Out of hospital cardiac arrest outcomes report - using Utstein template

ABSTRACT

Emergency Medicine service and training system in Thailand are in its developing stage. Cardiac arrest and result of cardiopulmonary resuscitation is one of the most important indicator in ED. Improvement of those need standardized and reliable database. Aim of this study is to initiate using Utstein template for collecting out of hospital cardiac arrest and outcome data in ED Ramathibodi hospital. From April 1, 2006 to April 30, 2007. All medical records of Out-of-Hospital cardiac arrest (OHCA) patients who were sent to Emergency room Ramathibodi Hospital were reviewed. Core element data (according to Utstein definition) were recorded. Ninety-Six Out-of-Hospital cardiac arrest patients were sent to ED. 30 files were lost. 51 OHCA patients were suspected cardiac cause of cardiac arrest and completed CPR. The majority of OHCA occurred at home. Only 4 patients got pre-hospital resuscitation. Six patients showed shockable rhythm as the first mornitoried rhythm. Twenty patients had returned of spontaneous circulation (ROSC) but nobody survived to discharge. Sex and kind of the first monitored rhythm do not affect to result of outcome.