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Cardiac arrest – cardiopulmonary resuscitation

By Basri Lenjani, Nehat Baftiu, Kelmend Pallaska, Kadir Hyseni, Njazi Gashi, Nexhbedin Karemani, Ilaz Bunjaku, Taxhidin Zaimi, Arianit Jakupi and Besnik Elshani

Abstract

Objective: To investigate application of cardiopulmonary resuscitation (CPR) measures within the golden minutes in Europe. Methods: The material was taken from the University Clinical Center of Kosovo – Emergency Centre in Pristina, during the two (2) year period (2010–2011). The collected date belong to the patients with cardiac arrest have been recorded in the patients' log book protocol at the emergency clinic. Results: During the 2010 to 2011 in the emergency center of the CUCK in Pristina have been treated a total of 269 patients with cardiac arrest, of whom 159 or 59.1% have been treated in 2010, and 110 patients or 40.9% in 2011. Of the 269 patients treated in the emergency centre, 93 or 34.6% have exited lethally in the emergency centre, and 176 or 65.4% have been transferred to other clinics. In the total number of patients with cardiac arrest, males have dominated with 186 cases, or 69.1%. The average age of patients included in the survey was 56.7 year old SD ± 16.0 years. Of the 269 patients with cardiac arrest, defibrillation has been applied for 93 or 34.6% of patients. In the outpatient settings defibrillation has been applied for 3 or 3.2% of patients. Patients were defibrillated with application of one to four shocks. Of 27 cases with who have survived cardiac arrest, none of them have suffered cardiac arrest at home, 3 or 11.1% of them have suffered cardiac arrest on the street, and 24 or 88.9% of them have suffered cardiac arrest in the hospital. 5 out of 27 patients survived have ended with neurological impairment. Cardiac arrest cases were present during all days of the week, but frequently most reported cases have been on Monday with 32.0% of cases, and on Friday with 24.5% of cases. Conclusions: All survivors from cardiac arrest have received appropriate medical assistance within 10 min from attack, which implies that if cardiac arrest occurs near an institution health care (with an opportunity to provide the emergent health care) the rate of survival is higher

Topics: Cardiac arrest, Emergency center, University clinical centre of Kosovo, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Publisher: Elsevier
Year: 2014
DOI identifier: 10.1016/S2221-6189(14)60007-X
OAI identifier: oai:doaj.org/article:36729f776db54607afbbcd3cd7cd5647
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