Advanced cardiac life support in out-of-hospital cardiac arrest: A case study
DOI:
https://doi.org/10.33024/minh.v7i7.619Keywords:
Advanced Cardiac Life Support (ACLS), Basic Life Support (BLS), Out-of Hospital Cardiac Arrest (OHCA), Public Health Center (PHC)Abstract
Background: Public Health Center (PHC), especially in rural areas, is one of the primary healthcare facilities that have an important role in the chain of survival of out-of-hospital cardiac arrest (OHCA) patients. Despite of limited facilities, prehospital resuscitation can be performed by optimizing the available emergency facilities and infrastructure.
Purpose: To provide a comprehensive overview of the resuscitation management of OHCA patients at a PHC in East Java Province in Indonesia.
Method: Case study of a 43-year-old woman who was brought to PHC by residents after suddenly losing consciousness while working. The clinical condition when the patient arrived was unresponsive, no pulse, no respiratory effort, cold extremities, and oxygen saturation of 80%, the patient was medically diagnosed as OHCA.
Results: Resuscitation organization was carried out by involving 1 doctor, 2 nurses, and 1 midwife. The patient was given basic life support (BLS) and Advanced Cardiac Life Support (ACLS) by optimizing diagnostic tools, airway, breathing, circulation, and available drugs. The patient successfully Return of Spontaneous Circulation (ROSC) after the third cycle and successfully reached the referral hospital to receive further life support.
Conclusion: ACLS in the prehospital setting at PHC in Indonesia has a potential to be performed. Inter-professional collaboration, airway, breathing, and circulation optimization in providing BLS and ACLS on OHCA patients can increase the patient's chance of getting further care in the hospital.
References
Beydilli, İ., İlhanKorkmaz, F. Y., Güngör, F., Kırpat, V., Kozacı, N., Avcı, M., & Atik, İ. (2020). Pre-hospital airway management preferences of paramedics. Ann Clin Analytic Med, 11(5), 443-7.
Carney, N., Totten, A. M., Cheney, T., Jungbauer, R., Neth, M. R., Weeks, C., & Daya, M. (2021). Prehospital airway management: a systematic review. Prehospital Emergency Care, 26(5), 716-727.
Damasceno, A. (2016). Noncommunicable disease. The Heart of Africa: Clinical Profile of an Evolving Burden of Heart Disease in Africa, 155-157.
Davis, D. P., Bosson, N., Guyette, F. X., Wolfe, A., Bobrow, B. J., Olvera, D., & Levy, M. (2022). Optimizing physiology during prehospital airway management: an NAEMSP position statement and resource document. Prehospital Emergency Care, 26(sup1), 72-79.
Feinstein, B. A., Stubbs, B. A., Rea, T., & Kudenchuk, P. J. (2017). Intraosseous compared to intravenous drug resuscitation in out-of-hospital cardiac arrest. Resuscitation, 117, 91-96.
Fields, J. M., Piela, N. E., Au, A. K., & Ku, B. S. (2014). Risk factors associated with difficult venous access in adult ED patients. The American journal of emergency medicine, 32(10), 1179-1182.
Forouzan, A., Verki, M. M., Khabazipour, A., & Ahmadi, K. (2018). Basic life support awareness among resident doctors, medical students, nursing experts, health care providers, and their assistants in Southwest Iran. Medical Studies/Studia Medyczne, 34(3), 203-210.
Henlin, T., Michalek, P., Tyll, T., Hinds, J. D., & Dobias, M. (2014). Oxygenation, Ventilation, and Airway Management in Out‐of‐Hospital Cardiac Arrest: A Review. BioMed research international, 2014(1), 376871.
Hooper, A., Nolan, J. P., Rees, N., Walker, A., Perkins, G. D., & Couper, K. (2022). Drug routes in out-of-hospital cardiac arrest: A summary of current evidence. Resuscitation, 181, 70-78.
Jentzer, J. C., Clements, C. M., Murphy, J. G., & Wright, R. S. (2017). Recent developments in the management of patients resuscitated from cardiac arrest. Journal of Critical Care, 39, 97-107.
Jentzer, J. C., Herrmann, J., Prasad, A., Barsness, G. W., & Bell, M. R. (2019). Utility and challenges of an early invasive strategy in patients resuscitated from out-of-hospital cardiac arrest. JACC: Cardiovascular Interventions, 12(8), 697-708.
Kaptoge, S., Pennells, L., De Bacquer, D., Cooney, M. T., Kavousi, M., Stevens, G., & Di Angelantonio, E. (2019). World Health Organization cardiovascular disease risk charts: revised models to estimate risk in 21 global regions. The Lancet global health, 7(10), e1332-e1345.
Mathew, M. J., Kundra, P., & Vinayagam, S. (2024). Chest compression quality comparing 1-min vs 2-min rotation of rescuers wearing N95 masks. The American Journal of Emergency Medicine, 76, 75-81.
Merrell, J. G., Scott, A. C., Stambro, R., Boukai, A., & Cooper, D. D. (2023). Improved simulated ventilation with a novel tidal volume and peak inspiratory pressure controlling bag valve mask: A pilot study. Resuscitation Plus, 13, 100350.
Myat, A., Song, K. J., & Rea, T. (2018). Out-of-hospital cardiac arrest: current concepts. The Lancet, 391(10124), 970-979.
Olasveengen, T. M., Mancini, M. E., Perkins, G. D., Avis, S., Brooks, S., Castrén, M., & Morley, P. T. (2020). Adult basic life support: 2020 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Circulation, 142(16_suppl_1), S41-S91.
Onabanjo, S. O., Adeyeye, A. A., Akodu, B. A., Adaramola, O. G., & Popoola, A. O. (2023). An evaluation of basic life support training among medical students in Southwest Nigeria: A web-based study. African Journal of Emergency Medicine, 13(2), 114-119.
Prakash, A., Yadav, A., & Baghel, J. (2022). Basic Life Support (BLS): Knowledge, Attitude and Practice Among Health Care Providers. Central Asian Journal of Medical and Natural Science, 3(5), 97-103.
Rajeswaran, L., Cox, M., Moeng, S., & Tsima, B. M. (2018). Assessment of nurses’ cardiopulmonary resuscitation knowledge and skills within three district hospitals in Botswana. African Journal of Primary Health Care and Family Medicine, 10(1), 1-6.
Tan, B. K. K., Chin, Y. X., Koh, Z. X., Said, N. A. Z. B. M., Rahmat, M., Fook-Chong, S., & Ong, M. E. H. (2021). Clinical evaluation of intravenous alone versus intravenous or intraosseous access for treatment of out-of-hospital cardiac arrest. Resuscitation, 159, 129-136.
Tintinalli, J. E., Stapczynski, J. S., Ma, O. J., Yealy, D. M., Meckler, G. D., & Cline, D. M. (2016). Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 8e (Vol. 18). McGraw Hill Education.
Zheng, J., Lv, C., Zheng, W., Zhang, G., Tan, H., Ma, Y., & Xu, F. (2023). Incidence, process of care, and outcomes of out-of-hospital cardiac arrest in China: a prospective study of the BASIC-OHCA registry. The Lancet Public Health, 8(12), e923-e932.
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