Damarjati Hening Pradipta
District Hospital of Indonesia, IndonesiaTitle: A case report: A successful hands-only cardiopulmonary rescucitation in an out of hospital cardiac arrest case in a rural area of a developed country
Abstract
Introduction: Sudden cardiac arrest can occur outside the hospital (OHCA). Delayed cardiopulmonary resuscitation (CPR) can be fatal. This report will describe a case of successful hands-only CPR in an out of hospital cardiac arrest.
Case description: A 55 year-old male patient collapsed and was brought to our Emergency Room (ER). He received bystander hands-only CPR during the way to the hospital. The bystander was known to be working as a health care. At the ER, the patient still had no carotid pulse, and the monitor showed ventricular fibrillation. We gave 200 joules defibrillation. Soon after shock was delivered, he returned of spontaneous circulation. The electrocardiogram showed ST depression in leads V1-V5 and troponin I level showed 32.8ng/dl. He was diagnosed with Non-ST Elevation Myocardial Infarction (NSTEMI). We administered antiplatelet, nitroglycerin, then immediately referred him to the hospital with PCI facility after stabilization.
Discussion: This case showed a patient who experienced a sudden collapse outside of hospital due to NSTEMI. An immediate response and a good compression technique of hands-only CPR from a trained person might safe this victim’s life. Previous study stated that one minute delaying basic life support will reduce the successfulness by 10%. The global survival rate of OHCA who received CPR has increase recently, especially among victims who received bystander CPR and live in western country. In developed country, including Indonesia, there is still limited data regarding to this topic. A study had measured urban community knowledge of basic life support (BLS) in Indonesia and showed only 39,6 % of respondents have ever attended BLS training.
Conclusion: Hands-only CPR from a trained person can be a life-saving action in an out of hospital cardiac arrest. Public knowledge of basic life support in developed country needs to be encouraged.
Biography
Damarjati Hening Pradipta is a general practitioner in a district hospital of Indonesia. She was born in a rural area of Indonesia, called Bantul, Yogyakarta. She graduated from Sebelas Maret University, Indonesia, in 2013. She is interested in cardiology and writing. Starting from her concerns about the conditions around her, she strives to always develop her knowledge, conduct researches, and put it into written works to contribute improving the knowledge in Indonesia. Her works can be seen in some proceeding papers that published in Indonesian Journal of Cardiology and Acta Cardiologia Indonesiana.
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