Analysis of ROSC cases for out-of-hospital cardiopulmonary resuscitation: Based on Heart Saver laureate for two area

Abstract

1) =Abstract =Purpose: The purpose of this study was to describe and compare the return of spontaneous circulation (ROSC) cases of out-of-hospital cardiac arrest on the basis of Heart Saver laureate. Methods: This study aimed to investigate the cardiopulmonary resuscitation (CPR) outcomes and the clinical characteristics of patients with out-of-hospital cardiac arrest by analyzing the data of two regions. The data were prehospital emergency reports of 473 patients who survived for ＞ 72 hours after ROSC in two region from January 2012 to December 2013. Results: Among the ROSC patients, 86.8% (G), 77.9% (S) were men and 72.9% (G), 67.9% (S) were of age 41~70 years, 87.6% (G), 82.9% (S) had a witnessed cardiac arrest; and 66.7% (G), 70.6% (S) received cardiopulmonary resuscitation from bystander. Of those who performed the resuscitation, paramedics in 89.1% (G), 89.8% (S). Furthermore, 119 emergency medical technicians were involved in 69.0% of two-rescue teams in G and in 90.4% of three-rescue team in S. Conclusion: Most heart savers were qualified paramedics, and three-rescuer-teams resulted in better survival rate than two-rescuer-teams.

Implementation of a Sustainable Training System for Emergency in Vietnam

“…During this time period, in addition to the current BLS provider courses, we would also like to conduct BLS instructor courses, ACLS courses, and PALS courses. Similar to the experience of Korea in increasing the in-hospital survival rate from 17.2% in 2005 to 28.5% in 2009 (25), increasing the rate of bystander chest compression from 7.78% to 20.13% between 2005 and 2009 to 2010 and 2014 (26), and the addition of qualified heart savers by paramedics and analysis of resuscitation training effects (27, 28), Vietnam’s indicators on this issue will also likely change in the future.…”