1.Advanced Life Support In Perspective Flashcards
(20 cards)
What percentage of patients survive out-of-hospital resuscitation attempts?
9%
This statistic indicates the low survival rate for out-of-hospital cardiac arrest cases.
What was the overall survival rate of adult in-hospital cardiac arrest to hospital discharge in 2019-20?
23.9%
This figure shows an improvement compared to previous years.
What is the second biggest single cause of death in the UK?
Ischaemic heart disease (IHD)
Following dementia, IHD is a major health concern in the UK.
How many male and female deaths were attributed to IHD in 2018 in the UK?
- 40,214 male deaths
- 23,662 female deaths
These statistics highlight the gender disparity in mortality from IHD.
Approximately how many hospital admissions are associated with IHD in the UK each year?
Nearly half a million
This indicates the significant burden IHD places on the healthcare system.
How many patients do English ambulance services attempt CPR on each year for out-of-hospital cardiac arrests?
About 30,000
Most of these cardiac arrests occur in home settings.
What percentage of cardiac arrests are witnessed by bystanders or ambulance staff?
Around 50%
Witnessed arrests have a higher chance of survival due to immediate response.
What is the presenting rhythm in about a quarter of out-of-hospital cardiac arrests?
Shockable (ventricular fibrillation/pulseless ventricular tachycardia (VF/pVT))
The remaining cases are mostly non-shockable rhythms.
What is the initial return of spontaneous circulation (ROSC) rate among those resuscitated?
30%
This indicates a moderate success rate in achieving ROSC.
What is the survival rate to hospital discharge for those who achieve ROSC?
9.7%
This reflects the challenges faced after initial resuscitation.
What is the incidence of adult in-hospital cardiac arrest based on data from the UK National Cardiac Arrest Audit?
About 1 per 1000 hospital admissions
This shows a decrease from 1.6 per 1000 in 2013.
What trend has been observed regarding in-hospital cardiac arrest survival rates in the UK?
Improvement
Survival rates have increased due to better guidelines and treatment options.
What was the survival rate to hospital discharge associated with shockable rhythms in in-hospital cardiac arrests?
50.6%
This indicates a significantly better outcome compared to non-shockable rhythms.
What was the survival rate to hospital discharge associated with non-shockable rhythms in in-hospital cardiac arrests?
14.4%
This highlights the challenges in resuscitating patients with non-shockable rhythms.
What is the importance of training in cardiac arrest management?
Vital
Training enhances the effectiveness of response efforts in cardiac arrest situations.
What are the two main types of non-shockable rhythms encountered in cardiac arrest?
- Asystole
- Pulseless electrical activity (PEA)
Understanding these rhythms is crucial for effective treatment strategies.
Fill in the blank: The overall incidence of adult in-hospital cardiac arrest was about 1 per _____ hospital admissions.
1000
This figure is crucial for understanding the frequency of in-hospital cardiac arrests.
True or False: The incidence of in-hospital cardiac arrest peaks in summer.
False
The incidence peaks in winter, indicating seasonal variations.
What factor heavily influences the assessment of in-hospital cardiac arrest incidence?
Criteria for hospital admission
Variations in admission criteria can affect reported incidence rates.
What is the role of comorbidity in patients who experience in-hospital cardiac arrest?
Influences initial rhythm
Patients with comorbid conditions often have different outcomes and require tailored strategies.
