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. 2020 Oct 31;111(5):399-403.
doi: 10.23749/mdl.v111i5.8897.

Analysis of survival at cardiac arrest in events occurred in work environments in the territory served by an operations center of the 118 of Tuscany

[Article in Italian]
Riccardo Marino  1 , Nicola Bertocci  2 , Micaela Bernabei  3 , Alessandra Bonotti  4 , Aldo Mignani  5 , Poupak Fallahi  6 , Salvio Perretta  7 , Giulia Monopoli  8 , Alfonso Cristaudo  9 , Rudy Foddis  10
Affiliations

Analysis of survival at cardiac arrest in events occurred in work environments in the territory served by an operations center of the 118 of Tuscany

[Article in Italian]
Riccardo Marino et al. Med Lav. .

Abstract

«Analysis of survival at cardiac arrest in events occurred in work environments in the territory served by an operations center of the 118 of Tuscany».

Background:: The global incidence of cardiac arrest is nearly one person in 1,000 per year, a rate which also applies to Italy; a great deal of these events is likely to strike people outside their homes. Objectives: To analyze a cohort of cardiac arrest events occurred in various public spaces and workplaces across an area under the responsibility of an Emergency Unit related to the national emergency number (118) and to assess the efficacy of first-aid intervention and the usage of a defibrillator while handling an acute cardiac event.

Methods:: We analyzed data of 32 sanitary interventions on cardiac arrest events occurred from January 2015 to June 2018 across USL Toscana Centro – Pistoia and Empoli’s jurisdiction. The survival rate to hospital admission has been analysed according to the following parameters: the availability of an AED at the place, the CPR maneuvers performed or not by personnel present at the site and the time of intervention of the sanitary rescuers.

Results:: Twenty-eight point two % of acute cardiac event occurred in a workplace setting, 18.7% during work activity. An AED was present for immediate cardiac arrest treatment in 15.6% of cases with a survival rate of 100% (n=5/5) (p=0.04); in 84.4% of cases the AED was available only after the arrival of national emergency rescuers and the survival rate was 40.74% (n=11/27). The survival rate appears to be higher (55.5% Vs 42.8%) when cardiopulmonary resuscitation was started by witnesses at the event.

Conclusions:: The results of this study suggest that early defibrillation provided by work-related First Aid Emergency Procedure may be a primary aid and a desirable standard to improve both workers’ and private citizens’ survival rate after cardiac arrest.

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References

    1. Capucci A, Aschieri D, Piepoli MF, et al. Tripling survival from sudden cardiac arrest via early defibrillation without traditional education in cardiopulmonary resuscitation. Circulation. 2002;106:1065–1070. - PubMed
    1. CARES - Cardiac Arrest Registry to Enhance Survival, 2018 Report - PubMed
    1. Chambless L, Keil U, Dobson A, et al. Population versus clinical view of case fatality from acute coronary heart disease: results from the WHO MONICA Project 1985-1990. Multinational Monitoring of Trends and Determinants. Circulation. 96:3849–3859. - PubMed
    1. Cristaudo A, Ottenga F, Banchini L, et al. Il Pronto Soccorso nei Luoghi di Lavoro. Manuale per gli incaricati del primo Soccorso Aziendale. Roma. La Stamperia Romana (2000)
    1. Hansen SM, Carolina Malta Hansen, Christopher B, et al. The CARES Surveillance Group, Association Between Driving Distance From Nearest Fire Station and Survival of Out-of-Hospital Cardiac Arrest. J Am Heart Assoc. 2018;6;7(21):e008771. - PMC - PubMed