Prospective Multi-center Evaluation and Outcome of Cardiopulmonary Resuscitation for Victims of Out-of-Hospital Cardiac Arrest in Seoul

서울시 병원전 심정지 환자의 심폐소생술에 대한 전향적 다기관 평가

Cho, Beom-Kyu;Kim, Sang-Chul;Kim, Hyun;Lee, Mi-Jin;Kim, Yong-Min;Lee, Kyung-Ryoung;Choi, Han-Sung;Song, Keun-Jeong;Park, In-Cheol;Chung, Sung-Pil;Eo, Eun-Kyung;Yoo, Ji-Young;Im, Tai-Ho;Rho, Tai-Ho;Lee, Kang-Hyun;Hwang, Sung-Oh
조범규;김상철;김현;이미진;김영민;이경룡;최한성;송근정;박인철;정성필;어은경;유지영;임태호;노태호;이강현;황성오

  • Published : 2009.08.31

Abstract

Purpose: To evaluate the quality of prehospital CPR (cardiopulmonary resuscitation) performed by 119 rescue personnel and bystanders in Seoul and to recognize the present problems in the pre-hospital emergency medical service system (EMS). Methods: We enrolled all patients in cardiac arrest visiting the emergency rooms of 9 university hospitals in Seoul via 119 rescue services from 16 October to 26 November 2006, prospectively investigating the environments in which arrest occurred and the factors associated with CPR. Results: Among 73 patients, the most common place of arrest was in the home(45.2%), CPR by bystander was performed in 8 cases(10.7%), endotracheal intubation by EMS personnel was performed in 10 cases(14.1%). Average time from call to CPR was 11.9 minutes and the number of discharges alive was 3 cases(4.1%). Conclusion: To improve the rate of alive discharges, development of CPR education program for lay rescue, education in basic and advanced life support, and management of quality for EMS personnel are needed.

Keywords

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