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KMID : 1141220230140010131
Safety and Health at Work
2023 Volume.14 No. 1 p.131 ~ p.134
Cardiac Arrest Management in the Workplace: Improving but Not Enough?
Alexis Descatha

Francois Morin
Marc Fadel
Thomas Bizouard
Romain Mermillod-Blondin
Julien Turk
Alexandre Armaingaud
Helene Duhem
Dominique Savary
Abstract
The aim was to describe out-of-hospital cardiac arrest (OHCA) occurring in the workplace of a large emergency network, and compare the evolution of their management in the last 15 years. A retrospective study based on data from the Northern Alps Emergency Network compared characteristics of OHCA between cases in and out the workplace, and between cases occurring from January 2004 to December 2010 and from January 2011 to December 2017. Among the 15,320 OHCA cases included, 320 occurred in the workplace (2.1%). They were more often in younger men, and happened more frequently in an area with access to public defibrillation, had more often a shockable rhythm, had a cardiopulmonary resuscitation started by a bystander more frequently, and had a better outcome. Cardiopulmonary resuscitation started by a bystander was the only chain of survival link that improved for cases occurring after December 2010. Workplace OHCA seems to be managed more effectively than others; however, only a slight survival improvement was observed, suggesting that progress is still needed.
KEYWORD
cardiac arrest, location, occupational, public health, work
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