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Cardiac arrest of nonpatients within hospital public areas
1Department of Emergency Medicine, Brooke Army Medical Center, San Antonio, Texas 78234-6200, USA. bruce.adams@amedd.army.mil
Abstract:
Time to defibrillation is the most important controllable factor for survival. Hospitals also must respond to cardiac arrest in nonpatients (i.e., visitors and staff members) within their public areas. In-hospital cardiac arrest teams may be unaccustomed to resuscitating visitors under what is essentially a prehospital environment. All cardiorespiratory arrests over a 2-year period at the investigators' institution were reviewed. Six of the 749 in-hospital cardiorespiratory arrests (0.8%) occurred in visitors within public areas of the hospital. The average time to defibrillation for the public area cohort was significantly longer than for the in-hospital arrest control group (12.3 vs 2.5 minutes, p <0.0001). Further research is needed to reduce the time to defibrillation and consequently improve survival outcomes for cardiac arrest in hospital public areas.
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