The Ontario Prehospital Advanced Life Support (OPALS) Study: rationale and methodology for cardiac arrest patients.
نویسندگان
چکیده
The Ontario Prehospital Advanced Life Support Study represents the largest prehospital study yet conducted, worldwide. This study will involve more than 25,000 cardiac arrest, trauma, and critically ill patients over an 8-year period. The study will evaluate the incremental benefit of rapid defibrillation and prehospital Advanced Cardiac Life Support measures for cardiac arrest survival and the benefit of Advanced Life Support for patients with traumatic injuries and other critically ill prehospital patients. This article describes the OPALS study with regard to the rationale and methodology for cardiac arrest patients.
منابع مشابه
Use of implantable cardioverter defibrillators after out-of-hospital cardiac arrest: a prospective follow-up study.
BACKGROUND Survivors of out-of-hospital cardiac arrest are at high risk of recurrent arrests, many of which could be prevented with implantable cardioverter defibrillators (ICDs). We sought to determine the ICD insertion rate among survivors of out-of-hospital cardiac arrest and to determine factors associated with ICD implantation. METHODS The Ontario Prehospital Advanced Life Support (OPALS...
متن کاملPrehospital termination of resuscitation in cases of refractory out-of-hospital cardiac arrest.
CONTEXT Identifying patients in the out-of-hospital setting who have no realistic hope of surviving an out-of-hospital cardiac arrest could enhance utilization of scarce health care resources. OBJECTIVE To validate 2 out-of-hospital termination-of-resuscitation rules developed by the Ontario Prehospital Life Support (OPALS) study group, one for use by responders providing basic life support (...
متن کاملAdvanced cardiac life support in out-of-hospital cardiac arrest.
BACKGROUND The Ontario Prehospital Advanced Life Support (OPALS) Study tested the incremental effect on the rate of survival after out-of-hospital cardiac arrest of adding a program of advanced life support to a program of rapid defibrillation. METHODS This multicenter, controlled clinical trial was conducted in 17 cities before and after advanced-life-support programs were instituted and enr...
متن کاملThe OPALS Major Trauma Study: impact of advanced life-support on survival and morbidity.
BACKGROUND To date, the benefit of prehospital advanced life-support programs on trauma-related mortality and morbidity has not been established METHODS The Ontario Prehospital Advanced Life Support (OPALS) Major Trauma Study was a before-after systemwide controlled clinical trial conducted in 17 cities. We enrolled adult patients who had experienced major trauma in a basic life-support phase...
متن کاملCardiac arrest care and emergency medical services in Canada.
BACKGROUND Heart disease is the primary cause of mortality in Canada and survival to hospital discharge from out-of-hospital cardiac arrest is low. OBJECTIVE To provide an overview of the outcomes for out-of-hospital cardiac arrest in Canada. METHODS A national, descriptive, Utstein-style analysis of cardiac arrest care and emergency medical services was conducted. Data were compiled from f...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Annals of emergency medicine
دوره 32 2 شماره
صفحات -
تاریخ انتشار 1998