CLINICAL CHARACTERISTICS AND MANAGEMENTS IN PATIENTS WITH OUT OF HOSPITAL CARDIAC ARRESSES WHO HAD A RETURN OF SPONTANEOUS CIRCULATION AT THE SCENE

Thành Nguyễn , Thị Huyền Hoàng , Thị Như Quỳnh Tạ, Quốc Đại Khương , Thị Thuỳ Dung Nguyễn

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Abstract

Background: Out-of-hospital cardiac arrest is a worldwide public health problem, causing death and severe disability. During emergency treatment, patients with return of spontaneous circulation get higher chance of survival after discharged. Objective: To describe the clinical characteristics and management of patients with out-of-hospital cardiac arrest patients who have return of spontaneous circulation at the scene. Research subjects and methods: Retrospective descriptive study on 50 patients with out-of-hospital cardiac arrest patients who have return of spontaneous circulation at the scene. Results: Patients were mainly male, accounting for 70% and in the working age from 19 to 59, accounting for 52%. The most common location was at home, accounting for 72% and up to 80% of patients collapsed with witnesses. About 24% of patients got bystander cardiopulmonary resuscitation. The average response time of the ambulances was 10.64 ± 4.59 minutes. The average time to get return of spontaneous circulation was 26.26 ± 13.6 minutes. Basic life support mainly focus on chest compressions and BVM ventilation. No patient got electric shock on the field. Conclusion: Community's awareness of out-of-hospital cardiac arrest is still low, only 24% of patients got bystander CPR. Emergency procedures are incomplete when electric shock cannot be deployed at the scene.

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References

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