J Korean Soc Emerg Med.  2019 Oct;30(5):446-455. 10.0000/jksem.2019.30.5.446.

The comparisons of prehospital treatments in traumatic and non-traumatic out-of-hospital cardiac arrests

• Lee HB
• Kim HI

• KMID: 2470564
• DOI: http://doi.org/10.0000/jksem.2019.30.5.446

Abstract

OBJECTIVE
The outcome of traumatic cardiac arrests remains poor. Nevertheless, the prehospital treatments for traumatic arrests are insufficient in Korea. This study was conducted to compare the prehospital treatments in traumatic and non-traumatic out-of-hospital cardiac arrests (OHCA).
METHODS
This was a retrospective, single-center study based on the prospectively collected database of an academic tertiary medical center. The study period was from 2009 to 2017. The following items were compared: age, sex, rates of bystander cardiopulmonary resuscitation (CPR), prehospital intubation, prehospital defibrillation, prehospital epinephrine administration, CPR duration, rates of return of spontaneous circulation, and the survival discharge.
RESULTS
Among 786 arrest patients, there were 226 (28.7%) traumatic cardiac arrests and 560 (71.2%) non-traumatic cardiac arrests. The rate of bystander CPR was lower (3.1% vs. 17.5%, P<0.001) in traumatic OHCAs. The prehospital intubation, defibrillation, and epinephrine administration were lower in traumatic OHCAs.
CONCLUSION
The prehospital treatments, including bystander CPR, prehospital intubation, and epinephrine administration, were performed less actively in traumatic OHCAs. On the other hand, these results were limited to a single hospital.

Keyword

First aid; Advanced trauma life support; Heart arrest; Out-of-hospital cardiac arrest

MeSH Terms

Advanced Trauma Life Support Care
Cardiopulmonary Resuscitation
Epinephrine
First Aid
Hand
Heart Arrest
Humans
Intubation
Korea
Out-of-Hospital Cardiac Arrest*
Prospective Studies
Retrospective Studies
Epinephrine