Factor Analysis regarding Chain of Survival Affecting Survival Patient Pre Hospital Cardiac Arrest in the Emergency Room
Author :
Luluk Nur Aini
Affiliation :
Master of Nursing Program, Universitas Brawijaya, Malang, Indonesia
Abstract :
Background
External factors causing the death from cardiac arrest was namely speed and accuracy of handling "Chain of survival" with five series of immediate recognition of cardiac arrest and activation of the emergency response system, early CPR with an emphasis on chest compression, rapid defibrilation, effective advance life support, and integrated post cardiac arrest care.
Methods
A systematic review which collecting literature sources started from 27 November-27 December 2017 with inclusion criteria : publications are limited from 2010-2017, accredited national and international journals.
Results
This research from electronic database search 10 in Pub Med obtained, 10 in Pro Quest, and 1 accredited national journal. Results showed the survival of patients with cardiac arrest influenced by early acces of pre hospital pastients, which stating that timely chain of survival could increase survival rate of cardiac arrest patients, CPR could improve the endothelial tissue of the heart therefore it could repair the microvascular on the cardiovascular muscle tissue of cardiac arrest patients, the third factor affecting the survival pre hospital patient’s cardiac arrest was early defibrillator, that the use of AED could soon improve their heart rhythm.
Conclusion
Factors had the most dominant relationship with survival patient pre-hospital cardiac arrest was a rhythm of the heart upon arrival, if the ventricular tachycardia or ventricular fibrillation was likely to reach the ROSC. It needed further research on to seek action of rescuing patient cardiac arrest.
Keywords :
Chain of Survival; Survival Patient; Cardiac Arrest
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