Hapnes, SA

Lindner, TW

Søreide, E

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

English

PubMed

TW Lindner

SA Hapnes

E Søreide

Crossref

Out of hospital cardiac arrest (OHCA) patients without return of spontaneous circulation (ROSC) – should they be transported with ongoing resuscitation to the hospital?

Springer - Publisher Connector

BioMed Central
Scandinavian Journal of Trauma, 
Resuscitation and Emergency Medicine
ssOpen AcceOral presentation
Out of hospital cardiac arrest (OHCA) patients without 
return of spontaneous circulation (ROSC) – should they be 
transported with ongoing resuscitation to the hospital?
TW Lindner*, SA Hapnes and E Søreide
Address: Stavanger University Hospital, Stavanger, Norway
Email: TW Lindner* - litw@sus.no
* Corresponding author    
Introduction
We have previously reported high ROSC rates and excel-
lent survival in OHCA in our region [1,2]. Prehospital
emergency physicians (anesthesiologists) take active part
in most resuscitation. If ROSC is not achieved, resuscita-
tion is terminated on the scene in most cases. We want to
investigate factors linked to survival in the few patients
transported with ongoing resuscitation to the hospital.
Methods
Our EMS system has a catchment area of around 300 000
inhabitants with one admitting hospital [2]. Using our
Utstein template based quality assessment database for
OHCA from the period from 1996 – 2005, we included
OHCA of all causes, initial rhythm and ages, except
patients with sudden infant death syndrome and with
severe hypothermia.
Results
In the 10-year study period our EMS system responded to
around 2050 alarm calls for OHCA. In around 1600
patients resuscitation was continued or started by the
EMS, whereof 102 (6%) patients were admitted to the
hospital with ongoing resuscitation. None of these
patients survived to discharge.
There was no significant change in age distribution over
the 10-years study period. (Pearson correlation Figure 1).
The age of the patients varies from 1 to 90 years.
Of the 102 patients 25 had ventricle fibrillation (VF) as
first rhythm. The median number of DC shocks was 10.
(Maximum 30 shock).
Conclusion
As none of the patients admitted to our hospital with
ongoing resuscitation survived to discharge, we could not
analyze factors linked to survival. Age did not seem to be
a limiting factor when considering the continuation of
resuscitation to the hospital.
from Scandinavian Update on Trauma, Resuscitation and Emergency Medicine 2009
Stavanger, Norway. 23 – 25 April 2009
Published: 28 August 2009
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2009, 17(Suppl 3):O23 doi:10.1186/1757-7241-17-S3-O23
<supplement> <title> <p>Scandinavian Update on Trauma, Resuscitation and Emergency Medicine 2009</p> </title> <editor>Hans Morten Lossius, Eldar Søreide and Kjetil G Ringdal</editor> <spon-sor> note>Publication of this supplement was upported by Akuttjournale  Aren  AS</n te> </spon-Meeting abstra t – A s ngl PDF c taining all ab trac s in this Supplem t is ava lable <a href="http:/ www.biomedcentral.com/co en /files/ df/1757-7241-17-S3-full.pdf">here /a>.</note> url>ht p:/ www.biomedcen ral.com/co tent/pdf/1757-7241-17-S3-info.pdf</url  </supplem t>
This abstract is available from: http://www.sjtrem.com/content/17/S3/O23
© 2009 Lindner et al; licensee BioMed Central Ltd. 
Age distribution – Patients with ongoing resuscitationFigure 1
Age distribution – Patients with ongoing 
resuscitation.Page 1 of 2
(page number not for citation purposes)
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2009, 17(Suppl 3):O23 http://www.sjtrem.com/content/17/S3/O23Publish with BioMed Central   and  every 
scientist can read your work free of charge
"BioMed Central will be the most significant development for 
disseminating the results of biomedical research in our lifetime."
Sir Paul Nurse, Cancer Research UK
Your research papers will be:
available free of charge to the entire biomedical community
peer reviewed and published immediately upon acceptance
cited in PubMed and archived on PubMed Central 
yours — you keep the copyright
Submit your manuscript here:
http://www.biomedcentral.com/info/publishing_adv.asp
BioMedcentral
In the patients with VF as initial rhythm, a large amount
of futile shocks were given. A study evaluating the benefit
of early transferal to emergency percutaneous coronary
intervention (PCI) with ongoing resuscitation might be
worth conducting.
References
1. Busch M, Soreide E, Lossius HM, Lexow K, Dickstein K: Rapid
implementation of therapeutic hypothermia in comatose
out-of-hospital cardiac arrest survivors.  Acta Anaesthesiol Scand
2006, 50(10):1277-83.
2. Langhelle A, Tyvold SS, Lexow K, Hapnes SA, Sunde K, Steen PA: In-
hospital factors associated with improved outcome after
out-of-hospital cardiac arrest. A comparison between four
regions in Norway.  Resuscitation 2003, 56(3):247-63.Page 2 of 2
(page number not for citation purposes)


K: Rapid implementation of therapeutic hypothermia in comatose out-of-hospital cardiac arrest survivors. Acta Anaesthesiol Scand

PA: Inhospital factors associated with improved outcome after out-of-hospital cardiac arrest. A comparison between four regions in Norway. Resuscitation

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3313136

Out of hospital cardiac arrest (OHCA) patients without return of spontaneous circulation (ROSC) – should they be transported with ongoing resuscitation to the hospital?

Abstract

Similar works

Full text

Available Versions

Crossref

Springer - Publisher Connector