EVALUATION OF COMPLICATIONS ASSOCIATED WITH CARDIOPULMONARY RESUSCITATION IN EMERGENCY DEPARTMENT
Introduction: Resuscitation methods are commonly used to restore return of spontaneous circulation (ROSC) in patients with arrest. However, during these resuscitation practices, complications are inevitable.
Aim: The aim of this study was to compare complications due to cardiopulmonary resuscitation (CPR) performed in an adult emergency department (ED) as well as the diagnostic tools used to evaluate these complications.
Methods: This prospective study was conducted in the ED of Ankara Training and Research Hospital between 01.06.2012 and 30.05.2013. Participants consisted of all patients over the age of 18 with non-traumatic cardiac arrest who were brought to the hospital by ambulance, relatives, friends, or acquaintances. Those who arrested and received CPR during ED follow-up were also included.
Results: A total of 136 patients, comprised of 59 women (43.4%) and 77 men (56.6%), who presented with cardiopulmonary arrest were included in the study. Return of spontaneous circulation was observed in 62 patients (45.6%), while 74 patients (54.4%) were declared exitus following CPR. Rib fractures were detected in 36.7%, of patients, sternum fractures in 33.8%, pneumothorax in 2.9%, and liver injury in 0.7% of the patients. Although only 30.9% of rib fractures were diagnosed by chest X-ray, chest X-ray was found to be superior to ultrasonography (US) in the detection of rib fractures (p < 0.005). The diagnosis of rib fractures was achieved with combined chest X-ray and US in 19.8%.
Conclusion: The most common complications of CPR were found to be rib and sternal fractures. The results further suggest that evaluation of CPR-related complications using chest X-ray and US in combination can efficiency higher diagnostic accuracy.
Handan Çiftçi1, Yasemin Yılmaz Aydın2, Aylin Erkek3,
Sevilay Vural4, Hayri Ramadan5, Figen Coşkun6
1 Kafkas University, Faculty of Medicine, Department of Emergency Medicine, Kars, Turkey
2 Universiy of Health Sciences, Dışkapı Yildirim Beyazit Training and Research Hospital, Department of Emergency Medicine, Ankara, Turkey
3 University of Kocaeli Healthy Science, Derince Training and Research Hospital, Department of Emergency Medicine, Kocaeli, Turkey
4 Yozgat Bozok University, Faculty of Medicine, Department of Emergency Medicine, Yozgat, Turkey
5 Ankara Training and Research Hospital, Department of Emergency Medicine, Ankara, Turkey
6 Dokuz Eylül University, Faculty of Medicine, Department of Emergency Medicine, İzmir, Turkey
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Çiftçi H., Aydın Ya.Yı., Erkek A., Vural S., Ramadan H., Coşkun F. Evaluation of complications associated with cardiopulmonary resuscitation in emergency department // Nauka i Zdravookhranenie [Science & Healthcare]. 2020, (Vol.22) 3, pp. 98-104. doi 10.34689/SH.2020.22.3.012Похожие публикации:
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