Out-of-Hospital Cardiac Arrest

Boyd, Tanner; Perina, Debra G.

doi:10.1016/j.emc.2011.09.004

Cited by 13 publications

(9 citation statements)

References 56 publications

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“…This finding implies a lack of knowledge that should have been provided before this stage. As we have pointed out, this is not the reality in Brazil and there has been much discussion about how to educate and train the general population ( 5 , 13 , 14 ). Perhaps including a basic life support course as part of the university curriculum, regardless of the area of study, would help to disseminate this knowledge among the future leaders of society.…”

Section: Discussionmentioning

confidence: 99%

Basic life support knowledge of first-year university students from Brazil

Santos

Margarido

Caires

et al. 2015

Braz J Med Biol Res

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We aimed to evaluate knowledge of first aid among new undergraduates and whether it is affected by their chosen course. A questionnaire was developed to assess knowledge of how to activate the Mobile Emergency Attendance Service -MEAS (Servic¸o de Atendimento Móvel de Urgência; SAMU), recognize a pre-hospital emergency situation and the first aid required for cardiac arrest. The students were also asked about enrolling in a first aid course. Responses were received from 1038 of 1365 (76.04%) new undergraduates. The questionnaires were completed in a 2-week period 1 month after the beginning of classes. Of the 1038 respondents (59.5% studying biological sciences, 11.6% physical sciences, and 28.6% humanities), 58.5% knew how to activate the MEAS/SAMU (54.3% non-biological vs 61.4% biological, P=0.02), with an odds ratio (OR)=1.39 (95%CI=1.07-1.81) regardless of age, sex, origin, having a previous degree or having a relative with cardiac disease. The majority could distinguish emergency from non-emergency situations. When faced with a possible cardiac arrest, 17.7% of the students would perform chest compressions (15.5% non-biological vs 19.1% biological first-year university students, P=0.16) and 65.2% would enroll in a first aid course (51.1% non-biological vs 74.7% biological, Po0.01), with an OR=2.61 (95% CI=1.98-3.44) adjusted for the same confounders. Even though a high percentage of the students recognized emergency situations, a significant proportion did not know the MEAS/SAMU number and only a minority had sufficient basic life support skills to help with cardiac arrest. A significant proportion would not enroll in a first aid course. Biological first-year university students were more prone to enroll in a basic life support course.

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Section: Discussionmentioning

confidence: 99%

Basic life support knowledge of first-year university students from Brazil

Santos

Margarido

Caires

et al. 2015

Braz J Med Biol Res

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“…Sudden cardiac death (SCD) is often fatal and remains a major public health issue worldwide ( 1 ). The annual incidence rate and clinical outcomes of SCD are being studied globally as significant indicators of national health.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology and Outcomes in Out-of-hospital Cardiac Arrest: A Report from the NEDIS-Based Cardiac Arrest Registry in Korea

Yang

Kim

et al. 2015

J Korean Med Sci

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Sudden cardiac death (SCD) is a significant issue affecting national health policies. The National Emergency Department Information System for Cardiac Arrest (NEDIS-CA) consortium managed a prospective registry of out-of-hospital cardiac arrest (OHCA) at the emergency department (ED) level. We analyzed the NEDIS-CA data from 29 participating hospitals from January 2008 to July 2009. The primary outcomes were incidence of OHCA and final survival outcomes at discharge. Factors influencing survival outcomes were assessed as secondary outcomes. The implementation of advanced emergency management (drugs, endotracheal intubation) and post-cardiac arrest care (therapeutic hypothermia, coronary intervention) was also investigated. A total of 4,156 resuscitation-attempted OHCAs were included, of which 401 (9.6%) patients survived to discharge and 79 (1.9%) were discharged with good neurologic outcomes. During the study period, there were 1,662,470 ED visits in participant hospitals; therefore, the estimated number of resuscitation-attempted CAs was 1 per 400 ED visits (0.25%). Factors improving survival outcomes included younger age, witnessed collapse, onset in a public place, a shockable rhythm in the pre-hospital setting, and applied advanced resuscitation care. We found that active advanced multidisciplinary resuscitation efforts influenced improvement in the survival rate. Resuscitation by public witnesses improved the short-term outcomes (return of spontaneous circulation, survival admission) but did not increase the survival to discharge rate. Strategies are required to reinforce the chain of survival and high-quality cardiopulmonary resuscitation in Korea.Graphical Abstract

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“…Out of hospital cardiac arrest is one of the most urgent Emergency Medical Service (EMS) priorities, in which only 23% of patients survive to hospital admission [1,2], and only 7.6% survive to hospital discharge [1,2]. Factors identified as predictors of survival among out of hospital cardiac arrest patients include the cardiac arrest being witnessed by a bystander, arrest witnessed by EMS personnel, initially shockable cardiac rhythms and bystander cardiopulmonary resuscitation (CPR) [2].…”

Section: Introductionmentioning

confidence: 99%

Effects of prehospital adrenaline administration on out-of-hospital cardiac arrest outcomes: a systematic review and meta-analysis

et al. 2014

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IntroductionThe aim of this study was to conduct a systematic review and meta-analysis for determining the effects of prehospital adrenaline administration on return of spontaneous circulation, hospital admission, survival to discharge and discharge with cerebral performance category 1 or 2 in out-of-hospital cardiac arrest patients.MethodsMEDLINE and Scopus databases were searched to identify studies reported to March 2014. Study selection and data extraction were independently completed by two reviewers (PA and SR). The baseline characteristics of each study and number of events were extracted. Risk ratios (RR) and 95% confidence interval (CI) were estimated. Heterogeneity and publication bias were also explored.ResultsIn total 15 studies were eligible and included in the study. Of 13 adult observational studies, four to eight studies were pooled for each outcome. These yielded a total sample size that ranged from 2,381 to 421,459. A random effects model suggested that patients receiving prehospital adrenaline were 2.89 times (95% CI: 2.36, 3.54) more likely to achieve prehospital return of spontaneous circulation than those not administered adrenaline. However, there were no significant effects on overall return of spontaneous circulation (RR = 0.93, 95% CI: 0.5, 1.74), admission (RR = 1.05, 95% CI: 0.80, 1.38) and survival to discharge (RR = 0.69, 95% CI: 0.48, 1.00).ConclusionsPrehospital adrenaline administration may increase prehospital return of spontaneous circulation, but it does not improve overall rates of return of spontaneous circulation, hospital admission and survival to discharge.Electronic supplementary materialThe online version of this article (doi:10.1186/s13054-014-0463-7) contains supplementary material, which is available to authorized users.

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Out-of-Hospital Cardiac Arrest

Cited by 13 publications

References 56 publications

Basic life support knowledge of first-year university students from Brazil

Basic life support knowledge of first-year university students from Brazil

Epidemiology and Outcomes in Out-of-hospital Cardiac Arrest: A Report from the NEDIS-Based Cardiac Arrest Registry in Korea

Effects of prehospital adrenaline administration on out-of-hospital cardiac arrest outcomes: a systematic review and meta-analysis

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