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J Korean Soc Emerg Med > Volume 20(4); 2009 > Article
Journal of The Korean Society of Emergency Medicine 2009;20(4): 355-364.
Prospective Multi-center Evaluation and Outcome of Cardiopulmonary Resuscitation for Victims of Out-of-Hospital Cardiac Arrest in Seoul
Beom Kyu Cho, Sang Chul Kim, Hyun Kim, Mi Jin Lee, Yong Min Kim, Kyung Ryoung Lee, Han Sung Choi, Keun Jeong Song, In Cheol Park, Sung Pil Chung, Eun Kyung Eo, Ji Young Yoo, Tai Ho Im, Tai Ho Rho, Kang Hyun Lee, Sung Oh Hwang
1Department of Emergency Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea. khyun@yonsei.ac.kr
2Department of Emergency Medicine, Chung Ju Hospital, University of Konkuk , Chung Ju , Korea.
3Department of Emergency Medicine, College of Medicine, Konyang University, Daejeon, Korea.
4Department of Emergency Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
5Department of Emergency Medicine, College of Medicine, Konkuk University Hospital, Seoul, Korea.
6Department of Emergency Medicine, College of Medicine, Kyung Hee University, Seoul, Korea.
7Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, Korea.
8Department of Emergency Medicine, Severance Hospital, College of Medicine, Yonsei University, Seoul, Korea.
9Department of Emergency Medicine, Gangnam Severance Hospital, College of Medicine, Yonsei University, Seoul, Korea.
10Department of Emergency Medicine, School of Medicine, Ewha Womans University, Seoul, Korea.
11Department of Emergency Medicine, Kangdong Sacred Heart Hospital, Hallym University, Seoul, Korea.
12Department of Emergency Medicine, Hanyang University Medical Center, University of Hanyang College of Medicine, Seoul, Korea.
13Department of Medicine, St. Paul Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
ABSTRACT
PURPOSE:
To evaluate the quality of prehospital CPR (cardiopulmonary resuscitation) performed by 119 rescue personnel and bystanders in Seoul and to recognize the present problems in the pre-hospital emergency medical service system (EMS).
METHODS:
We enrolled all patients in cardiac arrest visiting the emergency rooms of 9 university hospitals in Seoul via 119 rescue services from 16 October to 26 November 2006, prospectively investigating the environments in which arrest occurred and the factors associated with CPR.
RESULTS:
Among 73 patients, the most common place of arrest was in the home(45.2%), CPR by bystander was performed in 8 cases(10.7%), endotracheal intubation by EMS personnel was performed in 10 cases(14.1%). Average time from call to CPR was 11.9 minutes and the number of discharges alive was 3 cases(4.1%).
CONCLUSION:
To improve the rate of alive discharges, development of CPR education program for lay rescue, education in basic and advanced life support, and management of quality for EMS personnel are needed.
Key words: Cardiopulmonary resuscitation, Education, CPR quality, Emergency medical services
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