Prehospitalary cardiopulmonary reanimation in the city of Cuenca. January - September 2019. Case Series
DOI:
https://doi.org/10.18537/RFCM.38.01.10Keywords:
case report, pulmonary cardio resuscitation, prehospital attention, firefightersAbstract
Background: cardiovascular diseases are the leading cause of death worldwide and in Ecuador. Cardiac arrest care out of the hospital (OHCA) is still a challenge, where early initiation of chest compressions plus early defibrillation increases survival.
Objective: to determine sociodemographic and extrahospitalary care elements of people undergoing cardiopulmonary resuscitation in the city of Cuenca.
Methodology: this is a serial study of 15 cases of cardio-respiratory arrest, which underwent cardiopulmonary resuscitation (CPR). The cases were obtained from the computerized patient registration system (NOUS) of the well-known Volunteer Fire Department from Cuenca.
Results: a report of 15 cases of OHCA without survival was made. A total of 33.3% were foreigners. The 86.7% were men, 46.7% used an external automatic defibrillator (AED) and 20% manual defibrillation. Most cardiovascular emergencies (46.7%) were attended by firefighters.
Conclusions: of the studied cases, most of the patients were male, they underwent automatic defibrillation, telephone CPR was never used, and advanced life support (VAS) was performed in 5 patients. At the end of the study a survival rate of 0% was reported
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