The Korean Journal of Emergency Medical Services (한국응급구조학회지)

The Korea Society of Emergency Medical Services (한국응급구조학회)
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Analysis of ROSC cases for out-of-hospital cardiopulmonary resuscitation: Based on Heart Saver laureate for two area

병원 전 심폐소생술에 의한 순환회복 환자의 사례 분석: 두 지역 하트세이버 수여자를 대상으로

  • Koh, Bong-Yeun (Department of Emergency Medical Technology, Dongnam Health University) ;
  • Lee, Jung-Eun (Department of Emergency Medical Technology, Dongnam Health University) ;
  • Hong, Sung-Gi (Department of Emergency Medical Technology, Dongnam Health University)
  • 고봉연 (동남보건대학교 응급구조과) ;
  • 이정은 (동남보건대학교 응급구조과) ;
  • 홍성기 (동남보건대학교 응급구조과)
  • Received : 2015.10.12
  • Accepted : 2015.12.21
  • Published : 2015.12.31
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Abstract

Purpose: The purpose of this study was to describe and compare the return of spontaneous circulation (ROSC) cases of out-of-hospital cardiac arrest on the basis of Heart Saver laureate. Methods: This study aimed to investigate the cardiopulmonary resuscitation (CPR) outcomes and the clinical characteristics of patients with out-of-hospital cardiac arrest by analyzing the data of two regions. The data were prehospital emergency reports of 473 patients who survived for > 72 hours after ROSC in two region from January 2012 to December 2013. Results: Among the ROSC patients, 86.8% (G), 77.9% (S) were men and 72.9% (G), 67.9% (S) were of age 41~70 years, 87.6% (G), 82.9% (S) had a witnessed cardiac arrest; and 66.7% (G), 70.6% (S) received cardiopulmonary resuscitation from bystander. Of those who performed the resuscitation, paramedics in 89.1% (G), 89.8% (S). Furthermore, 119 emergency medical technicians were involved in 69.0% of two-rescue teams in G and in 90.4% of three-rescue team in S. Conclusion: Most heart savers were qualified paramedics, and three-rescuer-teams resulted in better survival rate than two-rescuer-teams.

Keywords

References

  1. American Heart Association. Guidelines 2000 for Cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. August 22. 2000. I-9.
  2. Cho YS, Choi SC, Lee CA, Jung YS, Kim GW. Comparison of manual versus mechanical chest compression during simulative out of hospital cardiac arrest. J Korean Soc Emerg Med 2012;23(4):486-92.
  3. Jun YK, Jo SO, Jeong TO, Jin YH, Lee JB, Yoon JC et al. Evaluation of pre-hospital care provided by 119 rescuers in out-ofhospital cardiac department covering a rural area. J Korean Soc Emerg Med 2011; 22(5):391-9.
  4. Cho BK, Kim SC, Kim H, Lee MJ, Kim YM, Lee KR et al. Prospective multi-center evaluation and outcome of cardiopulmonary resuscitation for victims of out-of-hospital cardiac arrest in Seoul. J Korean Soc Emerg Med 2009;20(4):335-64.
  5. Kim SJ, Cho SJ, Lee SL, Ryu SY, Kim HY, Kim SJ. Impact of the level on the resuscitation of prehospital cardiac arrest patients. J Korean Soc Emerg Med 2005; 16(1):99-103.
  6. Kim JK, Choe MSP, Shoe KS, Seoul DH, Park JB, Jung JM. Clinical analysis of resuscitation in victims of out-of-hospital cardiac arrest. J Korean Soc Emerg Med 2002;13(1):5-11.
  7. Koh BY, Hong SG, Kim JY. Prehospital care after return of spontaneous circulation in out-of-hospital cardiac arrest patients: Based on Heart Saver laureate. Korean J Emerg Med Ser 2014;18(2):125-36. http://dx.doi.org/10.14408/KJEMS.2014.18.2.125
  8. National Emergency Management Agency. A study of analysis of adequancy of emergency medical service. 2013. 106-18.
  9. Lee KY, Yun SW. Prehospital care of 119 EMT for non-traumatic cardiac arrest and improvement to increase advanced care rate. J Kor Inst fire sci Eng 2011;25(5): 21-31.
  10. Park KI, Kim GM, Jang TC. Clinical analysis of prehospital Heartsavers surviving out-of-hospital cardiac arrest of cardiac origin. J Korean Soc Emerg Med 2014; 25(6):737-46.
  11. Fire Administration Data and Statistics. Available at: http://www.nema.go.kr, 2013.
  12. Lee MJ. Incidence and outcome of cardiac arrest in Korea. J Korean Soc Emerg Med 2012;23(2):168-79.
  13. Cho BK, Kim SC, Kim H, Lee MJ, Kim YM, Lee KR et al. Prospective multi-center evaluation and outcome of cardiopulmonary resuscitation for victims of out-of-hospital cardiac arrest in Seoul. J Korean Soc Emerg Med 2009;20(4):355-64.
  14. Oh SN, Shin TG, Hong CK, Sim MS, Song KJ. The status of bystander CPR in out-of-hospital cardiac arrest. J Korean Soc Emerg Med 2010;21(5):554-60.
  15. Moon JD, Choi SH. Analysis of measured quality variables in basic life support training for first responder. J Korean Soc Emerg Med 2013;24(2):209-15.
  16. Chung TN, Park IC, Yoon YS, Kim SH. The effect of witness behavior on the collapse to ED time interval in out-of-hospital cardiac arrest. J Korean Soc Emerg Med 2005;16(1):93-9.
  17. Jung SY, Bae HA, Eo EK. The use nad the effect of AEDs by EMTs in prehospital cardiac arrest. Ewha Med J 2009;32(1):35-41. https://doi.org/10.12771/emj.2009.32.1.35
  18. Koh BY, Park YS. Clinical characteristics and prehospital care in prehospital cardiac arrest patients by paramedic's reports. Journal of the Korea Academia-Industrial Cooperation Society 2010;11(4):1540-6. https://doi.org/10.5762/KAIS.2010.11.4.1540
  19. Kim SE, Eo EK, Cheon YJ, Jung KY, Park HS. Outcome in a tertiary emergency department for cardiopulmonary resuscitation for out-of-hospital cardiac arrest. J Korean Soc Emerg Med 2005;16(5):495-504.
  20. Kim H, Kim SH, Oh SB, Cha KC, Kim HJ, Lee SY et al. Resuscitation outcomes and clinical characteristics of non-traumatic out-of-hospital geriatric cardiac arrest. J Korean Soc Emerg Med 2004;15(6):434-39.
  21. Hwang SO, Lim KS. Cardiopulmonary resuscitation and advanced cardiac life support. 4th ed. Seoul: Koonja, 2011. 81-4.
  22. Bang SH, Kim JH, Kim GY, Roh SG. A case report of ROSC for out-of hospital cardiopulmonary resuscitation based on one area Heart Saver. J Kor Inst Fire Sci Eng 2013;27(4):61-7. https://doi.org/10.7731/KIFSE.2013.27.4.61
  23. Lee SK, Kim GW, Kim CH. Prehospital cardiopulmonary resuscitation by 119 emergency medical technician (EMT) for increasing the rate of return of spontaneous circulation; National-wide 119 EMT survey. J Korean Soc Emerg Med 2014;25(1):35-45.

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