Artikel ; Online: Ongoing CPR with an onboard physician.
Resuscitation plus
2024 Band 18, Seite(n) 100635
Abstract: Introduction: Recent data are not available on ongoing CPR for emergency services with an onboard physician. The aim of the present study was to identify factors associated with the decision to transport patients to hospital with ongoing CPR and examine ...
| Abstract | Introduction: Recent data are not available on ongoing CPR for emergency services with an onboard physician. The aim of the present study was to identify factors associated with the decision to transport patients to hospital with ongoing CPR and examine their survival to hospital discharge with good neurological status. Methods: An observational study based on a registry of out-of-hospital cardiac arrests attended to by emergency services with an onboard physician. All OHCA cases occurring between the 1st of January and the 31st of December 2022 were included. Patients receiving ongoing CPR during transport to the hospital were compared with patients pronounced dead at the scene following arrival of the care team. The dependent variable was ongoing CPR during transport to the hospital. The main characteristics and the neurological status of patients surviving to discharge were described. Results: A total of 9321 cases were included, of which 350 (3.7%) were transported to hospital with ongoing CPR. Such patients were young (59.9 ± 20.1 years vs 64.6 ± 16.9 years; Conclusions: The strategy of ongoing CPR is uncommon in EMS with an onboard physician. Despite their limited efficacy, the availability of mechanical chest compression devices, together with the possibility of specific hospital treatments, mainly ICP and ECMO, opens up the possibility of this approach with determined patients. |
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| Sprache | Englisch |
| Erscheinungsdatum | 2024-04-13 |
| Erscheinungsland | Netherlands |
| Dokumenttyp | Journal Article |
| ISSN | 2666-5204 |
| ISSN (online) | 2666-5204 |
| DOI | 10.1016/j.resplu.2024.100635 |
| Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
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