Survival in sudden cardiac arrest in emergency room: case-control study.
Journal Title: Critical Care Innovations - Year 2019, Vol 2, Issue 3
Abstract
INTRODUCTION: Systematic analysis of risk factors, causes of sudden death and patient survivability allows implementation of increasingly effective methods and procedures for emergency cardiac arrest (SCA). The conditions of the emergency room (ER) allow for initial medical imaging and laboratory diagnostics, which facilitate the assessment of critical parameters that may be a predictor of SCA. The aim of the study is to determine the survival level of patients with SCA that were staying in ER and to indicate the factors that increase the likelihood of SCA. MATERIAL AND METHODS: The study was conducted in 2018 based on medical records of SOR in 73 patients with sudden cardiac arrest in SOR. Descriptive statistics and data analysis were performed using parametric tests (Pearson test). The level of significance was determined for p <0,05. RESULTS: The average age of SOR patients was 72 years (SD ± 16.29). In most cases, the patients were brought to the ER by the EMS. Sinus rhythm dominated in ECG tests,before the onset of SCA,. The ECG mechanisms in which SCA occurred were: asystole (50.7%), PEA (32.9%) and VF / pVT (16.4%), respectively. Among half of the patients (50.7%) of ER spontaneous circulation was restored, while 49.3% of ER patients were fatal. The relationship between mortality and O2 partial pressure, methanol, MPV, D-dimer, pH and HCO3 has been demonstrated. CONCLUSIONS: In the examined group of patients with SCA,non-defibrillatory rhythms (asystole, PEA) dominate. Half of the patients manage to achieve ROSC under ER conditions. There are predictors of SCA in patients in ER.
Authors and Affiliations
Oliwia Sosnowska-Mlak, Nicolas Curt, Luis M Pinet Peralta
Keywords
Related Articles
- EP ID EP655536
- DOI 10.32114/CCI.2019.2.3.1.10
- Views 91
- Downloads 0
Prospective evaluation of interactive project of Emergency Medicine Exam with the use of multimedia computer devices.
INTRODUCTION: Digitisation and implementation of IT solutions is contemporarily an intrinsic element while carrying out emergency medical activities. However, the system of education and evaluation of paramedics is condu...
Evaluation of firefighters' knowledge about medical procedures.
INTRODUCTION: National Firefighting Rescue System (NFRS) plays an crucial role in ensuring internal security of Poland. NFRS is based on Professional Fire Services (PFS) and Voluntary Fire Services (VFS). In accordance w...
Analgesia in trauma patients administered by Emergency Medical Services.
INTRODUCTION: A pain response is an inevitable symptom in trauma patients and requires to undertake a medical intervention in pre-hospital conditions. In the Polish system of medical rescue, there are teams including a d...
Cadaver as a didactic tool for auscultating lung sounds.
INTRODUCTION: Lung auscultation is one of the basic physical examination tests both in the pre-hospital and hospital settings and should be performed on any patient who has problems with the respiratory system. Depending...
Use of the educational mobile applications by emergency medical services personnel.
INTRODUCTION: The specificity of work in the emergency medical service requires making quick and accurate diagnostic and therapeutic decisions on the spot. To this end, a variety of educational materials proves to be hel...