STUDY ABOUT OUT OF HOSPITAL CARDIAC ARREST RESUSCITATION OUTCOME
Abstract:
Introduction: Romanian Mobile Emergency Service for Resuscitation and Extrication
known as SMURD is a functional system that deals with daily emergencies and mass casualties. The
study analyses the performance of the system considering both paediatric and adult cardiac arrest
cases. Materials and Methods: The national database consists of 589873 cases, on a period of 3 years
(01.01.2010-31.12.2012). So, a total of 9756 cardiac arrests cases that benefited from
cardiopulmonary resuscitation (CPR) manoeuvres were extracted. Results: Return of Spontaneous
Circulation (ROSC) rate for all 9515 adult cases was 8,38% and for all 241 paediatric cases, ROSC
rate was 6,64%. The most frequent adult paediatric cardiac arrest rhythm is asystole (87%
78%) followed by pulseless electrical activity (7% 8%) and ventricular fibrillation (6% 14%).
Better results are found in adult resuscitation than in paediatric ones. Conclusions: Analysing the
results we can conclude that the most frequent rhythm of cardiac arrest is Asystole. The chances of
achieving ROSC by the time the patient is admitted to hospital are considerably lower in paediatric.
Ventricular Fibrillation/Ventricular Tachycardia (VF/VT) is less frequently encountered in paediatric
patients compared with adult cardiac arrests
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