Analysis of the Performance for Bystanders’ Cardiopulmonary Resuscitation in Geriatric and Out-of-Hospital Cardiac Arrested Patients

Abstract

Background: The purpose of this study was to determine if there were changes in bystanders' chest compression performance and activation of emergency medical services in geriatric and out-of-hospital cardiac patients following the institution of the 2010 International Resuscitation Guidelines and 2008 Good Samaritan Law in South Korea. Methods: This is a retrospective observational study using medical records, and including patient charts and an Utstein Style database in a tertiary hospital. We analyzed the existence of chest compression performance by bystanders, the required time from recognition of cardiac arrest to activation of 119 for emergency medicine services, and the required time from activation of 119 to arrival on the scene from 2005-2014. The data were compared after dividing the years into 2 groups: 2005-2009 and 2010-2014. Results: Of 317 geriatric and out-of-hospital cardiac arrest patients, 261 were eligible for this study. Twelve cases were excluded, and a total of 249 were analyzed. Bystander-initiated chest compression was higher from

Implementation of a Sustainable Training System for Emergency in Vietnam

“…During this time period, in addition to the current BLS provider courses, we would also like to conduct BLS instructor courses, ACLS courses, and PALS courses. Similar to the experience of Korea in increasing the in-hospital survival rate from 17.2% in 2005 to 28.5% in 2009 (25), increasing the rate of bystander chest compression from 7.78% to 20.13% between 2005 and 2009 to 2010 and 2014 (26), and the addition of qualified heart savers by paramedics and analysis of resuscitation training effects (27, 28), Vietnam’s indicators on this issue will also likely change in the future.…”

Comparison of Heart Proportions Compressed by Chest Compressions Between Geriatric and Nongeriatric Patients Using Mathematical Methods and Chest Computed Tomography: A Retrospective Study

“…However, various studies on the survival rate of patients who experience cardiac arrest have demonstrated that as the age of a patient who experiences cardiac arrest increases, the likelihood that he or she will survive after cardiopulmonary resuscitation (CPR) decreases. [3][4][5][6] The "Chain of Survival" as an essential component of a series of actions designed to reduce mortality associated with cardiac arrest and includes early arrest recognition and emergency activation, early CPR, early defibrillation, expert advanced life support, and integrated postresuscitation care. 7,8) Survival rates and favorable neurologic outcomes of patients who experience cardiac arrest are closely related to the quality of chest compressions during CPR.…”

“…However, various studies on the survival rate of patients who experience cardiac arrest have demonstrated that as the age of a patient who experiences cardiac arrest increases, the likelihood that he or she will survive after cardiopulmonary resuscitation (CPR) decreases. 3 – 6) …”

Estimation of the variations in mechanical impedance between the actuator and the chest, and the power delivered to the chest during cardiopulmonary resuscitation using machine-embedded sensors

“…When emergency situations occur that induce stopping of the heart (e.g., drowning or cardiac arrest), it is important to perform the correct cardiopulmonary resuscitation (CPR) process as soon as possible to recover the autonomic beating of the native heart and prevent serious brain damage [ 1 ]. When such an emergency situation occurs in locations outside of a hospital due to accidents or disease, emergency services should be immediately contacted and manual CPR process needs to be performed repetitively until the arrival of the trained paramedics.…”