Journal of Regional Section of Serbian Medical Association in Zajecar

Year 2006     Volumen 31     Number 3
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UDK: 615.816/.817; 616.12-008.315-083.98   ISBN 0350-2899, 31(2006) 3 p.89-94
Case report

Successful Recovery of Circulation in Cardiology Patient by CPCR which Started 15 Minutes after Cardiac Arrest - Case Report

Aleksandar Jolić
Zdravstveni centar Zaječar, Služba hitne medicinske pomoći



Human brain suffers irreversible damage already after 5 minutes of absence of efficient circulation and hence brain tissue hypoxemia and hypoglycemia. Since the objective of circulation recovery and artificial resuscitation in CPR is preservation of brain functions, the purposefulness of late CPR becomes questionable, especially if CPR has not been started at least by non-professionals until the emergency team arrives.
In this case report we undertake to prove the purposefulness of CPR in these cases, and to emphasize the need for training in elementary CPR for medical staff and general population, as well as for the staff of other public services so that patients with cardiac arrest can be given a chance of survival regardless of the fact that they are long distance from the nearest outpost of emergency service, and in addition to underline the need to technically equip public places with AED.
In this case report we used patients’ protocols from the field and reception-triage outpatient clinic and the archive of case-histories from the Internal Medicine Ward of the Health Care Centre in Zaječar.
The report features the case of a patient who suffered CA in a village some 15 km away from Zaječar, in the presence of a few bystanders who were not even basically trained for administering BLS, so the only way they could help was simply call 94. CPR performed by the ALS emergency service team of Zaječar was successful in the sense that spontaneous circulation and rhythm were recovered thus enabling minimal TA that is needed for brain feeding. It should be pointed out that the patient remained unconscious and died 36 hours later, which means that C of CPCR (Circulation) was not effectuated due to an excessive period of time without adequate brain oxygenation.
Key words: resuscitation, cardiac arrest, fibrillation, brain, emergency service

: kompletan tekst rada na srpskom jeziku
Note: full text in Serbian
  Corresponding Address:
Aleksandar Jolić
Ljube Nešića 149a/1, 19 000 Zaječar

Paper received: 25.09.2006.
Paper accepted: 05.10.2006.
Published online: 26.10.2006
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