Basic and advanced life support practices in out-of-hospital cardiopulmonary arrest  developing patients: analysis of 27 months: Hastane dışı kardiyopulmoner arrest gelişen hastalarda  temel ve ileri yaşam destek uygulamaları: 27 aylık analiz

Behçet Al; Suat Zengin; Sinem Kabul; Remzi Güzel; Emine Sarcan; Cuma Yıldırım

doi:10.5455/GMJ-30-2012-113

Authors

Behçet Al Gaziantep Üniversitesi Tıp Fakültesi Acil Tıp Anabilim Dalı, Gaziantep
Suat Zengin Gaziantep Üniversitesi Tıp Fakültesi Acil Tıp Anabilim Dalı, Gaziantep
Sinem Kabul Gaziantep Üniversitesi Tıp Fakültesi Acil Tıp Anabilim Dalı, Gaziantep
Remzi Güzel Gaziantep Üniversitesi Tıp Fakültesi Acil Tıp Anabilim Dalı, Gaziantep
Emine Sarcan Gaziantep Üniversitesi Tıp Fakültesi Acil Tıp Anabilim Dalı, Gaziantep
Cuma Yıldırım Gaziantep Üniversitesi Tıp Fakültesi Acil Tıp Anabilim Dalı, Gaziantep

DOI:

https://doi.org/10.5455/GMJ-30-2012-113

Keywords:

Basic and advanced life support, cardiopulmonary arrest out of hospital, endotracheal intubation

Abstract

Our aim is evaluating of basic and advanced life support interventions at the cardiopulmonary arrest patients that brought to our emergency department by 112 emergency services. Sixty-one cardiopulmonary arrest patients who brought to Emergency Department of Medicine School in Gaziantep University by 112 emergency services between 30 January 2009 and 15 March 2011 were included in the study. Gender, age and diagnosis of patients; accompanied by person, basic and advanced life support such as endotracheal intubation and cardiopulmonary resuscitation status were evaluated, and the results were recorded prospectively. Of patients, 60.7% (n=37) were male and 39.3% (n=24) were female. The mean age was 65.5 (18-90). The majority patient group (n=23) was coronary artery disease. Of patients, 34.4% were accompanies by doctor, and 65.6% were accompanied by paramedics. As basic life support, just only intravenous access and supplemental oxygen were performed. The ratio of patients who had experienced cardiopulmonary arrest and not intubated was 86.9% (n=53). Being all by paramedic, endotracheal intubations were performed to 8 (13.1%) patients. Cardiopulmonary resuscitation and defibrillation was not performed to any patients. Pulse, blood tension, cardiac beat were not determined in any patients on admission to emergency department. Cardiopulmonary resuscitation was performed to all patients in emergency department; just only one patient replied positive. He was died at the 20th day of admission to the intensive care unit. The care staff team that served in 112 emergency health services has not has not adequate experiences and knowledge to provide basic and advanced life supports. Statistically, paramedics were more successful to provide endotracheal intubations in cardiopulmonary arrest patients.

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