Evaluation of the Performance of Cardiopulmonary Resuscitation (CPR) Team, Shahid Chamran Hospital, Isfahan, Iran, in 2015

Document Type : Original Article (s)

Authors

1 Assistant Professor, Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Associate Professor, Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

3 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: One of the most important issues in order to save life in patients with cardiac arrest is cardiopulmonary resuscitation (CPR). This study evaluated the performance of resuscitation team in Chamran hospital, Isfahan, Iran, in 2015.Methods: This cross-sectional study included 211 patients undergone CPR, in or out of the Chamran hospital. The CPR process data were collected from patients' files and the CPR heads filled out the checklists.Findings: The patients were 140 men (66.35%) and 71 women (33.65%). The age, sex, and location of CPR had not significant effect on the outcome of CPR (P > 0.050 for all). Use of advanced life support, the time between cardiac arrest and start of advanced life support, the time between cardiac arrest and applying first shock, use of electroshock, CPR due to basic life support (BLS), CPR due to advanced life support (ALS), and duration of CPR had significant effect in primary survey of CPR (P < 0.050 for all). Unless time between cardiac arrest and apply of first shock, there was no significant relationship between other criteria and 1-month survival after primary successful CPR (P = 0.010).Conclusion: In our study, demographic indices did not have significant effect on primary CPR outcome but need to basic and advanced life supports, applying shock to shockable rhythm and also the time between cardiac arrest and applying first shock had significant effect on primary successful CPR. Incompatibility in the percentage of CPR cases with American Heart Association (AHA) guideline notes the necessity of regular and continuous retraining.

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