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Descatha A, Morin F, Fadel M, Bizouard T, Mermillod-Blondin R, Turk J, Armaingaud A, Duhem H, Savary D. Cardiac Arrest Management in the Workplace: Improving but Not Enough? Saf Health Work 2023; 14:131-134. [PMID: 36941931 PMCID: PMC10024226 DOI: 10.1016/j.shaw.2022.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Revised: 12/16/2022] [Accepted: 12/30/2022] [Indexed: 01/06/2023] Open
Abstract
The aim was to describe out-of-hospital cardiac arrest (OHCA) occurring in the workplace of a large emergency network, and compare the evolution of their management in the last 15 years. A retrospective study based on data from the Northern Alps Emergency Network compared characteristics of OHCA between cases in and out the workplace, and between cases occurring from January 2004 to December 2010 and from January 2011 to December 2017. Among the 15,320 OHCA cases included, 320 occurred in the workplace (2.1%). They were more often in younger men, and happened more frequently in an area with access to public defibrillation, had more often a shockable rhythm, had a cardiopulmonary resuscitation started by a bystander more frequently, and had a better outcome. Cardiopulmonary resuscitation started by a bystander was the only chain of survival link that improved for cases occurring after December 2010. Workplace OHCA seems to be managed more effectively than others; however, only a slight survival improvement was observed, suggesting that progress is still needed.
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Affiliation(s)
- Alexis Descatha
- Univ Angers, CHU Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de Recherche en Santé, Environnement et Travail) - UMR_S 1085, IRSET-ESTER, SFR ICAT, CAPTV CDC, F-49000, Angers, France
- Department of Occupational Medicine, Epidemiology and Prevention, Northwell Health Hofstra, New York, USA
| | - François Morin
- Emergency Department, Angers University Hospital, Angers, France
| | - Marc Fadel
- Univ Angers, CHU Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de Recherche en Santé, Environnement et Travail) - UMR_S 1085, IRSET-ESTER, SFR ICAT, CAPTV CDC, F-49000, Angers, France
- Corresponding author. Univ Angers, CHU Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) – UMR_S 1085, SFR ICAT, CAPTV CDC, F-49000, Angers, France.
| | - Thomas Bizouard
- Emergency Department, Angers University Hospital, Angers, France
| | | | - Julien Turk
- SAMU 73, Emergency Department, General Hospital, Chambéry, France
| | - Alexandre Armaingaud
- SAMU 74, Emergency Department, General Hospital, Annecy, France
- Northern French Alps Emergency Network, General Hospital, Annecy, France
| | - Hélène Duhem
- University Grenoble Alps/CNRS/CHU de Grenoble Alpes/TIMC-IMAG UMR 5525, Grenoble, France
| | - Dominique Savary
- Univ Angers, CHU Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de Recherche en Santé, Environnement et Travail) - UMR_S 1085, IRSET-ESTER, SFR ICAT, CAPTV CDC, F-49000, Angers, France
- Emergency Department, Angers University Hospital, Angers, France
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Sarkisian L, Mickley H, Henriksen FL. Reply to: Singularities of AED implementation in occupational setting and COVID-19 pandemic. Resuscitation 2021; 163:202. [PMID: 33819500 DOI: 10.1016/j.resuscitation.2021.03.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Accepted: 03/19/2021] [Indexed: 11/26/2022]
Affiliation(s)
- Laura Sarkisian
- Research Department of Cardiology, Odense University Hospital, J.B. Winsløws Vej 4, 5000 Odense C, Denmark; Department of Clinical Research, University of Southern Denmark, Winsløwparken 19, 3. sal, 5000 Odense C, Denmark.
| | - Hans Mickley
- Research Department of Cardiology, Odense University Hospital, J.B. Winsløws Vej 4, 5000 Odense C, Denmark
| | - Finn Lund Henriksen
- Research Department of Cardiology, Odense University Hospital, J.B. Winsløws Vej 4, 5000 Odense C, Denmark
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Uehara R, Shinohara R, Akiyama Y, Ichikawa K, Ojima T, Matsuura K, Yamazaki Y, Yamagata Z. Awareness of cardiopulmonary resuscitation among parents of 3-year-old children. Pediatr Int 2018; 60:869-874. [PMID: 29947454 DOI: 10.1111/ped.13649] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2018] [Revised: 06/10/2018] [Accepted: 06/25/2018] [Indexed: 11/27/2022]
Abstract
BACKGROUND Out-of-hospital cardiac arrest (OHCA) in infants or toddlers mainly occurs at home. Therefore, parents should be able to perform immediate cardiopulmonary resuscitation (CPR) when they witness OHCA. The status of knowledge regarding CPR among parents, however, remains unclear. The aim of the present study was therefore to determine the factors associated with awareness of CPR in parents of 3-year-old children. METHODS We analyzed a subset of data from a population-based, cross-sectional survey that served as an evaluation of a national campaign for maternal and child health in Japan. The questionnaire was distributed to 32 897 parents who visited public health centers for medical check-ups for their children in 2013. Multivariate logistic regression analysis was carried out using the obtained demographic data. RESULTS Overall, 26 971 parents (82.0%) responded to the questionnaire. On multivariate logistic regression analysis, birth order of the child, age of the mother at delivery, awareness of medical facilities for emergency services at night or during the weekend, current occupation status of the mother, and current economic status were independently associated with CPR awareness. When the mother was employed but the parents felt economically insufficient, the probability of having CPR knowledge decreased by 19%. Regardless of the parents' economic stability, the probability of having CPR knowledge declined by >35% when the mother was unemployed. CONCLUSIONS The current occupation status of mothers and the current parent economic status should be considered when planning educational strategies regarding CPR training for parents.
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Affiliation(s)
- Ritei Uehara
- Department of Health Sciences, Saitama Prefectural University, Koshigaya, Saitama, Japan
| | - Ryoji Shinohara
- Department of Health Sciences, Health Science University, Fujikawaguchiko, Minamitsuru, Japan
| | - Yuka Akiyama
- Department of Health Sciences, Graduate School Department of Interdisciplinary Research, University of Yamanashi, Chuo, Yamanashi, Japan
| | - Kaori Ichikawa
- Department of Nursing, Faculty of Health Science Technology, Bunkyo Gakuin University, Bunkyo, Tokyo, Japan
| | - Toshiyuki Ojima
- Department of Community Health and Preventive Medicine, Hamamatsu University School of Medicine, Higashi, Hamamatsu, Shizuoka, Japan
| | - Kencho Matsuura
- Health Promotion Nursing, School of Nursing, Fukuoka Prefectural University, Tagawa, Fukuoka, Japan
| | | | - Zentaro Yamagata
- Department of Health Sciences, Graduate School Department of Interdisciplinary Research, University of Yamanashi, Chuo, Yamanashi, Japan
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Durand G, Tabarly J, Houze-Cerfon CH, Bounes V. Utilisation des défibrillateurs par le grand public dans les arrêts cardiaques survenant dans les lieux publics de Haute-Garonne. ANNALES FRANCAISES DE MEDECINE D URGENCE 2016. [DOI: 10.1007/s13341-016-0666-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Secourisme sur le lieu de travail dans le monde : revue systématique de la littérature. ARCH MAL PROF ENVIRO 2015. [DOI: 10.1016/j.admp.2015.06.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Descatha A, Dagrenat C, Cassan P, Jost D, Loeb T, Baer M. Cardiac arrest in the workplace and its outcome: a systematic review and meta-analysis. Resuscitation 2015. [DOI: 10.1016/j.resuscitation.2015.07.004] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Factors Associated With Successful Resuscitation After Out-of-Hospital Cardiac Arrest and Temporal Trends in Survival and Comorbidity. Ann Emerg Med 2015; 65:523-531.e2. [DOI: 10.1016/j.annemergmed.2014.12.009] [Citation(s) in RCA: 65] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2014] [Revised: 11/14/2014] [Accepted: 12/03/2014] [Indexed: 11/20/2022]
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Use of automated external defibrillators in US federal buildings: implementation of the Federal Occupational Health public access defibrillation program. J Occup Environ Med 2014; 56:86-91. [PMID: 24351893 DOI: 10.1097/jom.0000000000000042] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE Federal Occupational Health (FOH) administers a nationwide public access defibrillation program in US federal buildings. We describe the use of automated external defibrillators (AEDs) in federal buildings and evaluate survival after cardiac arrest. METHODS Using the FOH database, we examined reported events in which an AED was brought to a medical emergency in federal buildings over a 14-year period, from 1999 to 2012. RESULTS There were 132 events involving an AED, 96 (73%) of which were due to cardiac arrest of cardiac etiology. Of 54 people who were witnessed to experience a cardiac arrest and presented with ventricular fibrillation or ventricular tachycardia, 21 (39%) survived to hospital discharge. CONCLUSIONS Public access defibrillation, along with protocols to install, maintain, and deploy AEDs and train first responders, benefits survival after cardiac arrest in the workplace.
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Descatha A, Rigot H, Ursat C, Baer M, Loeb T. Cardiac arrest in the workplace: Pilot study on the RéAC register. Resuscitation 2013; 84:e65-6. [DOI: 10.1016/j.resuscitation.2013.02.012] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2013] [Revised: 02/12/2013] [Accepted: 02/16/2013] [Indexed: 11/28/2022]
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Na SH, Shin SD, Ro YS, Lee EJ, Song KJ, Park CB, Kim JY. Specific activity types at the time of event and outcomes of out-of-hospital cardiac arrest: a nationwide observational study. J Korean Med Sci 2013; 28:320-7. [PMID: 23400043 PMCID: PMC3565147 DOI: 10.3346/jkms.2013.28.2.320] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/08/2012] [Accepted: 12/26/2012] [Indexed: 11/20/2022] Open
Abstract
This study aimed to describe the characteristics of out-of-hospital cardiac arrest (OHCA) according to specific activity types at the time of event and to determine the association between activities and outcomes according to activity type at the time of event occurrence of OHCA. A nationwide OHCA cohort database, compiled from January 2008 to December 2010 and consisting of hospital chart reviews and ambulance run sheet data, was used. Activity group was categorized as one of the following types: paid work activity (PWA), sports/leisure/education (SLE), routine life (RL), moving activity (MA), medical care (MC), other specific activity (OSA), and unknown activity. The main outcome was survival to discharge. Multivariate logistic analysis for outcomes was used adjusted for potential risk factors (reference = RL group). Of the 72,256 OHCAs, 44,537 cases were finally analyzed. The activities were RL (63.7%), PWA (3.1%), SLE (2.7%), MA (2.0%), MC (4.3%), OSA (2.2%), and unknown (21.9%). Survival to discharge rate for total patients was 3.5%. For survival to discharge, the adjusted odds ratios (95% confidence intervals) were 1.42 (1.06-1.90) in the SLE group and 1.62 (1.22-2.15) in PWA group compared with RL group. In conclusion, the SLE and PWA groups show higher survival to discharge rates than the routine life activity group.
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Affiliation(s)
- Sang Hoon Na
- Department of Emergency Medicine and Cardiology, Seoul National University Hospital, Seoul, Korea
| | - Sang Do Shin
- Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Korea
| | - Young Sun Ro
- Department of Public Health, Seoul National University Graduate School of Public Health, Seoul, Korea
| | - Eui Jung Lee
- Department of Emergency Medicine, Korea University College of Medicine, Seoul, Korea
| | - Kyoung Jun Song
- Department of Emergency Medicine, Seoul City Municipal Boramae Medical Center, Seoul National University, Seoul, Korea
| | - Chang Bae Park
- Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Korea
| | - Joo Yeong Kim
- Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Korea
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Automated external defibrillator installation in the workplace: from recommendations to ADE style international registries. J Occup Environ Med 2012; 54:765-7. [PMID: 22796917 DOI: 10.1097/jom.0b013e3182533528] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Use of Automated External Defibrillators in the Occupational Setting in Germany. J Occup Environ Med 2012; 54:789-91. [DOI: 10.1097/jom.0b013e318256f65c] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Geraut L, Descatha A. Treatment of life-threatening emergencies in the workplace: need for collaboration between emergency and occupational health services? Resuscitation 2011; 83:e65-6. [PMID: 22155695 DOI: 10.1016/j.resuscitation.2011.11.028] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2011] [Accepted: 11/13/2011] [Indexed: 12/01/2022]
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Descatha A, Jost D, Carpentier JP. Is the workplace a site of cardiac arrest like any other? Resuscitation 2009; 80:602-3. [PMID: 19249148 DOI: 10.1016/j.resuscitation.2009.01.018] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2009] [Accepted: 01/27/2009] [Indexed: 11/24/2022]
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In this issue. Resuscitation 2005. [DOI: 10.1016/j.resuscitation.2005.04.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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