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KMID : 0895520150190030007
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Journal of the Korean Society of Emergency Medical Technology
2015 Volume.19 No. 3 p.7 ~ p.18
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Analysis of ROSC cases for out-of-hospital cardiopulmonary resuscitation : Based on Heart Saver laureate for two area
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Koh Bong-Yeun
Lee Jung-Eun
Hong Sung-Gi
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Abstract
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Purpose: The purpose of this study was to describe and compare the return of spontaneous circulation(ROSC) cases of out-of-hospital cardiac arrest on the basis of Heart Saver laureate.
Methods: This study aimed to investigate the cardiopulmonary resuscitation (CPR) outcomes and the clinical characteristics of patients with out-of-hospital cardiac arrest by analyzing the data of two regions. The data were prehospital emergency reports of 473 patients who survived for ＞ 72 hours after ROSC in two region from January 2012 to December 2013.
Results: Among the ROSC patients, 86.8% (G), 77.9% (S) were men and 72.9% (G), 67.9% (S) were of age 41~70 years, 87.6% (G), 82.9% (S) had a witnessed cardiac arrest; and 66.7% (G), 70.6% (S) received cardiopulmonary resuscitation from bystander. Of those who performed the resuscitation, paramedics in 89.1% (G), 89.8% (S). Furthermore, 119 emergency medical technicians were involved in 69.0% of two-rescue teams in G and in 90.4% of three-rescue team in S.
Conclusion: Most heart savers were qualified paramedics, and three-rescuer-teams resulted in better survival rate than two-rescuer-teams.
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KEYWORD
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Out-of-hospital cardiac arrest, Cardiopulmonary resuscitation, Heart Saver
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