The Clinical Use of an Automatic External Defibrillator in a Dialysis Clinic: A Case Report.
Bibliographic record
Abstract
Sudden cardiac arrest (SCA) is the leading cause of death in the United States and Canada and cardiovascular disease is the second cause of death in Taiwan in 2004. Ventricular fibrillation (VF) is the most common rhythm found in adults with SCA, so early defibrillation is extremely crucial to the survival of SCA victims. Evidences support the establishment of public access defibrillation (PAD) programs in areas where the frequency of cardiac arrest events makes it probable that one automatic external defibrillator (AED) would be used in five years (annual incidence of SCA≧0.2). AEDs are placed in many airports, casinos and numerous other public locations in the United States and AEDs are also used by healthcare professionals in ambulances, hospitals and clinics. One study of the incidence of SCA in medical and dental clinics found that the incidence of SCA in dialysis clinics to be relatively high (≧0.746 per practice annually) and recommended that AEDs be placed in all dialysis clinics. In Taiwan, AEDs are usually thought of as emergency medical services (EMS) equipments, and PADs are not usually available in public places. Herein we present a case involving a 51.-year-old male who experienced SCA during hemodialysis in a dialysis clinic. Immediately cardiopulmonary resuscitation (CPR) was performed, but no defibrillation was done. Emergency medical technicians (EMTs) came into the clinic after 5 minutes and defibrillation was done via AED. The patient was later transferred to the emergency room of a nearby hospital, where return of spontaneous circulation was found. That patient then received percutaneous coronary intervention (PCI), at which time he was found to have triple vessel coronary artery disease. After 10 days hospitalization, patient was discharged without any obvious neurologic deficits. This case report can serve as a reminder that AEDs might be placed more conveniently throughout the island, particularly in dialysis clinics.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.004 |
| Meta-epidemiology (narrow) | 0.002 | 0.002 |
| Meta-epidemiology (broad) | 0.001 | 0.002 |
| Bibliometrics | 0.004 | 0.002 |
| Science and technology studies | 0.004 | 0.002 |
| Scholarly communication | 0.002 | 0.003 |
| Open science | 0.002 | 0.003 |
| Research integrity | 0.008 | 0.005 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".