Emergency Room: What is being done in our hospital?

Abstract

includes the on call Registrars and SHOs, anaesthesiologist, and nurses, all trained in Advanced or Immediate Life Support. Biphasic defibrillators are available on every floor. Results: During the observation period, there were 91,134 admissions (70,858 in the Cardiology wards and 20,276 in Surgical wards). We recorded 153 inpatient arrests (41 women, mean age 50.5±13.4 years): 54 (35%) in the cardiology wards (0.05% admissions) and 99 (65%) in surgical wards (0.40% admissions). Of those, 88 presentedwith asystole, 63with ventricular fibrillation or pulseless ventricular tachycardia (VF/VT), and 2 in pulseless electrical activity (PEA). Adrenaline was administered to 52% of VF/VT and 78% of asystole cases. In total, 118 pts (77%) survived the initial resuscitation attempt (IRA) and 67 (44%) survived to discharge (31%of the cardiologypts and51%of the surgical pts).We intubated 111 pts, of whom 75% survived the IRA and 34% to discharge. Survival from the IRA and to discharge was 69% and 28%, respectively, for asystole, and 86% and 63% for VF/VT. Both PEA pts survived to discharge. CAT arrival time was less than 1min in 126 (82%) of pts. Conclusions: Survival from in-hospital cardiac arrest to discharge in our institution was 44%. Telemetry monitoring, defibrillator presence on inpatient floors, and prompt arrival of a trained cardiac arrest team to the patients’ bedside contributed to successful resuscitation attempts.