EuReCa Serbia Subotica 2015-2016: Does the system strengthening lead to better results?

• Main Authors: Momirović-Stojković Milena, Gavrilović Nikola, Jakšić-Horvat Kornelija
• Format: Article
• Language: English
• Published: Serbian Resuscitation Council, Novi Sad 2017-01-01
• Series: Journal Resuscitatio Balcanica
• Subjects: cardiopulmonary resuscitation; EuReCa Serbia; Emergency medical service
• Online Access: https://scindeks-clanci.ceon.rs/data/pdf/2466-2623/2017/2466-26231707033M.pdf
• ISSN: 2466-2623; 2620-021X

Aims and goals: Comparing the data’s of EuReCa-Serbia project conducted during 2015 and 2016 and it’s mutual analysis in Subotica research center. Methodology: Prospective study of an observational trail of the European Resuscitation Council registered Clinical Trial NCT02236819 and approved by the US healthcare authorities. The analyzed data’s are collected in the EMS Subotica center during 2015 and 2016 and has been uploaded by lead investigator of a participating center into an online database and application at www. eureca.rs. Results: During 2015 cardiac arrest has been confirmed by the physician of the EMS in 63.6 cases per 100.000 citizens, while in 2016 the number of cases was 82,6/100.000 citizens. Cardiopulmonary resuscitation was attempted in 58,7/100.000 citizens in 2015., and in 77,7 /100.000 citizens during 2016. The most common aetiology of cardiac arrest has cardiac cause for both years; 21,6/100.000 in 2015, and 27,5/100.000 in 2016. The place of cardiac arrest for both years in most cases is place of residence; 40,2/100.000 in 2015 and 58/100.000 during 2016. In 3,5/100.000 cases CPR was dispatcher assisted during 2015. and for 2016 in 8,5/100.000 cases. OHCA is witnessed in 38.8 /100.000 during 2015. and in55/100.000 cases for 2016. During 2015 in 5,6/100.000 cases the bystanders initiated CPR. For 2016, this happened in 14/100.000 cases. The initial rhythm was shockable in 15,5/100.000 cases for the year of 2015 and in 17/100.000 during 2016. Before the EMS arrival AED has not been used during 2015, but in 2016 AED was in use twice. ROSC was achieved in 7,8 patients per 100.000 citizens in 2015. In 2016 the incidence of ROSC was 23,3/100.000 Conclusion: Thanks to the two-year follow-up of the data’s in the observed period, we can conclude that the number of patients with shockable rhythm and achieved ROSC has significantly increased. Strengthening the system via continuous education of each link of the Chain of Survival will lead to better results and improvement the work quality.