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Sep 14, 2018

ERC congress - Resuscitation 2018

3 - First shock delays in out-of-hospital cardiac arrest

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vf

defibrillation

cpr

Abstract

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31

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Abstract

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Keywords

vf

defibrillation

cpr

Abstract

PURPOSE OF THE STUDY To determine the time “call-first shock” in OHCA in our units and to study time intervals involved in it: “call-dispatch”, “dispatch-monitor on”, “monitor on-first shock”. MATERIAL AND METHODS To determine the time “call-first shock” in OHCA in our units and to study time intervals involved in it: “call-dispatch”, “dispatch-monitor on”, “monitor on-first shock”. RESULTS 1706 OHCA registered: 126 (7.38%) meet inclusion criteria. Mean interval between call and shock is 14 m 42 s (DS=385 s). Using Tanigawa’s intervals our findings show: Delay over 13 m is 51,6%, being lower than 9 m in 14.3% of cases. Delays bigger than 20 min are just 13.5%. Mean interval between call and ALS team dispatch is 2 m 15 s (SD=78 s). Mean interval between ALS team dispatch and when the monitor is switched on is 10 m 21 s (SD=343 s). Mean interval between “monitor switched on” and the first shock is 2 m 8 s. (SD=68 s). CONCLUSIONS - OHCA have specific difficulties that imply delays in the first shock delivery (patients hard to reach, excess of clothes, unsafe area) that have to be studied. - Our intervals “call-first shock” seem to be better than in other published studies. - Interval variability can be due to the absence of a fixed procedure regarding the moment to turn the monitor on in our units. - Rates of time “monitor on-shock” higher than two minutes have to be studied further.

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© Copyright 2019 Morressier GmbH.
All rights reserved.