Dergiler / Gülhane Tıp Dergisi / 2019 / Cilt: 61 - Sayı: 3

Investigation of the efficacy of an advanced life support team and architectural design on the success of cardiopulmonary resuscitation in the department of emergency medicine

Sayfa
103–108
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

This may be the result of the composition of the team and available equipment, as well as the ED’s architectural design.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Aims:This study aimed at comparing the success rates of cardiopulmonary resuscitation (CPR) between two different architecturally designed emergency departments (EDs) in the same facility.
📊
Temel Bulgular & Veri:The CPR duration (minutes), return of spontaneous circulation (ROSC) rate, admission type and initial rhythm type were recorded.
💡
Sonuç & Katkı:This may be the result of the composition of the team and available equipment, as well as the ED’s architectural design.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Aims:This study aimed at comparing the success rates of cardiopulmonary resuscitation (CPR) between two different architecturally designed emergency departments (EDs) in the same facility. Methods:This was a retrospective study conducted at an ED at a tertiary hospital. Subjects who underwent CPR due to cardiac arrest (CA) were included in two different ED types, a corridortype ED (CED) and arena-type ED (AED). The CPR duration (minutes), return of spontaneous circulation (ROSC) rate, admission type and initial rhythm type were recorded. A positive ROSC was considered successful CPR. The results of the two ED types were compared. Results:Overall, 380 CPR events were studied (mean age: 65.1 ± 15.5 years, male: 71%, n = 230 for the CED group; mean age: 64.8 ± 16.1 years, male: 63%, n = 150 for the AED group). The demographic characteristics of the two groups did not show a significant difference. The average durations of CPR were similar in CED and AED (36.1 ± 12.6 and 36.8 ± 15.1, respectively, p = 0.436). The rate of ROSC was higher in the AED group compared with the CED group (16.7% vs 9.6%, respectively, p = 0.01). There was no significant difference by the means of admission type or type of initial rhythm between the two groups. Conclusions:This study showed that CEDs may be associated with lower CPR success rates than AEDs are. This may be the result of the composition of the team and available equipment, as well as the ED’s architectural design.

🔖

Bu Makaleye Atıf Yap

BİLGE, S., ERYILMAZ, M., AYDIN, A. A. (2019). Investigation of the efficacy of an advanced life support team and architectural design on the success of cardiopulmonary resuscitation in the department of emergency medicine. Gülhane Tıp Dergisi, Cilt: 61 - Sayı: 3, 103–108. https://ajindex.com/articles/161842

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (14)

  1. Anantharaman V, Gunasegaran K. Advanced Cardiac Life Support guidelines 2011. Singapore Med J. 2011;52(8):548-555
  2. Lloyd-Jones D, Adams RJ, Brown TM, et al. Heart disease and stroke statistics—2010 update: a report from the American Heart Association. Circulation. 2010;121(7):46-215
  3. Skrifvars MB, Vayrynen T, Kuisma M, et al. Comparison of Helsinki and European Resuscitation Council ‘Do not attempt to resuscitate’ guidelines, and a termination of resuscitation clinical prediction rule for out-of-hospital cardiac arrest patients found in asystole or pulseless electrical activity. Resuscitation. 2010;81(6):679-684
  4. Amnuaypattanapon K, Udomsubpayakul U. Evaluation of related factors and the outcome in cardiac arrest resuscitation at Thammasat Emergency Department. J Med Assoc Thai. 2010;93(Suppl 7):26-34
  5. Field JM, Hazinski MF, Sayre MR, et al. Part 1: executive summary: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010;122(18 Suppl 3):640-656
  6. Mellick LB, Adams BD. Resuscitation team organization for emergency departments: a conceptual review and discussion. Open Emerg Med J. 2009;2(1):18-27
  7. Fernandez Castelao E, Russo SG, Riethmuller M, Boos M. Effects of team coordination during cardiopulmonary resuscitation: a systematic review of the literature. J Crit Care. 2013;28(4):504-521
  8. Kramer WE. A Model for a Level II Emergency Room. San Antonio, TX, USA: Andrews Air Force Base; 1989 May 02. https://apps.dtic.mil/dtic/tr/fulltext/u2/a237738. pdf. Accessed January 30, 2019
  9. Polat O. Acil Servis Mimarisi ve Afet. In: Afet Tıbbı. 2nd ed. Ankara, Turkey: Unsal Publishing House; 2007:628- 633
  10. Kozacı N, Ay MO, Icme F, Aktürk A, Satar S. Are we successful in cardiopulmonary resuscitation? Cukurova Med J 2013;38(4):601-609
  11. Bailey ED, Wydro GC, Cone DC. Termination of resuscitation in the prehospital setting for adult patients suffering nontraumatic cardiac arrest. National Association of EMS Physicians Standards and Clinical Practice Committee. Prehosp Emerg Care. 2000;4(2):190-195
  12. Sittichanbuncha Y, Prachanukool T, Sawanyawisuth K. A 6-year experience of CPR outcomes in an emergency department in Thailand. Ther Clin Risk Manag. 2013;9:377-381
  13. Hunziker S, Johansson AC, Tschan F, et al. Teamwork and leadership in cardiopulmonary resuscitation. J Am Coll Cardiol. 2011;57(24):2381-2388
  14. Soar J, McKay U. A revised role for the hospital cardiac