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http://dx.doi.org/10.7731/KIFSE.2020.34.1.127

Out-of-Hospital Cardiac Arrest Response to a Pregnant Woman by the 119 Emergency Medical Service System: A Case Study  

Lee, Jae-Min (Department of Emergency Medical Technology, Gwangju Health University)
Hong, Soo-Mi (Department of Healthcare Management, Vision College of Jeonju)
An, Guk-Ki (Jeonju Wansan Fire Station)
Yun, Hyeong-Wan (Department of Emergency Medical Technology, Vision College of Jeonju)
Publication Information
Fire Science and Engineering / v.34, no.1, 2020 , pp. 127-134 More about this Journal
Abstract
When a pregnant woman experiences cardiac arrest, resuscitation is of the utmost importance. Cardiac arrest in pregnant women differs from cardiac arrest in the general population since both mother and fetus need to be taken into consideration. In the event of cardiac arrest, determining whether to deliver the baby is significant. Cardiopulmonary resuscitation is not always successful, and the survival rate depends on the speed and precision of the procedure. In this study, we focus on the case of a 30-year-old pregnant woman who experienced cardiac arrest and whose family was quick to perceive her condition and call the hospital. A witness performed initial cardiopulmonary resuscitation, while rescue workers performed the advanced procedure. In this case, the patient and baby received proper treatment and left the hospital after six days. It is extremely rare for a pregnant patient to achieve return of spontaneous circulation (ROSC) or receive advanced cardiac life support before reaching the hospital. However, the woman in question in this study achieved ROSC and received both cardiopulmonary resuscitation before reaching the hospital and advanced cardiac life support at the hospital. The specifics of the case are reported in the context of a literature review.
Keywords
Cardiopulmonary resuscitation (CPR); Return of spontaneous circulation (ROSC); Automated external defibrillator (AED); Out-of-hospital resuscitation; Pregnancy;
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