The results of i̇nterventi̇on of publi̇c rescuers and the results of health professi̇onals's basi̇c and advanced appli̇cati̇ons for the out hospi̇tal cardi̇opulmonary arrests pati̇ents (analysi̇s of 18 months)

OBJECTIVE: In this study, patients in our region who returned to the life by the public and health professionals rescuers after cardiopulmonary arrest events developing outside the hospital, all interventions and results, as well as deficiencies in current practice are discussed. MATERIALS AND METHODS: This study was carried out in coordination with 112 Emergency Medical Services by Emergency Department of Gaziantep University Medicine Faculty between December 2012 and May 2014. An intervention introduction form consisting total of 31 questions for each CPA patient was completed by emergency medical services personnel. Follow-up results of patients after emergency services were performed by the researchers. The Kolmogorov-Smirnov test, Student t test, Mann-Whitney U Test. Kruskal-Wallis test and Dunn's multiple comparison tests were used for statistical analysis of the data. SPSS for Windows version 22.0 software package was used for statistical analyzes and P <0.05 was considered statistically significant. FINDINGS: A total of 205 patients were evaluated in our study. The average age was 58.34, and 69.8% were male. Arrest events usually had occured in the house environment (n = 128, 62.4%), witnessing of family members (n = 104, 50.7%) and in the afternoon (n = 89, 43.4%). The interventions was applied to 40 (19.5 ) cases by the public rescuers but had not developed a significant effect on survival ( p=0.360 ). The first complaint of cases was syncope (n = 7 3, 35.6%) and the initial rhythm was asystole (n = 152, 74.1%). There was a significant correlation between the results and the first rhythm (P = 0.030). The average call time 14.27 min., the average arrival time to the scene 8.4 min., the average arrival time to the emergency department was 9 min and the average duration of CPR in the emergency department was 35.15 min. Health care professionals had applied BLS to 203 (99%), ACLS to 125 ( 61% ), and defibrillation to 21 (10.2 ) of the cases. After the interventions 159 (77.6%) patients died in the emergency department, 30 (14.6%) died in the ICU. CONCLUSION: Our pre-hospital death ratesin the cardiopulmonary arrest event is under the literature. All interventions of the public rescuers, early arrival of the health care professionals to the scene, early patient transferring to the emergency room and long-sustaining cardiopulmonary resuscitation had no effect on the results. Emergency response capabilities of health care professionals and educated public rescuers rates should be increased. KEY WORDS: Out of hospital cardiopulmonary arrest, Emergency medical system, Basic life support, Advanced life support, Public rescuers.