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Sep 14, 2018

ERC congress - Resuscitation 2018

Impact of bystander early CPR on Out of Hospital ROSC Outcome

early cpr

outcome

laic bystanders

Abstract

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Abstract

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early cpr

outcome

laic bystanders

Abstract

Abstract Purpose of the study: Early cardiopulmonary resuscitation (CPR) improves survival in out‑of‑hospital cardiac arrest; dispatcher‑delivered CPR instructions can increase the number of victims receiving CPR before Emergency Medical Service (EMS) arrival. However, little is known about the impact of CPR phone instructions on the outcome of patients (pts) with return of spontaneous circulation (ROSC). The target of this study is to investigate the impact of phone instructions on short and middle term mortality, and on neurological outcomes of patients who survived. Materials and Methods: we enrolled pts admitted to ICU after ROSC following out‑ of‑hospital‑cardiac‑arrest, since 1/1/2008 to 30/06/2016; pts younger than 18, in‑ hospital cardiac‑arrest‑victims, those who underwent cardiac arrest in health facilities, and missing data records were excluded. Written informed consensus was obtained for all pts contacted for follow up. Data about comorbility, mortality, neurologic outcome, CPR timing according to Utstein Style, complications during ICU stay, metabolic state on ER admission, were collected. Study population was divided into groups: pts ongoing immediate CPR and those who did not underwent immediate CPR by laic bystanders; immediate CPR pts were divided into Phone Instructions CPR and No‑phone instructions CPR. Data were extracted from ICU and EMS databases, EMS phone calls registration, and processed using STATA software. Results: 181 pts met study criteria.  Laic bystander CPR was given in 55 cases, 30% of the study population. Phone CPR was given in 9 of these cases (16%) (Results are summarized in tables 1,2) 1 https://app.oxfordabstracts.com/events/374/submissions/55985/abstract-book-view 1/2 26/8/2018 Oxford Abstracts Conclusions: Early CPR significantly reduced CPR‑free interval. This correlates with a significative increase in shockable rhythms on EMS arrival. There is a significative reduction in mortality and disability. The fact that early CPR is delivered by trained laics bystanders or by Phone‑CPR instructions seems not to affect these findings. Phone‑ CPR is an effective tool to improve survival and disability in ROSC.

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© Copyright 2019 Morressier GmbH.
All rights reserved.