| Evaluation of 516 cardiopulmonary resuscitation attempts. | |
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MedLine Citation:
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PMID: 4073065 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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All adult cardiopulmonary resuscitations attended by the pharmacy department at a 486-bed tertiary-care institution were analyzed over a 24-month period. Data describing patient demographics, drug and equipment use, and patient survival were collected on 516 consecutive adult arrests. These data were recorded on a report form by a pharmacy technician and were classified as cardiac, respiratory, trauma, or other. Trauma included arrests caused by motor-vehicle accidents and gunshot wounds, and other included arrests caused by anaphylaxis or seizures. The majority of arrests (70%) were classified as cardiac, 24% as respiratory, and 6% as other. Overall, 54.5% of the patients suffering from arrests were resuscitated successfully. There was an equal distribution of arrests throughout the day. The mean duration of the resuscitation efforts was 38 minutes with a trend toward greater patient survival when resuscitation efforts lasted less than 15 minutes. Arterial blood-gas determinations were made in 81% of the arrests, defibrillations in 40%, and pacemaker or chest tube insertion in less than 10%. Sodium bicarbonate was the most frequently administered medication, followed by calcium salts and atropine sulfate. Lidocaine was used in 83% of the cases requiring antiarrhythmic therapy. Pressor support was required in 44.6% of the cases; norepinephrine bitartrate was the first-line pressor agent. Drugs not categorized as essential according to the American Heart Association's Advanced Cardiac Life Support (ACLS) standards were administered infrequently. Hospitals may benefit from arrest data in assessing their equipment and supply needs, staffing patterns, and personnel training programs. |
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Authors:
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R L Batenhorst; G D Clifton; D C Booth; N M Hendrickson; M L Ryberg |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of hospital pharmacy Volume: 42 ISSN: 0002-9289 ISO Abbreviation: Am J Hosp Pharm Publication Date: 1985 Nov |
Date Detail:
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Created Date: 1986-01-21 Completed Date: 1986-01-21 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0370474 Medline TA: Am J Hosp Pharm Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 2478-83 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Evaluation Studies as Topic Heart Arrest / therapy Hospital Bed Capacity, 300 to 499 Humans Kentucky Outcome and Process Assessment (Health Care)* Pharmacy Service, Hospital Resuscitation* / standards Wounds and Injuries / therapy |
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