The Korean Journal of Emergency Medical Services (한국응급구조학회지)

The Korea Society of Emergency Medical Services (한국응급구조학회)
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Prehospital care after return of spontaneous circulation in out-of-hospital cardiac arrest patients: Based on Heart Saver laureate

병원 전 심정지 환자의 자발순환 회복에 관한 병원전 처치 - 하트세이버 수상자를 중심으로 -

  • Koh, Bong-Yeun (Department of Emergency Medical Technology, Dongnam Health University) ;
  • Hong, Sung-Gi (Department of Emergency Medical Technology, Dongnam Health University) ;
  • Kim, Jin-Young (Gyeonggi-do Fire and disaster Headquarters)
  • 고봉연 (동남보건대학교 응급구조과) ;
  • 홍성기 (동남보건대학교 응급구조과) ;
  • 김진영 (경기소방재난본부 재난대응과)
  • Received : 2014.07.01
  • Accepted : 2014.08.18
  • Published : 2014.08.31
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Abstract

Purpose: We aimed to improve the survival rates of out-of-hospital cardiac arrest patients. Methods: We analyzed data regarding cardiopulmonary resuscitation (CPR) outcomes and clinical characteristics of out-of-hospital cardiac arrest patients. The data included prehospital emergency medical service reports of 207 patients, 135 patients of Heart Saver, who survived over 72 hours after return of spontaneous circulation (ROSC) in Gyeonggi-do from January, 2012 to December, 2013. Data were analyzed using SPSS 18.0 descriptive statistics. Results: Among patients who achieved ROSC, 87.6% were men and 73.6% were aged 41-70 years; 86.7% were cases of witnessed cardiac arrest, and cardiopulmonary resuscitation was performed by bystanders in 65.9% of cases. The initial electrocardiogram showed ventricular fibrillation or pulseless ventricular tachycardia in 96.3% of patients. The call time was 1.0 minutes, arrival time was 6.3 minutes, time spent at the scene was 8.0 minutes, hospital arrival time was 10.0 minutes, and total CPR duration was 9.6 minutes. The certificate of them was paramedics in 89.6%. Conclusion: To improve the survival rates of out-of-hospital cardiac arrest patients, standard prehospital care for these patients and educational programs regarding CPR for lay rescues should be developed.

Keywords

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  2. Analysis of the Performance for Bystanders; Cardiopulmonary Resuscitation in Geriatric and Out-of-Hospital Cardiac Arrested Patients vol.20, pp.3, 2016, https://doi.org/10.4235/agmr.2016.20.3.118