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KMID : 0385920090200040355
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Journal of the Korean Society of Emergency Medicine
2009 Volume.20 No. 4 p.355 ~ p.364
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Prospective Multi-center Evaluation and Outcome of Cardiopulmonary Resuscitation for Victims of Out-of-Hospital Cardiac Arrest in Seoul
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Cho Beom-Gyu
Kim Sang-Chul
Kim Hyun
Lee Mi-Jin
Kim Yong-Min
Lee Kyeong-Ryong
Choi Han-Sung
Song Keun-Jeong
Park In-Cheol
Chung Sung-Phil
Eo Eun-Kyung
Yoo Ji-Young
Lim Tae-Ho
Rho Tai-Ho
Lee Kang-Hyun
Hwang Sung-Oh
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Abstract
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Purpose: To evaluate the quality of prehospital CPR (cardiopulmonary resuscitation) performed by 119 rescue personnel and bystanders in Seoul and to recognize the present problems in the pre-hospital emergency medical service system (EMS).
Methods: We enrolled all patients in cardiac arrest visiting the emergency rooms of 9 university hospitals in Seoul via 119 rescue services from 16 October to 26 November 2006, prospectively investigating the environments in which arrest occurred and the factors associated with CPR.
Results: Among 73 patients, the most common place of arrest was in the home(45.2%), CPR by bystander was performed in 8 cases(10.7%), endotracheal intubation by EMS personnel was performed in 10 cases(14.1%). Average time from call to CPR was 11.9 minutes and the number of discharges alive was 3 cases(4.1%).
Conclusion: To improve the rate of alive discharges, development of CPR education program for lay rescue, education in basic and advanced life support, and management of quality for EMS personnel are needed.
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KEYWORD
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Cardiopulmonary resuscitation, Education, CPR quality, Emergency medical services
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