Sudden unexpected death in epilepsy and ventricular fibrillation

Abstract

s / Resuscitation 96S (2015) 43–157 143 During the out of hours period, time since last review was significantly extended:mean of 14.4hours comparedwith 8hours during normal operating time. 89% (n=50) presented in non-shockable rhythms. 51% (n=28) of CPR episodes considered predictable on the basis of patient background, presentation and physiological trend. 36% (n=20) were considered potentially preventable, either through optimised management or recognition of futility of CPR. Conclusion: The demographic and clinical picture of patients who underwent CPR in general wards formed by this study is in accordance with national data. The excess occurrence of cardiac arrests out of hours confirms that this period presents additional challenges to optimal care. The predictable and potentially preventable nature of a significant proportion of cases highlights the scope for further systemic improvement.