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2016, vol. 2, iss. 4, pp. 15-18
EURECA 2015 Subotica: One year monitoring of patients with shockable rhythm
Dom zdravlja, Subotica
Aim: Monitoring of patients with shockable rhythm intervened by the emergency department of Subotica in 2015. Improving the quality of treatment for out of hospital cardiac arrest. Method: Prospective observational trial European Resuscitation Council. The program has been organized by the Resuscitation Council of Serbia under the authority of the European Resuscitation Council. Cooperation with Emergency medicine section. The study has included all patients - both adults and children, who were found dead in outpatient circumstances, and intervened by the emergency medical service. Data have been collected during a one-year period in 2015. The survey were carried out after the intervention medical service. Results: The initial rhythm- shockable was registered in 22 patients (15.5 / 100,000). Twenty males (14.1 / 100,000) and 4 females (2.8 / 100,000). During the application of resuscitation procedures in two cases, the pace of non-shockable translates into shockable. The average age of patients with shockable rhythm was 65.6 years. The average time from receiving calls in the dispatch center to the application of DC shock was 9.8 min. The dispatcher has managed to lead the bystander throughout the CPR procedure until the arrival of the medical team, tree times through the phone. The dispatcher is three times managed to keep the phone CPR stating the lay of the basic life support procedures until the arrival of the medical team. The team has found witness how performs resuscitation with the use of 'only hands' twice. In one of the case the layman gave up applying CPR, and this patient had no shockable initial rhythm. Of the total number of patients with shockable rhythm, ROSC was achieved with 11 (7.8 / 100,000) patients and they were handed over to General Hospital Subotica with palpable pulse. Fife patient were discharged from the hospital 5 (3.5 / 100,000) patients while 4 (2.8 / 100,000) patients is known to be alive after 30 days on release. Conclusion: We will continue to monitor and analyze our own results in the future. This way, allows to compare results within the Department, as well as mutual comparison with other services. Efforts will be made to the improvement education of the technicians that work in dispatching center. The continuity will be conducted education of citizens as well as monitoring activities through the media. Day 'Restart a heart' is entered in the five-year service plan as a regular annual event dedicated to resuscitation. All this contributes improvement of the quality of service and the work of employees in the emergency medical services, especially as a part of implementation of the chain of survival.
Ax, H.I., Riva, G., Herlitz, J., i dr. (2015) Early Cardiopulmonary Resuscitation in Out-of-Hospital Cardiac Arrest. N Engl J Med, 372: 2307-15
Langlais, B., Panczyk, M., Sotelo, M., i dr. (2014) Barriers to effective bystander-initiated CPR in out-of-hospital cardiac arrest. Circulation, 130:A113
Mcnally, B., Robb, R., Mehta, M., i dr. (2010) Out-of-hospital cardiac arrest surveillance: Cardiac arrest registry to enhance survival (CARES). Surveillance Summaries: MMWR, Vol. 60, No. 8, United States, October 1, 2005-December 31 2010
Perkins, D.G., Jacobs, I.G., Nadkarni, V.M., i dr. (2015) Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports: Update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest. Circulation, 131: 1286-1300
Song, K.J., Shin, S.D., Park, C.B., Kim, J.Y., Kim, D.K., Kim, C.H., Ha, S.Y., Eng, H.O.M., Bobrow, B.J., McNally, B. (2014) Dispatcher-assisted bystander cardiopulmonary resuscitation in a metropolitan city: A before-after population-based study. Resuscitation, 85(1): 34-41
Sutter, J., Panczyk, M., Spaite, D., i dr. (2015) Telephone CPR instructions in emergency dispatch systems: A qualitative survey of 911 call centers. West J Emerg Med., [Manuscript accepted for publication. ]
Tanaka, Y., Taniguchi, J., Wato, Y., Yoshida, Y., Inaba, H. (2012) The continuous quality improvement project for telephone-assisted instruction of cardiopulmonary resuscitation increased the incidence of bystander CPR and improved the outcomes of out-of-hospital cardiac arrests. Resuscitation, 83(10): 1235-1241
Xiong, Y., Idris, A.H. (2015) Out-of-hospital Cardiac Arrest With Initially Shockable Rhythm: What Are the Outcomes if No Shock is Given?. Circulation, Volume 132, Issue Suppl 3


article language: Serbian
document type: unclassified
DOI: 10.5937/JRB1604015B
published in SCIndeks: 25/08/2017

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