EURECA 2015: Serbia

• Main Authors: Fišer Zlatko, Budimski Mihaela, Jakšić-Horvat Kornelija
• Format: Article
• Language: English
• Published: Serbian Resuscitation Council, Novi Sad 2016-01-01
• Series: Journal Resuscitatio Balcanica
• Online Access: https://scindeks-clanci.ceon.rs/data/pdf/2466-2623/2016/2466-26231605005F.pdf

Aim: Analysis of occurrence, treatment and outcome of cardiac arrest through the conducted study EuReCa 2015 in Republic of Serbia. Method: Data have been collected in EMS throughout 2015, that have been part of Prospective observational trial of the European Resuscitation Council registered in the trial database - NCT02236819 and approved by health authorities in USA. The study has included all patients - both adults and children, who were found dead in outpatient circumstances, and intervened by the emergency medical service. Data have been collected during a one-year period in 2015. The surveys were carried out after the intervention by the physician. Results: Study includes population of 853.500 inhabitants. Cardiac arrest in 2015 has been affirmed on the territory of Republic of Serbia,1366 times in 2015, specifically 160 on 100.000 inhabitants. Cardiopulmonary resuscitation measures were initiated at 540 patients, that is to say 63,3/100.000 residents. The most common etiological cause of OHCA is cardiological, in 233 cases. The most common place of occurrence of OHCA is at home, in 410 cases. Sixteen times, the dispatcher that receives the emergency calls, has guided the CPR through the telephone. The OHCA has been witnessed by the bystander even 388 times, but the CPR has been initiated by the bystander only 43 times (5,0/100.000). Before the arrival of EMS, AED hasn't been used or attached, not even once. ROSC has been achieved at 92 (10,78/100.000) patients. The number of patients that have been hospitalized with ROSC is 76 (8,9/100.000). The number of patients that have been discharged from hospital is 23 (2,7/100.000). After 30 days of discharge from hospital, 22 patients were alive (2,6/100.000). Conclusion: Prior notices of insufficient involvement of the citizens, bystanders, as well as their cooperation with the dispatchers, and the possibility of telephone guidance of CPR, leads us to the motivation of the employees for conducting the number of various activities in raising the conscience of the citizens and their important role as a bystander. However, it's necessary to monitor out of hospital cardiac arrest, which will allow complex analysis incidence and the survival rate on territory of Republic of Serbia.