Characteristics and outcomes of out-of-hospital cardiac arrest in Zhejiang Province

Emergency physicians are trained to perform various resuscitation methods, like semi-automated external defibrillators, intubation, insertion of a peripheral intravenous line, and administration of drugs such as epinephrine in situations of cardiac arrest. Data was collected in accordance with the r...

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Bibliographic Details
Published in:World journal of emergency medicine 2018-01, Vol.9 (2), p.141-143
Main Authors: Fei, Min, Cai, Wen-Wei, Zhou, Sheng-Ang
Format: Article
Language:English
Subjects:
Automation
Cardiac arrest
Cardiopulmonary resuscitation
Case Letter
Cities
Councils
CPR
Emergency medical care
Heart
Hospitals
Intubation
Systematic review
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Summary:Emergency physicians are trained to perform various resuscitation methods, like semi-automated external defibrillators, intubation, insertion of a peripheral intravenous line, and administration of drugs such as epinephrine in situations of cardiac arrest. Data was collected in accordance with the recommended guidelines[2] for uniform reporting of data from out-of-hospital cardiac arrest, including sex, age, past medical history, location of arrest, course of resuscitation, presence of witnesses, pre-hospital drug administration, first arrest rhythm, bystander cardiopulmonary resuscitation (CPR), return of spontaneous circulation (ROSC), hospital admission, and hospital discharge. [5] In Zhejiang province, many efforts have been made to improve the survival rate, like reducing the EMS response time, regular CPR training for the EMS staff and emergency physicians, and early implementation of the current CPR guidelines. Because of the lack of favorable evidence, sodium bicarbonate administration during adult and pediatric CPR is not recommended, but it was still the second most used pre-hospital drug after epinephrine as a conventional equipment in ambulances, particularly in many rural areas of Zhejiang province. Prepared by a Task Force of Representatives from the European Resuscitation Council, American Heart Association, Heart and Stroke Foundation of Canada, Australian Resuscitation Council.
ISSN:1920-8642
DOI:10.5847/wjem.j.1920-8642.2018.02.010