Survival of victims of cardiopulmonary arrest in Sao Paulo Subway

• Grant number: 11/18147-2
• Support Opportunities: Scholarships in Brazil - Scientific Initiation
• Start date: December 01, 2011
• End date: November 30, 2012
• Field of knowledge: Health Sciences - Medicine - Medical Clinics
• Principal Investigator: Sérgio Timerman
• Grantee: Renan Gianotto de Oliveira
• Host Institution: Instituto do Coração Professor Euryclides de Jesus Zerbini (INCOR). Hospital das Clínicas da Faculdade de Medicina da USP (HCFMUSP). Secretaria da Saúde (São Paulo - Estado). São Paulo , SP, Brazil

Abstract

The resuscitation outside of the hospital environment represents a challenge for research and evaluation of care of a cardiopulmonary arrest (CPA). Several publications have reported the outcome of patients with PCR-hospital environment, but these studies are of the United States and Europe.It is estimated that in the United States and some European countries occur 250,000 to 350,000 deaths each year due to PCR. Without use of automated external defibrillator (AED) only 5% of these victims survive. On the other hand, after the deployment of AEDs in public places for easy Access and training lay for defibrillator use, there was a notable increase in survival of 95%.In Frankfurt (Germany) after to be implanted the AED at the airport, there was an increase in survival of 85%. In LAGO, Herne (Germany), one of the most important European water parks, eight AEDs were purchased, and recorded an increase of 75 % survival. At the airport in Chicago (O'Hare) following implementation of the DEA, there was a 49% increase in survival from cardiac arrest victims.In 2007, we designed a cooperation agreement between the Subway Company of the Sao Paulo (Subway - SP) and Laboratory Training and Simulation in Cardiovascular Emergencies, Heart Institute, in order to attend the Municipal Law No. 13,945 of 2005 which has the obligation to maintain AED in places which have concentration or average daily circulation of 1,500 or more people. This agreement establishes the provision of technical cooperation, didactic and scientific between São Paulo subway and Training and Simulation Laboratory.Our main goal is to show the results of implementing this program, especially considering the hospital survival of patients who had cardiac arrest and were underwent CPR in subway stations in Sao Paulo.For this purpose, we use epidemiological data, collected by employees of the subway, about the amount of cardiac arrest events occurred, their approach and outcome. Later, we will search the records of these victims who were admitted to hospitals for hospitalization or for Advanced Life Support, to observe the care of with victims, including care after cardiac arrest.