The influence of emergency medical procedures and event circumstances on the acute effectiveness of resuscitation in out-of-hospital sudden cardiac arrest in adults

2018 ◽  
Vol 31 (06) ◽  
Author(s):  
Klaudiusz Nadolny ◽  
Jerzy Robert Ladny ◽  
Daniel Slezak
Keyword(s):  
Cardiac Arrest ◽  
Sudden Cardiac Arrest ◽  
Medical Procedures ◽  
Emergency Medical

Out-of-Hospital Resuscitation: Have We Gone Too Far?

2006 ◽  
Vol 21 (6) ◽  
pp. 445-450 ◽  
Author(s):  
Corita Grudzen
Keyword(s):  
Cardiac Arrest ◽  
Prehospital Care ◽  
Sudden Cardiac Arrest ◽  
Hospital Setting ◽  
The United States ◽  
Spontaneous Circulation ◽  
Emergency Medical ◽  
Clinical Scenarios ◽  
Life Sustaining Treatment ◽  
Future Policy

AbstractAmericans are living longer and are more likely to be chronically or terminally ill at the time of death. Although surveys indicate that most people prefer to die at home, the majority of people in the United States die in acute care hospitals. Each year, approximately 400,000 persons suffer sudden cardiac arrest in the US, the majority occurring in the out-of-hospital setting. Mortality rates are high and reach almost 100% when prehospital care has failed to restore spontaneous circulation. Nonetheless, patients who receive little benefit or may wish to forgo life-sustaining treatment often are resuscitated. Risk versus harm of resuscitation efforts can be differentiated by various factors, including cardiac rhythm. Emergency medical services policy regarding resuscitation should consider its utility in various clinical scenarios. Patients, family members, emergency medical providers, and physicians all are important stakeholders to consider in decisions about out-of-hospital cardiac arrest. Ideally, future policy will place greater emphasis on patient preferences and quality of life by including all of these viewpoints.

The role of the witness of the incident and the role of the emergency medical dispatcher in out-of-hospital sudden cardiac arrest

2018 ◽  
Vol 31 (1) ◽  
Author(s):  
Klaudiusz Nadolny ◽  
Joanna Gotlib ◽  
Mariusz Panczyk ◽  
Lukasz Szarpak ◽  
Jerzy Robert Ladny ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Sudden Cardiac Arrest ◽  
Emergency Medical ◽  
Emergency Medical Dispatcher

scholarly journals SUDDEN CARDIAC ARREST IN PATIENTS OVER 60 YEARS OF AGE IN THE OPERATION AREA OF EMERGENCY MEDICAL SERVICE IN SIEDLCE IN 2013-2017

2020 ◽  
Vol 7 (3) ◽  
pp. 170-177
Author(s):  
Agnieszka Hawrylewicz-Łuka ◽  
Robert Gałązkowski ◽  
Daniel Celiński ◽  
Krzysztof Mitura ◽  
Leszek Szpakowski ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Human Life ◽  
Sudden Cardiac Arrest ◽  
Spontaneous Circulation ◽  
Time Range ◽  
Emergency Medical ◽  
Qualitative Variables ◽  
The Mean

Introduction: Sudden cardiac arrest is an integral part of the end of every human life. The aim: To analyze and determine the characteristics of the geriatric patients with sudden cardiac arrest. Material and methods: This was a retrospective study covering the operation area of the Emergency Medical Service in Siedlce. Time range: from January 1, 2013 to December 31, 2017. The Chi2 test was used to assess the significant differences between the analyzed qualitative variables. The level of significance was 0.05. Results: Out of 182,584 emergency medical records collected over 5 years, 5682 cases were manually selected as interventions for a patient with sudden cardiac arrest. This represented 3.11% of all medical services provided, from which a group of n = 3840 patients over 60 years of age was selected. The patient had usually between 75 and 90 years of age. The mean age was 75.55 years. The mean arrival time to such a patient was 10.28 min. The most common ECG rhythm was asystole, followed by return of spontaneous circulation (ROSC) in 12.71% of cases (n = 67). No mechanical chest compression equipment was used. Most often adrenaline and fluid therapy were administered after obtaining intravenous access. Mostly, the witness of the event did not undertake rescue activities. The mean resuscitation time was 48.11 min in the case of ROSC, and 36.98 minutes, if there was no ROSC. Conclusions: In the studied group of patients over 60 years, the chances of ROSC clearly decreased with age.

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