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Revista Uruguaya de Cardiología

On-line version ISSN 1688-0420

Abstract

NIGGEMEYER, Álvaro et al. Resuscitation with automated external defibrillator (AED) in Uruguay. Rev.Urug.Cardiol. [online]. 2015, vol.30, n.1, pp.32-38. ISSN 1688-0420.

Purpose: to communicate the presentation features and survival of sudden death victims that were assisted with cardiopulmonary resuscitation (CPR) and automatic external defibrillator (AED) before the arrival of prehospital emergency medical system (PHEMS) in Uruguay. Method: case series study of all out of hospital cardiac arrest (OHCA) victims assisted with an AED from January 1, 2005 to September 1, 2013 in Uruguay. Patient’s features, cardiac arrest rhythm and evolution were evaluated. Results: 37 events in places with public access AED and trained people were reported. An AED decided ¨non shockable¨ in one ventricular fibrillation (VF) episode. Return of spontaneous circulation (ROSC) rate was 62,2% and  43% of the victims survived and returned to normal life. There were 27 VF cases. ROSC rate and survival for VF cases was 70% and 52% respectively. Every survivor of VF cases returned to normal life. Survival to Hospital discharge and return to normal life were associated with: VF (p=0,085), age (57 vs. 67 years, p=0,041) and bystander CPR before 2 minutes (p=0,025). Conclusion: public access AED were were effectively utilized in 36 cases. The results are similar to international reports and superior to those observed in the OHCA series assisted by PHEMS in our country. Lower age and bystander CPR before 2 minutes were associated with better outcomes.

Keywords : DEATH, SUDDEN; DEATH, SUDDEN, CARDIAC; DEFIBRILLATORS; OUT OF HOSPITAL CARDIAC ARREST; ELECTRIC COUNTERSHOCK (DEFIBRILLATION); CARDIOPULMONARY RESUSCITATION/METHODS.

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