Home 2015 - Volume 15 (3) OUT OF HOSPITAL CARDIAC ARREST IN KUALA LUMPUR: INCIDENCE; ADHERENCE TO PROTOCOL; AND ISSUES: A MIXED METHOD STUDY
OUT OF HOSPITAL CARDIAC ARREST IN KUALA LUMPUR: INCIDENCE; ADHERENCE TO PROTOCOL; AND ISSUES: A MIXED METHOD STUDY PDF Print E-mail
Saturday, 05 September 2015 13:59

Mohd Said Nurumal1&Sarah Sheikh Abdul Karim2

1Department of Critical Care Nursing, Kulliyyah of Nursing, International Islamic University Malaysia, 25710 Kuantan Pahang

2Department of Emergency and Trauma, Sungai Buloh Hospital, 47000 Sungai Buloh Selangor

ABSTRACT

Information regarding out of hospital cardiac arrest incidence including outcomes in Malaysia is limited and fragmented. This study aims to identify the incidence and adherence to protocol of out of hospital cardiac arrest and also to explore the issues faced by pre-hospital personnel in regards to the management of cardiac arrest victim in Kuala Lumpur, Malaysia. A mixed method approach combining qualitative and quantitative study design was used. Two hundred eighty five (285) pre-hospital care data sheet for out of hospital cardiac arrest during the year of 2011 were examined by using checklists to identify the incidence and adherence to protocol. Nine semi-structured interviews and two focus group discussions were performed. Based on the overall incidence for out of hospital cardiac arrest cases which occurred in 2011 (n=285), the survival rate was 16.8%. On the adherence to protocol, only 89 (41.8%) of the cases adhered to the given protocol and 124 did not adhere to such protocol.  All the relevant qualitative data were merged into few categories relating to issues that could affect the management of out of hospital cardiac arrest performed by pre-hospital care team. The essential elements in the handling of out of hospital cardiac arrest by pre-hospital care teamwasto ensure increased survival rates and excellent outcomes. Measures are needed to strengthen the quick activation of the pre-hospital care service, prompt bystander cardiopulmonary resuscitation, early defibrillation and timely advanced cardiac life support, and also to address all other issues highlighted in the qualitative results of this study.

Keywords: pre-hospital care, out of hospital cardiac arrest, incidence, protocol, mixed method research.

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Last Updated on Saturday, 05 September 2015 14:01
 

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ISSN No : 1675-0306
e-ISSN No : 2590-3829

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