Improved discharge survival in pre-hospital cardiac arrest patients: the Shenzhen Bao'an experience
10.3760/cma.j.issn.1671-0282.2024.11.008
- VernacularTitle:提高院外心脏骤停患者出院存活率：深圳宝安实践
- Author:
Wenwu ZHANG
1
;
Jinfeng LIANG
;
Qingli DOU
;
Jun XU
;
Jinle LIN
;
Conghua WANG
;
Wuyuan TAO
;
Xianwen HUANG
;
Wenhua LIU
;
Yujie LI
;
Xiaoming ZHANG
;
Cuimei XING
;
Huadong ZHU
;
Xuezhong YU
Author Information
1. 深圳市宝安区人民医院急诊医学科 深圳 518101
- Keywords:
Social first aid;
5-minute social rescue circle;
First aid window period;
Cardiopulmonary resuscitation;
Discharge survival rate
- From:
Chinese Journal of Emergency Medicine
2024;33(11):1518-1523
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Cardiac arrest (CA) represents a significant public health challenge, posing a substantial threat to individual health and survival. To enhance the survival rates of patients experiencing out-of-hospital cardiac arrest (OHCA), Baoan District in Shenzhen City has undertaken exploratory initiatives and practical interventions, yielding promising preliminary outcomes.Methods:1.Innovate emergency medical services by developing a "four-circle integration" system that connects to the hospital. This system encompasses the social emergency medical system, the out-of-hospital emergency medical system, the in-hospital emergency medical service system, and the intensive care treatment system. 2.Develop a comprehensive model for the construction of a social emergency medical training system, characterized by party leadership, government oversight, departmental coordination, professional guidance, technological support, and community involvement, termed the "Baonan Model." Additionally, establish evaluation criteria to assess the effectiveness of the social emergency medical training system in Baonan District; 3. Develop a cardiac arrest registration system and a social emergency medical training management system for Baonan District; 4. Enhance the proficiency in treatment techniques and the quality of cardiopulmonary resuscitation among emergency medical professionals; 5. Strengthen and advance the development of a "five-minute social rescue network" to address the critical "emergency window period." .Result:In Baonan District, 9.18% of the public is trained in emergency medical skills. The bystander CPR rate for OHCA is 26.11%, AED use is at 4.78%, the 30-day survival rate is 6.31%, and the discharge survival rate is 4.44%.Conclusion:The implementation of the aforementioned measures can substantially enhance the survival rate of patients experiencing OHCA at the time of discharge.
