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J Korean Soc Emerg Med > Volume 26(2); 2015 > Article
Journal of The Korean Society of Emergency Medicine 2015;26(2): 201-207.
Successful Linkage of 'Chain of Survival' in Out-of-Hospital Cardiac Arrest: Two Cases of dispatcher-assisted Cardiopulmonary Resuscitation in Korea
Soo Jin Kim, Ki Ok Ahn, Sung Eun Kim, Sung Phil Chung
1Fire Science Research Center, Seoul Metropolitan, Fire Service Academy, Korea.
2Department of Epidemiology, Graduate School of Public Health, Seoul National University, Korea.
3Lab of Emergency Medical Service, Seoul National University Hospital Research Institute, Korea. arendt75@gmail.com
4Department of Emergency Medicine, MyongJi Hospital, Korea.
5Department of Emergency Medicine, Chung-Ang University College of Medicine, Korea.
6Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Korea.
The use of concept of 'chain of survival' in American Heart Association has been published (proposed) for improving outcome in out-of-hospital cardiac arrest (OHCA) patients. We reported on two resuscitated OHCA cases whose 'chain of survival' were successfully linked. In particular, we presented process and time intervals of dispatcher-assisted cardiopulmonary resuscitation (CPR) instruction which have never been reported in Korea. These witnessed OHCA patients received bystander CPR instructed by dispatchers working in the 119 dispatch center. Automated external defibrillation was immediately attached and shocks were delivered effectively several times by 119 rescuers in the field. These patients were rapidly transported to regional emergency centers. Return of spontaneous circulation was achieved prior to arrival at hospital. Post-resuscitation care included therapeutic hypothermia or primary coronary intervention was performed after admission. These patients were discharged alive with good neurologic outcome. Comprehensive efforts of community, pre-hospital healthcare providers including dispatchers and hospitals are needed for successful linkage of 'chain of survival' in OHCA.
Key words: Out-of-hospital cardiac arrest, Telephone, Survival
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