CARDIOPULMONARY RESUSCITATION ANALYSIS: HOW TO IMPROVE OUTCOME?

Sa？etak Objective: The aim of this study was to investigate what are the factors that reduce positive outcome of out-of-hospital cardiopulmonary resuscitation (CPR) and how it could be improved. Methods: The study was based on data from the eHitna system and forms of the out-of-hospital cardiac arrest reports according to the Utstein guidelines, at the Institute of Emergency Medicine in Koprivnica-Kri？evci County, and included 204 patients over a one-year period. Results: In 58 out of 204 patients (28.43%), emergency medical (EM) dispatchers recognized arrest from phone calls and in 48 patients basic life support was started by laypeople. Four out of 48 resuscitations initiated by laypeople had positive outcome. In 78 out of 204 patients, CPR was initiated by EM team and in 13 patients, after the return of spontaneous circulation (ROSC), it was maintained until hospital admission. Conclusion: The main focus should be on better communication between EM dispatchers and callers, and should encourage the witnesses of the arrest to proceed with basic life support as soon as possible, until arrival of the EM team. The focus should also be on education of medical workers and laypeople as often as possible and on installation of more automated external de？ brillators in public places