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Journal of The Korean Society of Emergency Medicine 1995;6(2): 285-297. |
| IMPACT OF EMERGENCY PHYSICIAN ON RESUSCITATION OF CARDIAC ARREST PATIENT |
| Wen Joen Chang1, Hahn Shick Lee1, Hoon Sang Chi2 |
1Department of Emergency Medicine, Yonsei University College of Medicine
2Department of Surgery, Yonsei University College of Medicine |
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Published online: December 31, 1995. |
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| ABSTRACT |
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Major factors influencing the outcome after cardiopulmonary resuscitation(CPR) of cardiac arrest patients are the technique of CPR, response time and early defibrillation. Others like patient's characteristics and drugs used in resuscitation play minor role. To determine if the emergercy physician affects the outcome of CPR, 318 consecutive victims with cardiac arrest who CPR were attempted in emergency room The results were as follows :
1. The first group without emergency physician was 102 patients and the second group with emergency physician was 216 patients.
2. Among the factors affecting the outcome of CPR, patient's characteristics(sex, age, cause, injury severity score), prehospital factors(response time, use of ambulance, prehospital care) and the duration of CPR have no statistical differences between two groups.
3. Among the prehospital cardiac arrest patients and whom arrested in emergency room, use of defibrillation does not showed statistical differences between two groups.
4. The statistically significant factors(p<0.05) between two groups were initial defibrillation energy, defibrillation frequency and drugs like epinephrine, atropine and lidocaine. These results were similar among the prehospital, in-emergency room and the total cardiac arrest patients.
5. The outcome of CPR showed no significant differences on prehospital cardiac arrest patients between two groups, but the in-emergency room cardiac arrested and the total patients. According to analysis of all the data, there were no significant factors affecting the outcome of the CPR except the role of emergency physician.
6. Low survival rate(1.9%) on group II , reflect the lacking of other important factors affecting the CPR other than emergency personnel.
In conclusion, the involvement of full time emergency physician on CPR is an important factors in resuscitation of arrested patients in emergency room
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| Key words:
Cardiopulmonary resuscitation, Emergency physician |
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