Outcome of Resuscitation Attempts in Victims with Non Traumatic Out-of-Hospital Cardiac Arrest.
10.4070/kcj.1994.24.6.861
- Author:
Sung Oh HWANG
;
Kyoung Soo LIM
;
Young Sik KIM
;
Boo Soo LEE
;
Moo Eob AHN
;
Kang Hyun LEE
;
Jung Han YOON
;
Keum Soo PARK
;
Kyung Hoon CHOE
- Publication Type:Original Article
- Keywords:
Cardiopulmonary resuscitation;
Cardiac arrest
- MeSH:
Cardiopulmonary Resuscitation;
Electrocardiography;
Emergencies;
Emergency Service, Hospital;
Heart Arrest;
Humans;
Korea;
Out-of-Hospital Cardiac Arrest*;
Resuscitation*;
Survival Rate;
Ventricular Fibrillation
- From:Korean Circulation Journal
1994;24(6):861-869
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: In korea, significant proportion of victims with out-of-hospital cardiac arrest have no change to survive because some physicians regard the victim with cardiac arrest outside the hospital as the dead and they do not attempt cardiopulmonary resuscitation(CPR). And we cannot expect bystander-initiated CPR and emergency medical system in resuscitating the victims with cardiac arrest. We studies the outcome of resuscitation attempts and the factor associated with survival in patients with out-of-hospital cardiac arrest in current situation of emegency medical system. Method: We attempted cardiopulmonary resuscitation(by standard guidelines) in 74 consecutive victims with non-traumatic out-of-hospital cardiac arrest in emergency department. RESULTS: Of 74 victims with cardiac arrest 35(47%) had no any restoration of spotaneous circulation(ROSC), 26(35%) had transient ROSC but died within 24 hours,6(8%) survived over 24 hours but died in the hospital, and 7(10%) discharged alive. Factors associated with survival were cardiac origin as a cause of cardiac arrest, ventricular fibrillation as a initial ECG rhythm, and short circulatory arrest time. CONCLUSION: Survival rate of victims with non-traumatic out-of-hospital cardiac arrest was 10%. Considering the feasibility to survive, CPR should be attempted in patients with out-of-hospital cardiac arrest if do-no-resusciate(DNR) is not indicated.
