analysis, current study concludes four major facets for the success on the pre-hospital resuscitations which are personnel status (EMT level), on-site treatment, first-aid time-span, and hospital emergency levels. Suggestion from current study is that the strengthening the relevant trainings for the line EMT operator can effectively increase the survival rate for trauma OHCA patients.

Keywords: Trauma OHCA; Site First-Aid Time-Span; Survival Rate; First-Aid Medical Capability of Hospital