medigraphic.com
ISSN 2078-7170 (Electronic)

2020, Number 2

<< Back Next >>

CorSalud 2020; 12 (2)

Cardio-protected hospital, antithesis of sudden death: A proposal of the Hospital General de Cienfuegos

Navarro MVR, García EVC, Rodríguez RMO, Falcón HA, Gómez CLM

Language: Spanish
References: 26
Page: 189-197
PDF size: 259.86 Kb.


ABSTRACT

In-hospital sudden death and cardiopulmonary cerebral resuscitation problems could have a common structured response. However, most hospitals lack a solution-oriented strategy. This paper provides detailed update on the main alternatives to reduce lethality of in-hospital sudden death and presents a proposal from the “Hospital General de Cienfuegos”. The institutional approach for greater survival and lesser disability when facing sudden death will be based on multidisciplinary initiatives primarily centered on quality and prevention in the different stages of cardiopulmonary cerebral resuscitation. A cardio-protected hospital comprises management, organizational, assistance, academic and logistical processes for every single link of the survival chain in a medical emergency event, mainly sudden cardiac arrest. The proposal of the “Hospital General de Cienfuegos”, a cardio-protected facility, brings together all elements of an integrated cardiopulmonary cerebral resuscitation system aimed at quality, safety and satisfaction of patients and caregivers.


REFERENCES

  1. McClellan M, Brown N, Califf RM, Warner JJ. Call to Action: Urgent Challenges in Cardiovascular Disease: A Presidential Advisory From the American Heart Association. Circulation. 2019;139(9):e44-e54.

  2. Ministerio de Salud Pública. Anuario Estadístico de Salud 2018. La Habana: Dirección de Registros Médicos y Estadísticas de Salud; 2019.

  3. Wong CX, Brown A, Lau DH, Chugh SS, Albert CM, Kalman JM, et al. Epidemiology of Sudden Cardiac Death: Global and Regional Perspectives. Heart Lung Circ. 2019;28(1):6-14.

  4. Ochoa Montes LA, Araujo González RE, Ferrer Marrero D. La muerte súbita cardiovascular en su devenir entre interdisciplinariedad e intersectorialidad. Medisur [Internet]. 2018 [citado 24/07/2019];16(5):631-9. Disponible en: http://medisur. sld. cu/index. php/medisur/article/view/4108

  5. Nolan JP, Ornato JP, Parr MJA, Perkins GD, Soar J. Resuscitation highlights in 2018. Resuscitation. 2019;135:168-75.

  6. Andersen LW, Holmberg MJ, Berg KM, Donnino MW, Granfeldt A. In-Hospital Cardiac Arrest: A Review. JAMA. 2019;321(12):1200-10.

  7. Morrison LJ, Neumar RW, Zimmerman JL, Link MS, Newby LK, McMullan PW Jr, et al. Strategies for improving survival after in-hospital cardiac arrest in the United States: 2013 Consensus Recommendations: A consensus statement from the American Heart Association. Circulation. 2013;127(14):1538-63.

  8. Jung B, Daurat A, De Jong A, Chanques G, Mahul M, Monnin M, et al. Rapid response team and hospital mortality in hospitalized patients. Intensive Care Med. 2016;42(4):494-504.

  9. Armstrong RA, Kane C, Oglesby F, Barnard K, Soar J, Thomas M. The incidence of cardiac arrest in the intensive care unit: A systematic review and meta-analysis. J Intensive Care Soc. 2019;20(2):144-54.

  10. Kronick SL, Kurz MC, Lin S, Edelson DP, Berg RA, Billi JE, et al. Part 4: Systems of Care and Continuous Quality Improvement: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015;132(18 Suppl 2):S397-413.

  11. Boland LL, Formanek MB, Harkins KK, Frazee CL, Kamrud JW, Stevens AC, et al. Minnesota Heart Safe Communities: Are community-based initiatives increasing pre-ambulance CPR and AED use? Resuscitation. 2017;119:33-36.

  12. Amador L. Estrategia de intervención para mejorar el proceso intrahospitalario de reanimación y traslado seguro del paciente grave [Tesis]. Cienfuegos: Instituto Superior de Ciencias Médicas de Cienfuegos; 2011.

  13. Green M, Lander H, Snyder A, Hudson P, Churpek M, Edelson D. Comparison of the Between the Flags calling criteria to the MEWS, NEWS and the electronic Cardiac Arrest Risk Triage (eCART) score for the identification of deteriorating ward patients. Resuscitation. 2018;123:86-91.

  14. McGaughey J, O'Halloran P, Porter S, Blackwood B. Early warning systems and rapid response to the deteriorating patient in hospital: A systematic realist review. J Adv Nurs. 2017;73(12):2877-91.

  15. Finn JC, Bhanji F, Lockey A, Monsieurs K, Frengley R, Iwami T, et al. Part 8: Education, implementation, and teams: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Resuscitation. 2015;95:e203-24.

  16. Navarro Machado VR, Falcón Hernández A, León Regal M, Chávez Amaro D. Reanimación cardiopulmocerebral en el plan de estudios D de la carrera de medicina. Educ Med Super [Internet]. 2017 [citado 28/07/2019];31(4). Disponible en: http://www. ems. sld. cu/index. php/ems/article/view/1160/589

  17. Lauridsen KG, Schmidt AS, Caap P, Aagaard R, Løfgren B. Clinical experience and skills of physicians in hospital cardiac arrest teams in Denmark: a nationwide study. Open Access Emerg Med. 2017;9:37-41.

  18. Sosa Acosta LA, Carmona Pentón CR, Blanco Barbeito N, Licea Morales Y, Pichardo Ferrán Y, Núñez López MB. Conocimientos de los especialistas y residentes de Anestesiología y Reanimación en reanimación cardiopulmonar pediátrica. Rev Cuban Med Int Emerg [Internet]. 2018 [citado 29/07/2019];17(2):49-54. Disponible en: http://www. revmie. sld. cu/index. php/mie/article/view/338/pdf_93

  19. Loma-Osorio P, Nuñez M, Aboal J, Bosch D, Batlle P, Ruiz de Morales E, et al. Proyecto Girona Territori Cardioprotegit: evaluación del funcionamiento de los desfibriladores públicos. Rev Esp Cardiol. 2018;71(2):79-85.

  20. Valdes SO. Public access defibrillation programs: Improving outcomes worldwide. J Am Heart Assoc. 2015;4(10):e002631.

  21. Joint Commission International. Accreditation Standards for Hospitals. 6ª Edición. Illinois: JCI; 2017.

  22. Ministerio de Salud Pública. Manual de Acreditación Hospitalaria. La Habana: MINSAP; 2012.

  23. Huschak G, Dünnebier A, Kaisers UX, Huschens B, Bercker S. Automated external defibrillator use for in-hospital emergency management. Anaesth Intensive Care. 2016;44(3):353-8.

  24. Stewart JA. Automated external defibrillators in the hospital: A case of medical reversal. Am J Emerg Med. 2018;36(5):871-4.

  25. Chan PS, Krein SL, Tang F, Iwashyna TJ, Harrod M, Kennedy M, et al. Resuscitation practices associated with survival after in-hospital cardiac arrest: A nationwide survey. JAMA Cardiol. 2016;1(2):189-97.

  26. Navarro Machado VR, Falcón Hernández A, Quintero Méndez Y, Chávez Amaro DM, Sosa Rodríguez OL, Hernández Cardoso AM. Formación e investigación en apoyo vital en emergencias y desastres. Recomendaciones del taller de expertos. Cienfuegos, 2018. Medisur [Internet]. 2018 [citado 29/07/2019];16(6):780-6. Disponible en: http://www. medisur. sld. cu/index. php/medisur/article/view/4182/2763




2020     |     www.medigraphic.com