Abstract

NIGGEMEYER, Álvaro et al. Resultados iniciales de la implementación de programas de acceso público a la desfibrilación en Uruguay. Rev.Urug.Cardiol. [online]. 2013, vol.28, n.3, pp.334-344. ISSN 1688-0420.

Objective: to communicate the characteristics of presentation and survival in a group of patients who suffered Sudden Death and were assisted with Basic Cardiac Resuscitation and AED before the arrival of a Mobile Medical Emergency. Materials and methods: This was a descriptive-analytic study, retrospective, of all AED-assisted OHCA between January 1st, 2005 and September 1, 2011 throughout the country. Evaluated the characteristics of the patients and the cardiac arrest, and subsequent developments. Results: AEDs installed in public places with trained personnel were used effectively in 24 events. 62.5% achieved ROSC and 45.8% survived and returned to active life. Of the 16 Ventricular Fibrilation Cardiac Arrest, 75% achieved ROSC and 56.3% survived and returned to normal activities. People who participated in the resuscitation and had received previous training in cardiac resuscitation and AED use acted quickly and effectively. Conclusions: AEDs installed in public places worked properly. Nonmedical resuscitators probed their suitability in performing resuscitation. The rate of return of spontaneous circulation and survival to admission and discharge to the hospital of our patients was adequate and comparable to international reports.

Keywords : CARDIOPULMONARY RESUSCITATION; SUDDEN DEATH; PUBLIC ACCESS DEFIBRILLATION; AUTOMATED EXTERNAL DEFIBRILLATORS.

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