CLINICAL PROFILING OF PATIENTS RECEIVING CARDIOPULMONARY RESUSCITATION IN EMERGENCY MEDICINE DEPARTMENT.
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Abstract
Topics covered by abstract: cardiopulmonary resuscitation, return of spontaneous circulation.
Abstract type: ORW Format preference: poster presentation
Introduction: Cardiac arrest is an important public health problem and is defined by the cessation of cardiac activity. Out of hospital cardiac arrest is one of the leading causes of death and disability worldwide and contributes to 10% of the total mortality in developing countries.
Objectives-This study aims at studying the clinical profile and the immediate outcome of cardiopulmonary resuscitation for patients who achieve return of spontaneous circulation (ROSC). study design- prospective observational study with sample size of 115 cases who presented in the Emergency Department. Adult patients aged above 18 years were included in the study. Information was collected using a standardized proforma that documented sociodemographic characteristics, initial cardiac arrest rhythm, identifiable underlying cause of arrest, medications administered, interventions performed, and the immediate outcome. The immediate outcome referred to the patient’s condition during the period immediately following cardiopulmonary resuscitation (CPR). Data were summarized as mean (± standard deviation), median (range), or as frequencies and percentages, depending on the nature of the variables. Additional statistical tests were applied as needed based on the study objectives. A total of 115 patients were enrolled in the study. The mean age of patients was 61.68+/- 17.18 years. Male patients comprised the majority of the study population. Among the study subjects 40(34.78%) had Diabetes mellitus with/without related complications. Initial arrest rhythm was found to be non-shockable in majority of cases (89.57%), the most common primary etiology of cardiac arrest was sepsis (39.13%). Most common drug administered was adrenaline. The mean duration of CPR was found to be 17.08 + 7.77 mins. ROSC was achieved in 87.83%. Learning points: Establishing a well-organized Emergency Medical Services (EMS) system and implementing nationwide educational initiatives are essential for increasing public awareness of CPR and ultimately enhancing survival outcomes.
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Dr. Ajay GS
Consultant, Azeezia Hospital, Palakkad
Dr. Judith Mattakkal Jose
Attending Consultant, Artemis Hospital Gurgaon
Dr. Pooja Jayachandran
Senior Resident, Pk Das Hospital, Palakkad