Prehospital cardiac arrest outcome is adversely associated with antiarrythmic agent use, but not associated with presenting complaint or medical history

Study objective: This study associated survival from prehospital cardiac arrest to patient historical variables including presenting complaint, medications used, and medical history as a secondary end point in a trial evaluating the effect of bicarbonate administration. This raises issues concerning...

Full description

Saved in:
Bibliographic Details
Published in:Emergency medicine journal : EMJ 2004-01, Vol.21 (1), p.95-98
Main Author: Vukmir, R B
Format: Article
Language:English
Subjects:
ACLS
Advanced Cardiac Life Support
Aged
Anti-Arrhythmia Agents - adverse effects
Anti-Arrhythmia Agents - therapeutic use
basic life support
Blood pressure
BLS
Cardiac arrest
Care and treatment
Chronic obstructive pulmonary disease
Comorbidity
Confidence intervals
Consent
Drug dosages
Emergencies
emergency department
Emergency medical care
Emergency Medical Services
emergency medical technician
EMS
EMT
Female
Health care
Heart Arrest - drug therapy
Heart Arrest - mortality
Heart Arrest - therapy
Heart attacks
Heart failure
Humans
Intervention
Intubation
Logistic Models
Male
medical history
Medical prognosis
medication
Middle Aged
Mortality
Patients
Prehospital Care
Prospective Studies
resuscitation
Sodium Bicarbonate - therapeutic use
Studies
Surveys
Survival Rate
Treatment Outcome
Ventilation
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Study objective: This study associated survival from prehospital cardiac arrest to patient historical variables including presenting complaint, medications used, and medical history as a secondary end point in a trial evaluating the effect of bicarbonate administration. This raises issues concerning extensive prehospital historical assessment that may potentially delay care and transport. Methods: This prospective multicentre trial enrolled 874 prehospital cardiac arrest patients encountered by urban, suburban, and rural emergency medical services. This group underwent conventional ACLS intervention followed by empiric early administration of sodium bicarbonate (1mEq/l). Survival was measured as the presence of vital signs on emergency department arrival. Data analysis used Student’s t test, Fisher’s exact test, χ2 with Pearson correlation, and logistic regression (p
ISSN:1472-0205
1472-0213
DOI:10.1136/emj.2003.006445