Uloga dispečera i dispečerom vođene reanimacije u postizanju povratka spontane cirkulacije je hvaljena ali i osporavana, postoje kontradiktornosti u odnosu na ulogu dispečera i uticaj na ishod primene mera resuscitacije kada spasioca vodi dispecer. Cilj: Utvrditi uticaj uloge dispečera i dispečerom vođene resuscitacije u zbrinjavanju vanbolničkog srčanog zastoja prema podacima prikupljenim studijom EuReCa_Srbija.
The COVID-19 pandemic is caused by a virus where we have lack of knowledge about. This new situation led to the need to provide high-quality resuscitation to all patients with COVID-19 infection, but also with highest-quality and most appropriate personal protection for all medical professionals with the risk from the infection. Within our program activities, the Serbian Resuscitation Council, as lead professional organization, made efforts focused in creating and implementing recommendations related to cardiopulmonary resuscitation (CPR) under the COVID-19 pandemic. These recommendations are applicable for treatments and procedures during CPR, ethical issues, and CPR training conduction at COVID-19 pandemic, in collaboration with the European Resuscitation Council and other partner organizations, which are part of the network of national councils for resuscitation medicine in Europe. In the forthcoming period of time, these recommendations might be a subject of modification to be inline with more deeper and wider knowledge, based on scientific researches, about the SARS-COV-2, and it will be reviewed and updated on regular base.
Introduction:
Poor outcome is still a challenging concern in patients with out-of-hospital cardiac arrest (OHCA) world-wide and there are large differences between European countries regarding not only incidence rates, but survival rates as well. In 2014, Serbian Resuscitation Council initiated regular data collection on epidemiology of OHCA, according to the European Registry of Cardiac Arrest (EuReCa) study protocol.
Study Objective:
The aim of this study is to analyze the results of the first five-year period after initiation of EuReCa study protocol elements implementation in OHCA epidemiological data collection in Serbia.
Methods:
The observed period in this study is about the data on OHCA, collected within the observed area of 16 municipalities covering 1,604,015 citizens, during the period from October 1, 2014 – December 31, 2019. The study included data on all-cause OHCA in both adult and pediatric patients, according to the EuReCa One study protocol, of which all segments were observed.
Results:
Within the study period, 5,196 OHCA patients were observed with annual incidence of 83.60/100,000. Of all registered events, 43.9% were witnessed. The most common collapse location was patient’s residence (88.7%). Within the group of initiated cardiopulmonary resuscitation (CPR), cardiac etiology was observed in 80.5% of cases and shockable rhythm in 21.7%. Return of spontaneous circulation (ROSC) prior to hospital admission was significantly more frequently achieved and maintained on admission in witnessed cases, cases occurring out of patient’s residence, and in cases with shockable initial rhythm (P <.01).
Conclusion:
The OHCA incidence in Serbia is comparable with the incidence in the majority of European countries, and survival rates are now significantly higher in Utstein events compared to previous results from Serbia. Enrolment of witnessing bystanders in initiating CPR measures remains a concern requiring effort towards understanding of CPR initiation importance and education of general population in administering CPR measures.
Cilj ove studije je da se ustanovi kolika je šansa preživljavanja pacijenata sa izvanbolničkim srčanim zastojem (OHCA) kod kojih je svedok-laik započinjao primenu mera KPR u Srbiji.
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