| Current Status of CPR in Korea |
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Keun Jeong Song, Dong Jin Oh |
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서울대학교 의과대학 내과학교실 |
| 종설 : 심폐소생술의 국내현황 |
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송근정, 오동진 |
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| Abstract |
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Cardiac Arrest victims are increasing but EMS is not ready for them, in Korea. At this time, we need to know the
exact status about the chain of survival of CPR and the outcome after out-of-hospital arrest. More than 90% of
out-of-hospital arrest was witnessed, and about a half at home, but bystander CPR was done in only about 10%. EMS
is activated by the unified phone number (119), but in only 1%, EMS was dispatched for CPR, nationwide. EMS
responders were not educated and organized specific for CPR situation. BLS and equipped AED were not always utilized
to whom needed. Pre-hospital ACLS were exceptionally done by first responder. Initial ECG findings, most of which
were recorded at Hospital ED(more than 20 minutes after collapse), were VF/Pulseless VT(11-12%), Asystole(63-64%),
and PEA(24-26%). Initial ROSC rate was 44-45%, and final Discharge Alive rate was 5-10%. The outcome of
out-of-hospital arrest was dependent on bystander CPR and initial ECG finding. Most of lay-person are aware to CPR,
but not adequately educated to do CPR when needed. We should organize the efforts to improve the quality of EMS
and build up the education system of CPR nationwide, at now.(Korean J Med 73:4-10, 2007)
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| Key Words:
Out-of-Hospital Cardiac Arrest, CPR, EMS |
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