The need for improving access to emergency care through community involvement in low- and middle-income countries: A case study of cardiac arrest in Hanoi, Vietnam

Emergency Medicine Australasia : EMA
Bui Hai HoangTetsuya Sakamoto

Abstract

Out-of-hospital cardiac arrest patients require immediate interventions by bystanders and emergency medical services (EMS). However, in many low- and middle-income countries (LMIC), bystanders witnessing a cardiac arrest rarely perform chest compressions and contact EMS. This paper attempts to draw lessons from a case of a patient with a cardiac arrest who could have survived with immediate interventions. A 40 year old man collapsed following electrocution at a construction site. His colleagues immediately transferred him to hospital via taxi, without performing chest compressions. At the hospital he showed ventricular fibrillation; resuscitation attempts failed and he died. Ventricular fibrillation due to electrocution is a benign type of cardiac arrest. The chance of survival increases with immediate chest compressions and prompt defibrillation. We discuss the reasons why the bystanders did not perform resuscitation or contact EMS and identify approaches for the improvement of pre-hospital care in LMICs.

References

May 19, 2004·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·K Krasovec
Jun 30, 2012·The Journal of Trauma and Acute Care Surgery·Jaymie Ang Henry, Arthur Lawrence Reingold
Oct 20, 2015·Resuscitation·Gavin D PerkinsUNKNOWN Adult basic life support and automated external defibrillation section Collaborators
Oct 20, 2015·Resuscitation·Jasmeet SoarUNKNOWN Adult advanced life support section Collaborators

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Citations

Jul 2, 2020·International Journal of Environmental Research and Public Health·Hue Thi MaiRoger C M Ho
Mar 5, 2021·Bulletin of the World Health Organization·Son N DoAnh D Nguyen

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