PS-C13-10: A PROFILE OF OUT-OF-HOSPITAL CARDIAC ARREST IN AMANG RODRIGUEZ MEMORIAL MEDICAL CENTER: A PROSPECTIVE COHORT STUDY

Abstract

Objective: For every minute of cardiac arrest without early intervention, chances of survival drop by 7 to 10%. It is crucial that CPR be initiated within 4 to 6 minutes to avoid brain death. Most out-of-hospital cardiac arrests (OHCA) occur in a residential setting where access to trained personnel and equipment are not readily available, resulting to poor victim outcomes. The objective of the study is to present the different patient, responder, and transport factors affecting out-of-hospital cardiac arrest among adult patients brought to Amang Rodriguez Memorial Medical Center. Design and method: This is a descriptive study done from August to November 2021 using a prospective cohort design. Participants of the study include adult patients aged 18 years and above brought to the emergency room who suffered from out-of-hospital cardiac arrest. Descriptive statistics was used to summarize the demographic and clinical characteristics of the patients. Results: 63 participants were included in the study. Majority were male patients at 73.02%. Hypertension was identified as the top co-morbidity. Medical causes of arrest were identified in 96.83% of the cases. 90.48% of cardiac arrests occurred at home. Only 26 patients (41.27%) received pre-hospital intervention prior to ER arrival in the form of hands-only CPR. 60.32% were brought via self-conduction, the remainder by ambulances, which had no available equipment necessary to provide proper resuscitation. Average travel time from dispatch to ER arrival is 20 minutes. Conclusion: Overall survival of OHCA in our local setting remain dismal, as return of spontaneous circulation was not achieved in any of the patients. The small number of patients having pre-hospital CPR indicates the need for emphasis on training and community education.