KẾT QUẢ ÁP DỤNG MÔ HÌNH PIT-CREW TRONG CẤP CỨU NGỪNG TUẦN HOÀN

Abstract

Background: Cardiac arrest (CA) is a critical emergency condition with a high mortality rate, in which high-quality cardiopulmonary resuscitation (CPR) remains the most effective intervention. The “pit-crew” resuscitation model assigns clearly defined roles to each member of the resuscitation team. Objective: To evaluate the outcomes of cardiac arrest resuscitation using the pit-crew model in selected hospitals. Methods: A retrospective, cross-sectional study was conducted by reviewing medical records at Hanoi Medical University Hospital and Bach Mai Hospital from August 2024 to June 2025. Results: A total of 35 CA patients were resuscitated under the pit-crew model, with a mean age of 59.7 ± 15.3 years (range: 19–83); 68.6% were male. The return of spontaneous circulation (ROSC) rate was 57.1%. Patients with strict adherence to the model achieved a higher ROSC rate (66.7%) compared to those with poor adherence (42.9%; p = 0.187). The model demonstrated advantages in rapid initiation (<10 seconds) and equipment preparation (100%). However, several limitations were observed: 22.9% of resuscitations lacked the full number of team members, 28.6% of participants were unclear about their assigned tasks, chest compression frequency was consistently maintained but interruptions ≥10 seconds occurred in 11.4%, and 14.3% failed to achieve ≥80% compression fraction. Only 5.7% of patients were discharged with favorable neurological outcomes, while 17.1% required prolonged mechanical ventilation. Conclusion: The pit-crew resuscitation model shows considerable potential in cardiac arrest management; however, enhanced training in team coordination and post-resuscitation care is needed to improve patient outcomes.