OBJECTIVE: This study aimed to report results of pre-hospital cardiopulmonary resuscitation (CPR) in the city of Prague in accordance with 'Utstein-style' recommendations. MATERIALS AND METHODS: This is a prospective study of out-of-hospital cardiac arrest (OHCA) survival in the city of Prague treated by emergency medical service (EMS). EMS Prague is a typical municipal, two-tiered ambulance service, based on the presence of a physician on the scene in all life-threatening emergencies, especially in cardiac arrests, serious breathing problems, chest-pain cases, seizures, serious trauma, etc. Since 2002, all cases of OHCA CPRs performed by EMS Prague ambulance crew are evaluated in accordance with 'Utstein-style' recommendations, including hospital-outcome score as measured by Cerebral Performance Categories (CPCs). RESULTS: In 2008, our ambulance crew performed 493 CPRs. Return of spontaneous circulation (ROSC) was achieved in 278 cases (56.3%), survival of the event in 211 cases (42.8%) and survival to hospital discharge with good neurological outcome (CPC 1 or 2) in 74 cases (15.0%). Appropriate figures for patients with first shockable rhythm (n=146) were 106 (72.6%) for ROSC, 91 (62.3%) for survived event and 51 (34.9%) for survival to discharge with good neurological outcome. Pre-hospital CPR incidence was 41.1 per 100,000 inhabitants. The majority of cases had a cardiac origin (363, 73.6%). The physician attending the arrest declared the reason unknown in 40 cases (8.1%), as a respiratory disease in 20 cases (4.1%) and in 36 cases (7.3%) the arrest was a result of trauma, drowning or poisoning.
OBJECTIVE: This study aimed to report results of pre-hospital cardiopulmonary resuscitation (CPR) in the city of Prague in accordance with 'Utstein-style' recommendations. MATERIALS AND METHODS: This is a prospective study of out-of-hospital cardiac arrest (OHCA) survival in the city of Prague treated by emergency medical service (EMS). EMS Prague is a typical municipal, two-tiered ambulance service, based on the presence of a physician on the scene in all life-threatening emergencies, especially in cardiac arrests, serious breathing problems, chest-pain cases, seizures, serious trauma, etc. Since 2002, all cases of OHCA CPRs performed by EMS Prague ambulance crew are evaluated in accordance with 'Utstein-style' recommendations, including hospital-outcome score as measured by Cerebral Performance Categories (CPCs). RESULTS: In 2008, our ambulance crew performed 493 CPRs. Return of spontaneous circulation (ROSC) was achieved in 278 cases (56.3%), survival of the event in 211 cases (42.8%) and survival to hospital discharge with good neurological outcome (CPC 1 or 2) in 74 cases (15.0%). Appropriate figures for patients with first shockable rhythm (n=146) were 106 (72.6%) for ROSC, 91 (62.3%) for survived event and 51 (34.9%) for survival to discharge with good neurological outcome. Pre-hospital CPR incidence was 41.1 per 100,000 inhabitants. The majority of cases had a cardiac origin (363, 73.6%). The physician attending the arrest declared the reason unknown in 40 cases (8.1%), as a respiratory disease in 20 cases (4.1%) and in 36 cases (7.3%) the arrest was a result of trauma, drowning or poisoning.
Authors: Jan Belohlavek; Jana Smalcova; Daniel Rob; Ondrej Franek; Ondrej Smid; Milana Pokorna; Jan Horák; Vratislav Mrazek; Tomas Kovarnik; David Zemanek; Ales Kral; Stepan Havranek; Petra Kavalkova; Lucie Kompelentova; Helena Tomková; Alan Mejstrik; Jaroslav Valasek; David Peran; Jaroslav Pekara; Jan Rulisek; Martin Balik; Michal Huptych; Jiri Jarkovsky; Jan Malik; Anna Valerianova; Frantisek Mlejnsky; Petr Kolouch; Petra Havrankova; Dan Romportl; Arnost Komarek; Ales Linhart Journal: JAMA Date: 2022-02-22 Impact factor: 157.335
Authors: Ilona Lálová; Lucie Filipovská; Hana Skalická; Ondřej Šmíd; Aleš Linhart; Helena Kollárová; Jan Bělohlávek Journal: Case Rep Med Date: 2018-01-14
Authors: Allart M Venema; Anthony R Absalom; Ahamed H Idris; Joost J L M Bierens Journal: Scand J Trauma Resusc Emerg Med Date: 2018-03-22 Impact factor: 2.953
Authors: Pamela Hiltunen; Markku Kuisma; Tom Silfvast; Juha Rutanen; Jukka Vaahersalo; Jouni Kurola Journal: Scand J Trauma Resusc Emerg Med Date: 2012-12-17 Impact factor: 2.953
Authors: Jan Belohlavek; Karel Kucera; Jiri Jarkovsky; Ondrej Franek; Milana Pokorna; Jiri Danda; Roman Skripsky; Vit Kandrnal; Martin Balik; Jan Kunstyr; Jan Horak; Ondrej Smid; Jaroslav Valasek; Vratislav Mrazek; Zdenek Schwarz; Ales Linhart Journal: J Transl Med Date: 2012-08-10 Impact factor: 5.531