Role of early defibrillation in success of cardiopulmonary resuscitation

الملخص EN

Despite the importance of early defibrillation in shockable cardiac arrest manage-ment that can affect the outcome, our Egyptian studies are very little in comparison with Europe-an and American updated studies.

Aim: to improve Cardio pulmonary resuscitation protocols qual-ity to give high rate of success of resuscitation protocols influencing ultimate outcome.

Patients and Methods: Randomly selected 81 patients who are diagnosed as cardiac arrest either in hospital or out of hospital were included.

They received advanced life support (ALS) protocol, and the ef-fect of defibrillation time was assessed.

Results: our study scope on the relation between early defibrillated shockable patients and time when first shock delivered, 25 patients received shock around 5 minutes (recorded by timer) from the beginning of resuscitation of confirmed cardiac arrest.

The outcome as well as survival rate were the highest among patients who defibrillated early (n= 25).

Of them, 23 patient got Return of Spontaneous Circulation (ROSC).

However, among patients who defibrillated late (after 5 minutes, n=35), only 20 patients got ROSC.

Conclusion: Our study showed that early defibrillation is the most important key to a successful outcome of in-hospital patients with cardiac arrest who need defibrillation.