2012. 4. 30

Overview : 2012 4 CPR : 9 ROSC : 4 ( 44 %) Admission : 4 ( 44 %) Survival (24hr) : 3 ( 33 %)

Age/SexArrest siteBystander CPR(min)Arrest to 119 / 119 to ED (min)Presumptive causeROSCDisposition39/MPre-hospitalNon-witnessed+(6)6min/50minR/O cardiac arrest-expire61/MHospitalWitnessed--R/O cardiogenic shock+admission72/MHospitalWitnessed--R/O cardiac arrest+admission67/MPre-hospitalWitnessed--/15minR/O Respiratory arrest+admission80/FHospitalWitnessed--R/O AAA rupure-expire84/FPre-hospitalNon-witnessed-5min/10minR/O Cardiac arrest-expire41/MHospitalWitnessed--R/O AKA-expire76/FHospitalWitnessed--R/O Hypovolemic shock-expire16/FPre-hospitalWitnessed-4min/14minR/O cardiac arrest+Transfer to

Case 1No : 01621902Sex/Age : M / 61Arrest site: hospital, witnessArrest place :

Arrest (or witnessed) time : 2012.4.02. 20:58

Pre-arrest situation :HTN, DM, ESRD on HD(, , ) regular HD dyspnea R/O CHF due to infection evaluation Hypotension fluid loading, C-line insertion arrest CPR.Pre-hospital manage :(-)Past medical Hx :HTN, DM, ESRD on HD

Case 1CPR director R3 Participants IM R2 Arrival time ( CPR start ) 17:17(20:58)Initial rhythm : Asystole

CPR record17:17 V/S 131/51-79-30-79% dyspnea .17:18 P/E by R1 17:35 Chest AP(P) 18:00 Lasix 20mg IV injection18:54 IM consult20:10: Thoracocentesis(by IM R2 )20:14 V/S 81/41-60-27-89%(O2 10L via mask) , fluid loading20:58 PEA, cardiac massage start20:59 Intubation(by R3 )21:06 ROSC, V/S 167/63-62-100, MICU Admission

Case 1HD #2 : 3 CPR .

Case 2No : 02000102Sex/Age : F / 80Arrest site: Hospital, witnessArrest place :

Arrest (or witnessed) time : 2012.4.26. 10:40

Pre-arrest situation :HTN 4 sudden onset back pain mental change ICH . Brain CT calcifiaction NS, NR evaluation PEA Check CPR.Pre-hospital manage :(-)Past medical Hx :HTN

Case 2CPR director Staff Participants R3 , R1 Arrival time ( CPR start ) 07:18(10:40)Initial rhythm : PEA

CPR record07:18 mental change .(V/S 51/19-78-15-80%), ventilator apply 07:34 Dopamine start, 07:42 Brain CT Check(calcification in basal ganglia, cerebellum)07:50 NS consult09:10 IM consult10:31 V/S49/33-49-20-10010:37 NR consult10:38 FAST sono(hemoperitoneum)10:40 PEA, CPR start11:03 Staff expire.

Case 3No : 0998447Sex/Age : 76/FArrest site: Hospital, witnessArrest place :

Arrest (or witnessed) time : 2012.4.18. 20:28

Pre-arrest situation : mental change X-ray, CT Evaluation V/S unstable PEA Check CPR 20 ROSC PEA Check CPR ROSC expire.Pre-hospital manage :(-)

Past medical Hx :HTN

Case 3CPR director R3 Participants R1

Arrival time ( CPR start ) 18:44(20:28)Initial rhythm : PEA CPR record18:44 Deep drowsy mentality, V/S (81/62-103-28-71%)18:56 Trauma series 19:11 FAST sono by R3(no hemoperitoneum)19:25 V/S(107/70-97-30-91%), Brain, chest, abdomen CT20:05 X-ray, CT , transfusion start20:10 NS consult(Brain CT :SDH)20:18 SR consult(abdomen CT:IMA rupture)20:20 V/S(73/42-109-28-80%), intubation(By R3)20:28 PEA, CPR Start, Sheath insertion(RSCV), 20 ROSC21:28 PEA, CPR start21:56 ROSC expire.

Case 4No : 01963709Sex/Age : M / 35Arrest site: pre-hospital, non-witness, no-bystander-CPRArrest place : ()

Arrest (or witnessed) time : 20011.09.18. 06:55 ( 25 )

Pre-arrest situation : 01:05 119 (20 ), asystole CPR .

Pre-hospital manage : 119 chest compression .

Past medical Hx : none

Case 4CPR director R2 Participants Int.

Arrival time ( CPR start ) 01:30Initial rhythm : Asystole

CPR record01:30 CPR start; cardiac compression01:31 intubation (R2 ) 01:41 ROSC(+), V/S:191/94-124-29.201:45 VT(Synchronized cardioversion 150j by R2 )01:51 Vf(cardioversion 150j by R2 )01:52 ROSC(+), V/S:140/74-110-29.401:55 C-line insertion(by R2 ) 02:20 Brain, Chest, Abdomen CT Check03:00 IM consult05:00 . V/S:120/64-75-29.7, stuporous mentality, self(+)

Case 4HD #4 multiple organ failure, BP 60/40

Case 5No : 01963335Sex/Age : F / 32Arrest site: pre-hospital, witness, bystander-CPRArrest place : 119

Arrest (or witnessed) time : 2011.11.22. 15:21

Pre-arrest situation : 14:40 Seizure-like movement 119 15 07 pulse, self. 119 15 21 Vf AED Chest compression .

Pre-hospital manage : 119 chest compression . AED shock 1

Past medical Hx : (-)

Case 5CPR director R3 Participants R1 Arrival time ( CPR start ) 15:32Initial rhythm :asystole

CPR record15:32 CPR start; cardiac compression15:35 Intubation( by R1) 15:37 ROSC(+), V/S 127/68-138-2215:50 Ventilator apply(by R3 ) 15:58 C-line insertion(by R3 )16:00 IM consult16:04 Brain CT Check17:45 MICU admission

Case 5HD #2 EEG NR consultHD #5 T-piece change, stuporous mentalityHD #7 stuporous mentality, V/S 122/87-99-14-36.4

Case 6No : 01961167Sex/Age : F/31Arrest site: pre-hospital, no-witness, no bystander-CPRArrestst place :( )

Arrest (or witnessed) time : 2011.11.13. 23:45Pre-arrest situation : 119 (20 ) Chest compression .

Pre-hospital manage : 119 chest compression .

Past medical Hx :(-)

Case 6CPR director R2 Participants R1 Arrival time ( CPR start ) 23:59Initial rhythm : Asystole

CPR record23:59 CPR start00:03 intubation (R1 )00:17 ROSC(+): V/S 108/55-67-22-32.0, ventilator apply00:20 Ventilator apply(by R1)00:30 C-line insertion(by R1 )00:11 IM consult01:03 Brain CT check04:37 V/S 93/56-125-25-30.2, transfer05:10 PEA CPR ROSC .

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