Successful Implementation of Comprehensive Packages of Postcardiac Arrest Care After Out-of-Hospital Cardiac Arrest: A Single Institution Experience in South Korea

2013 ◽  
Vol 3 (1) ◽  
pp. 17-23 ◽  
Author(s):  
Chun Song Youn ◽  
Soo Hyun Kim ◽  
Sang Hoon Oh ◽  
Young Min Kim ◽  
Han Joon Kim ◽  
...  
2019 ◽  
Vol 49 (10) ◽  
pp. 945 ◽  
Author(s):  
Joon-myoung Kwon ◽  
Ki-Hyun Jeon ◽  
Hyue Mee Kim ◽  
Min Jeong Kim ◽  
Sungmin Lim ◽  
...  

2020 ◽  
Vol 27 (1) ◽  
pp. 46-53 ◽  
Author(s):  
Gi Woon Kim ◽  
Dong Keon Lee ◽  
Bo Ra Kang ◽  
Won Jung Jeong ◽  
Choung Ah Lee ◽  
...  

2021 ◽  
Vol 8 (2) ◽  
pp. 137-144
Author(s):  
Jae Yun Ahn ◽  
Hyun Wook Ryoo ◽  
Jae Wan Cho ◽  
Jung Ho Kim ◽  
Sang-Hun Lee ◽  
...  

2020 ◽  
Vol 9 (7) ◽  
pp. 2284 ◽  
Author(s):  
June-sung Kim ◽  
Dong Woo Seo ◽  
Youn-Jung Kim ◽  
Jinwoo Jeong ◽  
Hyunggoo Kang ◽  
...  

This study was to determine whether prolonged emergency department (ED) length of stay (LOS) is associated with increased risk of in-hospital cardiac arrest (IHCA). A retrospective cohort with a nationwide database of all adult patients who visited the EDs in South Korea between January 2016 and December 2017 was performed. A total of 18,217,034 patients visited an ED during the study period. The median ED LOS was 2.5 h. IHCA occurred in 9,180 patients (0.2%). IHCA was associated with longer ED LOS (4.2 vs. 2.5 h), and higher rates of intensive care unit (ICU) admission (58.6% vs. 4.7%) and in-hospital mortality (35.7% vs. 1.5%). The ED LOS correlated positively with the development of IHCA (Spearman ρ = 0.91; p < 0.01) and was an independent risk factor for IHCA (odds ratio (OR) 1.10; 95% confidence interval (CI), 1.10–1.10). The development of IHCA increased in a stepwise fashion across increasing quartiles of ED LOS, with ORs for the second, third, and fourth relative to the first being 3.35 (95% CI, 3.26–3.44), 3.974 (95% CI, 3.89–4.06), and 4.97 (95% CI, 4.89–5.05), respectively. ED LOS should be reduced to prevent adverse events in patients visiting the ED.


CJEM ◽  
2016 ◽  
Vol 20 (1) ◽  
pp. 68-79 ◽  
Author(s):  
Jessica Andrews ◽  
Christian Vaillancourt ◽  
Jan Jensen ◽  
Ann Kasaboski ◽  
Manya Charette ◽  
...  

AbstractObjectivesNurses and respiratory therapists are seldom allowed to use automated external defibrillators (AED) during in-hospital cardiac arrest. This can result in significant time delays before defibrillation occurs and lower survival for cardiac arrest victims. We sought to identify barriers and facilitators to AED use by nurses and respiratory therapists.MethodsWe conducted semi-structured qualitative interviews with a purposeful sample of nurses and respiratory therapists. We developed the interview guide based on the constructs of the theory of planned behaviour, which elicits salient attitudes, social influences, and control beliefs potentially influencing the intent to use an AED. Interviews were recorded, transcribed verbatim, and analysed until achieving data saturation. Two independent reviewers performed inductive analyses to identify emerging categories and themes, and ranked them by frequency of the number of participants stating the topic.ResultsDemographics for the 24 interviewees include mean age 40.5, 79.2% female, 87.5% performed cardiopulmonary resuscitation (CPR), 29.2% defibrillated a patient. Identified attitudes pertained to the timeliness of defibrillation, patient survival, simplicity of AED use, accuracy of rhythm recognition, and harm to self or others. Social influences consisted of physician and hospital administration support of AED use. Control beliefs included training on AED use, policy allowing AED use, familiarity with AED, and task burden during resuscitation.ConclusionsMost nurses and respiratory therapists intended to use an AED if permitted to do so by a medical directive. Successful implementation would require educational initiatives focusing on safety and efficacy of AEDs, support from physicians and hospital administrators, and additional training on AED use.


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