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2015, vol. 1, iss. 1, pp. 12-15
EURECA One 2014: One-month data collection in the municipality of Subotica
aDom zdravlja, Subotica
bZavod za hitnu medicinsku pomoć, Novi Sad

emaildzsupiar@gmail.com
Abstract
Heart disease is the underlying cause in two thirds of outpatient cardiac arrests. Sudden cardiac arrest occurs in people with no previous confirmed cardiac disease and occurs in situations where is possible presence of eyewitnesses. In this situations the cooperation of witnesses is necessary. It is not rare that news appear in the media, as well as on social networks footage of young athletes and public figures who suddenly lost consciousness on the sports field or at work. Despite the few studies that deal with this issue, in the literature can be found data indicating that a significantly better outcome after a sudden cardiac arrest if the arrest happens at work than in any other place. The inclusion in the study EuReCa One 2014 European resuscitation Council organized by Resuscitation Council of Serbia, the first time we have got relevant information in this field for our region. METHOD A prospective study to collect data on a single questionnaire in the time period time from 1st to 31st October 2014 in the municipality of Subotica. The study included all patients recorded a sudden cardiac arrest out of hospital and intervened medical service. RESULTS Cardiac arrest was confirmed in case of 9 patients by emergency medical services during the month of October 2014 - The incidence of 6.35 / 100,000. From 9 confirmed cardiac arrests 8 are received as a first line of emergency, and 1 as the second row of urgency. Cardiopulmonary resuscitation were started in 8 ( 89 % of all patients are a medical emergency witnessed cardiac arrest ). The incidence of 5.65 per 100.000 inhabitants. Presumed cardiac cause of cardiac arrest preceded in all 9 patients. The incidence of cardiac cause is 6.35 / 100,000 patients. When the witness was present, resuscitation measures are started at 6 ( 75%), or 23.4 / 100,000 patients, however, no resuscitation was not initiated by the laity but exclusively by the Emergency Medical Service after the arrival of the intervention. Ventricular fibrillation or pulseless ventricular tachycardia were observed in 3 patients ( 37.5 % ) or at 2.12 / 100,000 as the first rhythm. Return of spontaneous circulation (ROSC ) was found in 2 ( 25% ) or 1:41 / 100.000. Discharge determined for a patient which represents an incidence of 0.71 / 100,000 inhabitants. One patient has survived after one month observation or 0.71 / 100,000 inhabitants. Conclusion: Collection of data in one month is too short period of time and it is impossible to draw conclusions about the outcome of sudden cardiac arrest in our community, because of the small research sample. It is necessary to continue with data collection. After long-term observations we can expect results that will contribute to improving the quality of work of our institution in the management of patients with sudden cardiac arrest.
References
Davčik, B., Milak, J., Budimski, M., i dr. (2015) Senzitivnost pri prijemu poziva u dispečerskom centru SHMP Subotica. ABC časopis urgentne medicine, Vol XV suppl. 1 ISBN 978-86-6061-061-6
Descatha, A., Dagrenat, C., Cassan, P., Jost, D., Loeb, T., Baer, M. (2015) Cardiac arrest in the workplace and its outcome: a systematic review and meta-analysis. Resuscitation, 96: 30-36
Holmberg, M., Holmberg, S., Herlitz, J. (1999) The problem of out-of-hospital cardiac-arrest prevalence of sudden death in Europe today. American Journal of Cardiology, 83(5): 88-90
Townsend, N., Nichols, M., Scarborough, P., Rayner, M. (2015) Cardiovascular disease in Europe - epidemiological update 2015. European Heart Journal, 36(40): 2696-2705
 

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article language: Serbian
document type: unclassified
DOI: 10.5937/JRB1501012B
published in SCIndeks: 25/08/2017

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