A comparison of traumatic arrest cases intervened by Ankara Provincial Ambulance Service teams in the years 2017 and 2018

Abstract

Less than 6% of patients with out-of-hospital cardiac arrest (OHCA) and 24% of patients with in-hospital cardiac arrest (IHCA) are reported to have survived [1]. To improve survival in arrest cases, recommendations have been revealed especially for data collection, education, and public participation. The report stresses that it is necessary to centralize data collection and distribution, monitor and improve care services, increase the impact of research and treatments, and strengthen stakeholder communication. The study by Van Diepen et al. published in the Journal of American Heart Association discussed the first steps to fulfill most of the recommendations of The Institute of Medicine report. The Heart Rescue Project, implemented by Van Diepen et al., created a population-based record bank that covered 90% of the US population. Of prehospital arrest cases, bystander CPR was performed in 42.8% and automated external defibrillator was used in 4.6%. In 21.9% of these cases, CPR was performed by police officers or first aiders before the ambulance team arrived. In this context, CPR and first-aid defibrillation rate increased from 14.1% to 23.1% and, with positive neurological outcomes, the survival rate increased from 7.1% to 9.7% [2]. According to a study published in 2015 on survival rates in arrest cases, special importance was attached to traumatic arrest cases [1]. A significant improvement was seen in the survival of medical arrest ABSTRACT