Aborted cardiac arrest

• Main Authors: Budimski Mihaela, Gavrilović Nikola, Arsić Smiljka, Jakšić-Horvat Kornelija
• Format: Article
• Language: English
• Published: Serbian Medical Society, Department of Emergency Medicine, Belgrade 2014-01-01
• Series: ABC: časopis urgentne medicine
• Subjects: cardiac arrest; cardiopulmonary resuscitation; stemi; rosc
• Online Access: https://scindeks-clanci.ceon.rs/data/pdf/1451-1053/2014/1451-10531403026B.pdf
• ISSN: 1451-1053; 2560-3922

INTODUCTION: Analysis of resuscitation procedures of patients with acute myocardial infarction and ST elevations during medical transport from home conditions to the Institute for Cardiovascular Diseases Vojvodina (IKVBV). Analysis of resuscitation procedures of patients with acute myocardial infarction and ST elevations during medical transport from home conditions to the Institute for Cardiovascular Diseases Vojvodina (IKVBV). MATERIALS AND METHODS: Retrospective analysis of emergency protocols, EMS Subotica, that were used during the transport to IKVBV of patients who were being resuscitated, in the period between June, 2012 until March, 2014. The data was analyzed in a statistics program, Statistica 7. Retrospective analysis of emergency protocols, EMS Subotica, that were used during the transport to IKVBV of patients who were being resuscitated, in the period between June, 2012 until March, 2014. The data was analyzed in a statistics program, Statistica 7. Retrospective analysis of emergency protocols, EMS Subotica, that were used during the transport to IKVBV of patients who were being resuscitated, in the period between June, 2012 until March, 2014. The data was analyzed in a statistics program, Statistika 7. RESULTS: From the date of signing of the tripartite agreement between the Institute for Cardiovascular Diseases Vojvodina, Subotica General Hospital, and Health Center Subotica (June, 2012), 174 medical transports of patients with acute infarction and ST elevations were conducted from home (or from the emergency department of Subotica General Hospital) to the do room for catheterization. During the medical transport, modern monitoring of all vital parameters was used (heart rate, blood pressure, respiratory rate, Sp02, ETC02) as well as EKG monitoring and analysis of ST segments. All patients received an initial therapy: Andol pill 300mg, Plavix pill 600 mg, oxygen therapy, and an adequate analgesic, morphium (MO). During the medical transport (which lasted approximately 60 minutes), 12 patients experienced ventricular fibrillation and their breathing stopped. Ventricular fibrillation occurred after 20- 40 minutes of driving. All patients were successfully defibrillated (aborted cardiac arrest), sinus rhythm was established and consciousness regained, with the exception of one patient with fatal outcome. The resuscitation success rate during the transport of patients was 92%. CONCLUSION: For patients experiencing malignant cardiac arrhythmia, a 60-minute transport with STEMI infarction allowed for a high percentage of survival with the use of good equipment and continuous monitoring. Ventricular fibrillation witnessed by doctor achieved immediate reactions and the abortion of cardiac arrest with a fast establishment of ROSC and without any consequences.