Changsun Kim1, Hyuk Joong Choi2, Hyungjun Moon3, Giwoon Kim4, Choungah Lee5, Jin Sung Cho6, Seongjung Kim7, Kyoungmi Lee8, Hanjoo Choi9, Wonjung Jeong10. 1. Department of Emergency Medicine, Hanyang University Guri Hospital, Republic of Korea. 2. Department of Emergency Medicine, Hanyang University Guri Hospital, Republic of Korea. Electronic address: ardoc@hanyang.ac.kr. 3. Department of Emergency Medicine, Soonchunhyang University Hospital, Cheonan, Republic of Korea. 4. Department of Emergency Medicine, Soonchunhyang University Hospital, Bucheon, Republic of Korea. 5. Department of Emergency Medicine, Hallym University Dongtan Sacred Heart Hospital, Republic of Korea. 6. Department of Emergency Medicine, Gachon University Gil Medical Center, Republic of Korea. 7. Department of Emergency Medicine, Chosun University Hospital, Gwangju, Republic of Korea. 8. Department of Emergency Medicine, Myongji Hospital, Republic of Korea. 9. Department of Emergency Medicine, Dankook University Hospital, Republic of Korea. 10. Department of Emergency Medicine, Catholic University of Korea, St. Vincent's Hospital, Republic of Korea.
Abstract
OBJECTIVE: To compare the survival to discharge between nursing home (NH) cardiac arrest patients receiving smartphone-based advanced cardiac life support (SALS) and basic life support (BLS). METHODS: The SALS registry includes data on cardiac arrest from 7 urban and suburban areas in Korea between July 2015 and December 2016. We include adult patients (>18) with out-of-hospital cardiac arrest (OHCA) of medical causes and EMS attended and dispatched in. SALS is an advanced field resuscitation including drug administration by paramedics with video communication-based direct medical direction. Prehospital resuscitation method was key exposure (SALS, BLS). The primary outcome was survival to discharge. RESULTS: A total of 616 consecutive out-of-hospital cardiopulmonary resuscitation cases in NHs were recorded, and 199 (32.3%) underwent SALS. Among the NH arrest patients, the survival discharge rate was a little higher in the SALS group than the BLS group (4.0% vs 1.7%), but the difference was not significant (P = 0.078). Survival discharge with good neurologic outcome rates was 0.5% in the SALS group and 1.0% in the BLS group (P = 0.119). On the other hand, in the non-NH group, all outcome measures significantly improved when SALS was performed compared to BLS alone (survival discharge rate: 10.0% vs 7.3%, P = 0.001; good neurologic outcome: 6.8% vs 3.3%, P < 0.001). CONCLUSIONS: As a result of providing prehospital ACLS with direct medical intervention through remote video calls to paramedics, the survival to discharge rate and that with good neurologic outcome (CPC 1, 2) of non-NH patients significantly improved, however those of NH patients were not significantly increased.
OBJECTIVE: To compare the survival to discharge between nursing home (NH) cardiac arrestpatients receiving smartphone-based advanced cardiac life support (SALS) and basic life support (BLS). METHODS: The SALS registry includes data on cardiac arrest from 7 urban and suburban areas in Korea between July 2015 and December 2016. We include adult patients (>18) with out-of-hospital cardiac arrest (OHCA) of medical causes and EMS attended and dispatched in. SALS is an advanced field resuscitation including drug administration by paramedics with video communication-based direct medical direction. Prehospital resuscitation method was key exposure (SALS, BLS). The primary outcome was survival to discharge. RESULTS: A total of 616 consecutive out-of-hospital cardiopulmonary resuscitation cases in NHs were recorded, and 199 (32.3%) underwent SALS. Among the NH arrestpatients, the survival discharge rate was a little higher in the SALS group than the BLS group (4.0% vs 1.7%), but the difference was not significant (P = 0.078). Survival discharge with good neurologic outcome rates was 0.5% in the SALS group and 1.0% in the BLS group (P = 0.119). On the other hand, in the non-NH group, all outcome measures significantly improved when SALS was performed compared to BLS alone (survival discharge rate: 10.0% vs 7.3%, P = 0.001; good neurologic outcome: 6.8% vs 3.3%, P < 0.001). CONCLUSIONS: As a result of providing prehospital ACLS with direct medical intervention through remote video calls to paramedics, the survival to discharge rate and that with good neurologic outcome (CPC 1, 2) of non-NH patients significantly improved, however those of NH patients were not significantly increased.
Authors: Han Joo Choi; Hyung Jun Moon; Won Jung Jeong; Gi Woon Kim; Jae Hyug Woo; Kyoung Mi Lee; Hyuk Joong Choi; Yong Jin Park; Choung Ah Lee Journal: Emerg Med Int Date: 2019-10-16 Impact factor: 1.112
Authors: Theresa M Olasveengen; Federico Semeraro; Giuseppe Ristagno; Maaret Castren; Anthony Handley; Artem Kuzovlev; Koenraad G Monsieurs; Violetta Raffay; Michael Smyth; Jasmeet Soar; Hildigunnur Svavarsdóttir; Gavin D Perkins Journal: Notf Rett Med Date: 2021-06-02 Impact factor: 0.826
Authors: Hye Ji Park; Won Jung Jeong; Hyung Jun Moon; Gi Woon Kim; Jin Seong Cho; Kyoung Mi Lee; Hyuk Joong Choi; Yong Jin Park; Choung Ah Lee Journal: Emerg Med Int Date: 2020-02-27 Impact factor: 1.112