2013 Fiscal Year Final Research Report
Termination-of-resuscitation rules for refractory out-of-hospital cardiac arrest
| Project/Area Number |
23659253
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| Research Category |
Grant-in-Aid for Challenging Exploratory Research
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| Allocation Type | Multi-year Fund |
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| Research Field |
Medical sociology
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| Research Institution | Kanazawa University |
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Principal Investigator |
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| Project Period (FY) |
2011 – 2013
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| Keywords | 院外心停止 / 心肺蘇生 / 蘇生中止 / 病院前救護 / 地域医療学 |
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| Research Abstract |
The 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation recommended that emergency medical services (EMS) personnel consider prehospital termination of resuscitation (TOR) for patients who experienced out-of-hospital cardiac arrest (OHCA) following futile resuscitation efforts in the field. However, EMS personnel in Japan are not legally allowed to perform TOR for OHCA patients in the prehospital settings. To better utilize healthcare resources in a full-fledged aged society, we aimed to establish new Japanese TOR rules for EMS personnel in the field. We analyzed a prospectively collected, nationwide Utstein-style Japanese database between 2005 and 2011 (n = 797,422) from the Fire and Disaster Management Agency of Japan. We have recommended that new TOR rules for EMS personnel should fulfill all 3 criteria (no return of spontaneous circulation, unshockable initial rhythm, and unwitnessed arrest) and require the limitation of length for the on-scene effort.
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