Safety and Health at Work

Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency (산업안전보건연구원)
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Cardiac Arrest Management in the Workplace: Improving but Not Enough?

  • Alexis Descatha (Univ Angers, CHU Angers, Univ Rennes(Institut de Recherche en Sante, Environnement et Travail)) ;
  • Francois Morin (Emergency Department, Angers University Hospital) ;
  • Marc Fadel (Univ Angers, CHU Angers, Univ Rennes(Institut de Recherche en Sante, Environnement et Travail)) ;
  • Thomas Bizouard (Emergency Department, Angers University Hospital) ;
  • Romain Mermillod-Blondin (SAMU 74, Emergency Department, General Hospital) ;
  • Julien Turk (SAMU 73, Emergency Department, General Hospital) ;
  • Alexandre Armaingaud (SAMU 74, Emergency Department, General Hospital) ;
  • Helene Duhem (University Grenoble Alps/CNRS/CHU de Grenoble Alpes/TIMC-IMAG UMR 5525) ;
  • Dominique Savary (Univ Angers, CHU Angers, Univ Rennes(Institut de Recherche en Sante, Environnement et Travail))
  • Received : 2022.08.17
  • Accepted : 2022.12.30
  • Published : 2023.03.30
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Abstract

The aim was to describe out-of-hospital cardiac arrest (OHCA) occurring in the workplace of a large emergency network, and compare the evolution of their management in the last 15 years. A retrospective study based on data from the Northern Alps Emergency Network compared characteristics of OHCA between cases in and out the workplace, and between cases occurring from January 2004 to December 2010 and from January 2011 to December 2017. Among the 15,320 OHCA cases included, 320 occurred in the workplace (2.1%). They were more often in younger men, and happened more frequently in an area with access to public defibrillation, had more often a shockable rhythm, had a cardiopulmonary resuscitation started by a bystander more frequently, and had a better outcome. Cardiopulmonary resuscitation started by a bystander was the only chain of survival link that improved for cases occurring after December 2010. Workplace OHCA seems to be managed more effectively than others; however, only a slight survival improvement was observed, suggesting that progress is still needed.

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References

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