[Successful implementation of an "in-hospital resuscitation team" in a university hospital]

Dtsch Med Wochenschr. 2011 Jun;136(25-26):1359-64. doi: 10.1055/s-0031-1280555. Epub 2011 Jun 14.
[Article in German]

Abstract

Background and objective: Resuscitation is the most important emergency action in a life-threatening cardiopulmonary arrest. The organizational, personnel and equipment requirements for an optimal treatment of emergency patients in a university hospital are described, as well as the short- and mid-term results.

Patients and methods: Retrospective analysis of 132 cases of cardiopulmonary resuscitation based on a two-pages reporting form whose completion by the involved physician and intensive care nurse is mandatory after each event.

Results: About 65 % of all events were triggered by cardiac and respiratory causes. In 50 % of all cases there was an acute life-threatening situation, requiring an intubation in 46 % and mechanical reventilation in 42 % of all cases. One third of all patients who were successfully reanimated were discharged alive from hospital after the intensive care treatment.

Conclusion: A well organized and adequately equipped resuscitation team is the basis for achieving optimal chances of survival in life-threatening emergencies. This is especially so in large university hospitals with often care for patients with multiple morbidities.

MeSH terms

  • Cardiopulmonary Resuscitation / methods*
  • Cardiopulmonary Resuscitation / statistics & numerical data
  • Comorbidity
  • Critical Care / statistics & numerical data
  • Cross-Sectional Studies
  • Emergency Service, Hospital / organization & administration*
  • Emergency Service, Hospital / statistics & numerical data
  • Follow-Up Studies
  • Deutschland
  • Glasgow Coma Scale
  • Health Plan Implementation / organization & administration*
  • Health Plan Implementation / statistics & numerical data
  • Heart Arrest / etiology
  • Heart Arrest / mortality
  • Heart Arrest / therapy*
  • Hospital Mortality
  • Hospitals, University* / statistics & numerical data
  • Humans
  • Intubation, Intratracheal / statistics & numerical data
  • Patient Care Team / organization & administration*
  • Patient Care Team / statistics & numerical data
  • Quality Assurance, Health Care / organization & administration
  • Quality Assurance, Health Care / statistics & numerical data
  • Respiration, Artificial / statistics & numerical data
  • Respiratory Insufficiency / etiology
  • Respiratory Insufficiency / mortality
  • Respiratory Insufficiency / therapy*
  • Retrospective Studies
  • Survival Rate
  • Utilization Review / statistics & numerical data