The defibrillation system of basic emergency medical technicians in Japan

A comparison with other systems from a 14-year review of out-of-hospital cardiac arrest reports

Miho Sekimoto, Mahbubur Rahman, Yosinori Noguchi, Kenji Hira, Takuro Shimbo, Tsuguya Fukui

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Although seven years have passed after basic emergency medical technician (EMT) defibrillatiorv system,was, introduced -in Japan,- the. overall .survival for out-of-hospital cardiac arrest (OHCA) remains poor. We investigated factors leading to such an unanticipated result in Japan by comparing the data of OHCA in Japan with those in other countries. We obtained population-based OHCA data from three communities in Japan. We also performed a comprehensive literature and manual search to identify reports that included rates for incidence and survival or provided sufficient data for the calculation of these rates of OHCA. Statistical analysis was performed to compare survival and incidence rates between the communities. We identified 36 articles from 16 countries by a comprehensive literature search. There was no significant difference in incidence and survival rates among communities in Japan. Although the incidence rate of collapse-witnessed OHCA with ventricular fibrillation (VF) was much lower in Japan than western countries, the proportions of survival from it were comparable to those. Basic-EMT defibrillation system in Japan has yielded excellent result in terms of the survival of VF cases. However, much lower oroDortion of VF to all cases is responsible for lower overall rates of survival from OHCA in Japan. cardiac arrest, emergency medical services, defibrillation, out-of-hospital CPR, utstein style.

Original languageEnglish (US)
Pages (from-to)29-40
Number of pages12
JournalJournal of Epidemiology
Volume11
Issue number1
StatePublished - 2001
Externally publishedYes

Fingerprint

Emergency Medical Technicians
Out-of-Hospital Cardiac Arrest
Japan
Ventricular Fibrillation
Survival Rate
Incidence
Cardiopulmonary Resuscitation
Emergency Medical Services
Heart Arrest

ASJC Scopus subject areas

  • Epidemiology

Cite this

The defibrillation system of basic emergency medical technicians in Japan : A comparison with other systems from a 14-year review of out-of-hospital cardiac arrest reports. / Sekimoto, Miho; Rahman, Mahbubur; Noguchi, Yosinori; Hira, Kenji; Shimbo, Takuro; Fukui, Tsuguya.

In: Journal of Epidemiology, Vol. 11, No. 1, 2001, p. 29-40.

Research output: Contribution to journalArticle

Sekimoto, Miho ; Rahman, Mahbubur ; Noguchi, Yosinori ; Hira, Kenji ; Shimbo, Takuro ; Fukui, Tsuguya. / The defibrillation system of basic emergency medical technicians in Japan : A comparison with other systems from a 14-year review of out-of-hospital cardiac arrest reports. In: Journal of Epidemiology. 2001 ; Vol. 11, No. 1. pp. 29-40.
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