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    Hanging-associated out-of-hospital cardiac arrests in Melbourne, Australia

    Access Status
    Fulltext not available
    Authors
    Deasy, C.
    Bray, Janet
    Smith, K.
    Bernard, S.
    Cameron, P.
    Date
    2013
    Type
    Journal Article
    
    Metadata
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    Citation
    Deasy, C. and Bray, J. and Smith, K. and Bernard, S. and Cameron, P. 2013. Hanging-associated out-of-hospital cardiac arrests in Melbourne, Australia. Emergency Medicine Journal. 30 (1): pp. 38-42.
    Source Title
    Emergency Medicine Journal
    DOI
    10.1136/emermed-2011-201035
    ISSN
    1472-0205
    School
    School of Nursing and Midwifery
    URI
    http://hdl.handle.net/20.500.11937/24995
    Collection
    • Curtin Research Publications
    Abstract

    Introduction: Hanging is an infrequent but devastating cause of out-of-hospital cardiac arrest (OHCA). We determine the characteristics and outcomes of hanging-associated OHCA in Melbourne Australia. Methods: A 10-year retrospective case review of all adult hangings (aged =16 years) associated with OHCA, was conducted using data from the Victorian Ambulance Cardiac Arrest Registry. Results: Between 2000 and 2009, the emergency medical service (EMS) attended 33 178 adult OHCAs of which 1321 (4%) had hanging as the aetiology. The median age (IQR) of hanging-associated OHCA cases was 39 (29-51) years and 1162 were men (88%). The first recorded rhythm by EMS was asystole seen in 1276 (75.5%) patients, pulseless electrical activity (PEA) in 38 (13.4%) cases and ventricular fibrillation in 7 cases (0.5%). EMS attempted resuscitation in 208 (15.7%) patients of whom 61 (29.3%) achieved return of spontaneous circulation (ROSC) and were transported, and 7 (3.3%) survived to hospital discharge. Hanging-associated OHCAs were younger (median (IQR) 38 (29-51) years versus 74 (61-82) years, p<0.001), less likely to have a shockable rhythm (0.5% vs 17.2%, p<0.001), receive bystander cardiopulmonary resuscitation (14.1% vs 25.5%, p<0.001) or an attempted resuscitation by EMS (15.7% vs 36.1%, p<0.001) compared with OHCA cases with an aetiology of 'presumed cardiac' arrest. Multivariable logistic regression identified factors associated with EMS decision to attempt resuscitation; the adjusted OR (95% CI) for 'presence of bystander cardiopulmonary resuscitation' was 15.8 (10.70-23.30) and for 'witnessed arrest' was 5.26 (1.17-23.30). Conclusion: Attempted resuscitation was not always futile with a survival of 3.3%. A preventive focus is needed.

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    • Paediatric hanging associated out of hospital cardiac arrest in Melbourne, Australia: Characteristics and outcomes
      Deasy, C.; Bray, Janet; Smith, K.; Harriss, L.; Bernard, S.; Cameron, P. (2011)
      Introduction: Hanging is a rare but devastating cause of out of hospital cardiac arrest (OHCA). The characteristics and outcomes of hanging associated OHCA in the paediatric age group are described. Methods: The Victorian ...
    • Traumatic out-of-hospital cardiac arrests in Melbourne, Australia
      Deasy, C.; Bray, Janet; Smith, K.; Harriss, L.; Morrison, C.; Bernard, S.; Cameron, P. (2012)
      Introduction: Many consider attempted resuscitation for traumatic out-of-hospital cardiac arrest (OHCA) futile. This study aims to describe the characteristics and profile of adult traumatic OHCA. Methods: The Victorian ...
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