| Budget Amount *help |
¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000)
Fiscal Year 2013: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2012: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2011: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
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| Research Abstract |
The 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation recommended that emergency medical services (EMS) personnel consider prehospital termination of resuscitation (TOR) for patients who experienced out-of-hospital cardiac arrest (OHCA) following futile resuscitation efforts in the field. However, EMS personnel in Japan are not legally allowed to perform TOR for OHCA patients in the prehospital settings. To better utilize healthcare resources in a full-fledged aged society, we aimed to establish new Japanese TOR rules for EMS personnel in the field. We analyzed a prospectively collected, nationwide Utstein-style Japanese database between 2005 and 2011 (n = 797,422) from the Fire and Disaster Management Agency of Japan. We have recommended that new TOR rules for EMS personnel should fulfill all 3 criteria (no return of spontaneous circulation, unshockable initial rhythm, and unwitnessed arrest) and require the limitation of length for the on-scene effort.
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