Author/Editor     Mažič, Matej; Podsedenšek, Darja; Kešpert, Branko
Title     5-letna analiza kardiopulmonalnih reanimacij PHE Celje in izid po uspešnem oživljanju
Translated title     A five-years analysis of cardiopulmonary resuscitations in Celje EMS and outcome after successfull resuscitation
Type     članek
Source     In: Bručan A, Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja. Zbornik 11. mednarodni simpozij o urgentni medicini; 2004 jun 9-12; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year     2004
Volume     str. 418-22
Language     slo
Abstract     Purpose. This study was performed to determine the survival rate among out of-hospital cardiac arrests in Celje EMS and outcome after successfull resuscitation in hospital (survival until 24 h, survival after 24 h or hospital discharged). Materials and methods. All patients who had an out of-hospital cardiac arrest (primary and secondary arrests) between january 1. 1999 to december 31. 2003. All of this prehospital cardipulmonary resuscitation were retrospectively analyzed. Results. Between January 1, 1999 and December 31, 2003, EMS responders comfirmed cardiac arrest in 285 patients and attempted resuscitation. The average call response interval was 7.3 minutes (range 1-26 min). Asystole was documented in 36%, ventricullar fibrillation or pulseleess ventricular tachycardia in 37% and pulseless electrical activity in 27% of patients. Cardiac aetiology was assumed in 200, non-cardiac in 46 and nonewas suggested in the remaining 39 cases. Lay-bystander CPR (BLS) was performed correct in 25% of patients. Return of spontaneous circulation (ROSC) could be achieved in 39.2% of patients who admitted to intensive care unit. A 31 patients (10.8%) survived to hospital discharge. Conclusion. Survival after out-of-hospital cardiac arrests is more likely if the EMS arrival time is short, if presenting rhytm is VF/VT and if bystanders perform adequate basic life support.
Descriptors     CARDIOPULMONARY RESUSCITATION
HEART ARREST
VENTRICULAR FIBRILLATION
TACHYCARDIA, VENTRICULAR
TREATMENT OUTCOME