Professional paper

CARDIOPULMONARY RESUSCITATION ANALYSIS: HOW TO IMPROVE OUTCOME?

JOSIPA PULIĆ orcid.org/0000-0003-1883-7776 ; Institute of Emergeny Medicine of Koprivnica-Križevci County, Koprivnica, Croatia
MIRTA PIHAĆ ; Institute of Emergency Medicine of Koprivnica-Križevci County, Đurđevac, Croatia

Abstract

Objective: The aim of this study was to investigate what are the factors that reduce positive outcome of out-of-hospital cardiopulmonary resuscitation (CPR) and how it could be improved. Methods: The study was based on data from the eHitna system and forms of the out-of-hospital cardiac arrest reports according to the Utstein guidelines, at the Institute of Emergency Medicine in Koprivnica-Križevci County, and included 204 patients over a one-year period. Results: In 58 out of 204 patients (28.43%), emergency medical (EM) dispatchers recognized arrest from phone calls and in 48 patients basic life support was started by laypeople. Four out of 48 resuscitations initiated by laypeople had positive outcome. In 78 out of 204 patients, CPR was initiated by EM team and in 13 patients, after the return of spontaneous circulation (ROSC), it was maintained until hospital admission. Conclusion: The main focus should be on better communication between EM dispatchers and callers, and should encourage the witnesses of the arrest to proceed with basic life support as soon as possible, until arrival of the EM team. The focus should also be on education of medical workers and laypeople as often as possible and on installation of more automated external defi brillators in public places.

Keywords

cardiac arrest; cardiopulmonary resuscitation; basic life support

Hrčak ID:

236570

URI

https://hrcak.srce.hr/236570

Publication date:

16.3.2020.

Article data in other languages: croatian

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