[Analysis of the intra-hospital attending of ventricular fibrilation/ventricular taquicardia simulated events].
OBJECTIVE
To analyze the time intervals between the beginning of the Ventricular Fibrilation/Ventricular Taquicardia (VF/VT) and the main procedures made.


METHODS
Twenty VF/VT simulations were performed and filmed in a hospital environment, using a static mannequin, on random days at random times. All teams had the same level of skills. The times (in sec.) related to basic life support (BLS) - arrival of the team (AT), confirmation of the arrest (CAT), beginning of the CPR (IT) and the times related to the advanced life support (ALS) - 1st defibrillation (DT), 1st dose of adrenalin (AT) and orotracheal intubation (OTIT). The variables were analyzed and compared in two groups: intensive care unit (ICU) and wards with telemetry (TLW).


RESULTS
The results in both groups was in that order (GW x ICU ) - AT (70.2+38.7 x 38.6+49.2); CCA (89.4+57.1 x 71+63.9); SC (166.8+81.1 x 142+66.2); FD (282.5+142.8 x 108.4+52.5); FE (401.4+161.7 x 263.3+122.8) e OI (470.3+150.6 x 278.8+98.8). Shows the comparison of the average times between the two groups.


CONCLUSIONS
The differences noted in relation to DT, AT and OTIT favorable to ICU are associated to the facility of performance of the ALS maneuvers in such environment. The BLS-related times were similar in both groups, which reinforce the need for the use of semi-automatic defibrillators, even in a hospital environment.
Moretti
Miguel Antônio
MA
Instituto do Coração do Hospital das Clínicas, FMUSP, São Paulo, Brazil. moretti@cardiol.br
Bento
André Moreira
AM
Quilici
Ana Paula
AP
Martins
Márcia
M
Cardoso
Luís Francisco
LF
Timerman
Sérgio
S
D022561:Advanced Cardiac Life Support; D016887:Cardiopulmonary Resuscitation; D004634:Emergency Medical Technicians; D004636:Emergency Service, Hospital; D005260:Female; D006323:Heart Arrest / Q000628:therapy; D006801:Humans; D008297:Male; D016544:Patient Simulation; D017180:Tachycardia, Ventricular / Q000628:therapy*; D013997:Time Factors; D014693:Ventricular Fibrillation / Q000628:therapy*