|
EURECA One 2014. - jednomesečni izveštaj - Kanjiža
EURECA One 2014: Month report Kanjiža
Sažetak
Uvod: Iznenadni srčani zastoj je prirodni i neočekivani prestanak rada srca i disanja unutar jednog sata nakon nastanka simptoma, tj. nakon početka akutnih promena u funkciji kardiovaskularnog sistema kod na izgled zdrave osobe. Dom zdravlja Kanjiža se uključila u EURECA ONE projekt 2014 .godine i pratili smo slučajeve akutnih srčanih zastoja u oktobru i novembru 2014. godine. Cilj: Praćenje pojave, tretmana i ishoda srčanog zastoja u period 01. oktobar 2014. - 31. oktobra 2014. u opštini Kanjiža sa ciljem utvrđivanja podataka o ovom oboljenju i unapređenju kvaliteta zbrinjavanja srčanog zastoja. Metod: Prospektivna, opservaciona studija, prikupljanje podataka tokom meseca oktobra 2014. godine od strane lekara. Dom Zdravlja Kanjiža uključio se u Prospektivni opservacioni trijal Evropskog Resuscitacionog saveta koji je pod brojem NCT02236819 registrovan u bazi trijala i odobren od zdravstvenih autoriteta u SAD. Rezultati: Služba hitne medicinske pomoći Doma Zdravlja Kanjiža prema popisu stanovništva iz 2011. godine pokriva 26203 stanovnika koji su stalno naseljeni u opštini Kanjiža, ali u 11 naseljenih mesta. Površina opštine je 301 km2 a gustina stanovanja je 87/ km2. Prijem poziva od građana za intervenciju vrši se putem jedinstvenog broja 194 sa fiksne telefonije ili broja 024 873279. Prijem poziva vrši obučena dispečer sestra-medicinski tehničar. Srčani zastoj potvrdili smo kod 6 pacijenata kod kojih je intervenisala hitna medicinska pomoć 6/182 - 3,29% od svih pacijenata kod kojih smo u toku meseca oktobra 2014 intervenisali. Od toga 2 slučaja su primljeni kao pozivi l. reda hitnosti. Incidenca srčanog zastoja 22,90 na 100000 stanovnika. Broj započetih KPR 2 (7,63/100000). 4 srčanih zastoja se desilo na ulici (66,67%, 15,27/100000), a 2 u kućnim uslovima (33,33%, n=7,63/100000), svi su bili osvedočeni od strane svedoka (N=6, 100%, n=22,90/100000), a po etiologiji pretpostavljenog kardiološkog uzroka 5 (83,33%,n=19,08/100000), a trauma 1 (16,67%,n=3,82/100000). Mesto nastanka srčanog zastoja reanimiranih bolesnika je ulica (N=2,100%, 7,63/100000). Uzrok 1 kardiološki (50%,3,82/100000) a 1 trauma (50%,3,82/100000). Analiza po polu: 50 % osoba su muškog pola (50%, n=3,82/100000). Spontana srčana radnja (ROSC) nije uspostavljena ni kod jednog pacijenta (0/100000). Telefonski asistirani CPR od strane dispečera nije bilo. Ni jedan svedok nije započeo mere osnovne životne potpore pre dolaska ekipe hitne medicinske pomoći (N=0, n=0/100000). ZAKLJUČAK: Smatramo da je posmatrani period unosa podataka bio suviše kratak i da je potrebno pratiti srčani zastoj na teritoriji opštine Kanjiža za duži vremenski period.
Abstract
Introduction: Sudden cardiac arrest is a natural and unexpected loss of heart function and breathing, which happens within one hour after first symptoms, or after the onset of acute changes in cardiovascular functions of a presumably healthy person. Health Center Kanjiža joined the Eureca One project 2014 and started documenting all cases of out of hospital cardiac arrest during October and November 2014. Aim: Tracking the incidence, treatment and outcome of cardiac arrest from October 1 to October 31 2014, in Kanjiža municipality, with the purpose of acquiring precise information about this disease and improving quality of cardiac arrest management. Method: prospective, observational study conducted by physicians who gathered information during October 2014. Health center Kanjiža joined this Prospective observational trial of European resuscitation Council which is registered in trials data base by number NCT02236819 and approved by health authorities in the USA. Results: Emergency medical service of the Health Center Kanjiža, according to the Population census for 2011. serves to 26203 people permanently inhabited on the territory of Kanjiža municipality, with the surface area of 301 square km, and population density of 87/km2. Citizens in need dial the unique phone number 194 or the alternative number 024/873279. Both numbers are a part of the fixed-line network. Educated medical technicians/nurses are receiving calls at the dispatch unit. During the observed month EMS Kanjiža recognized and treated 6 cardiac arrests among the total of 182 patients (6/182 - 3,29%). 2 of 6 OHCA events were recognized at the dispatch unit as the call of first priority. The incidence of cardiac arrest was 22,90 per 100 000 people. The number of initiated CPRs was 2 (7,63/100 000). 4 cases of OHCA happened in the street (66,67% - 15,27/100 000), and 2 of total 6 happened at patient's home, (33,33% - n=7,63/100 000). All of them were witnessed (N=6, 100%, n=22,90/100 000), and 5 were of cardiac origin ( 83,33%; n=19,08/100 000), only one was traumatic cardiac arrest (16,67%; n=3, 82/100 000). The place of event in both cases of resuscitated patients with OHCA was street (N=2, 100%; 7,63/100 000). One OHCA was of cardiac origin (50%, 3,82/100 000), and the other was traumatic (50%, 3,82/100 000). Gender distribution: 50% of patients were male, and 50% (3,82/100 000) were female. ROSC was not achieved in any of the cases (0/100 000). Phone-assisted CPR was not conducted and none of the witnesses started CPR before EMS arrival (N=0, n=0/100 000). Conclusion: We find that the observed period for entering data was too short and that cardiac arrest should be investigated for a longer period of time on our territory.
|