Vigo RJ

Language: Spanish
References: 13
Page: 46-50
PDF size: 319.33 Kb.

ABSTRACT

Introduction: Sudden deaths have increased. Survival depends on well-defined ac-tions in the “chain of survival". Prehospital care often requires the application of car-diopulmonary resuscitation and early defibrillation. The term sudden death is useddifferently by many specialists. There is no unanimity as to the time. From the clinical point of view it occurs due to natural causes, within the first hour of symptoms onset.
Development: Sudden cardiac death accounts for over 90 % of cases, ventricular tachycardia and fibrillation are the most frequent. The mechanical activity of the heart is stopped and the victim has a cardiac arrest, the first 4-6 minutes is the period of clinical death, after that time, biological death ensues. From the epidemiological point of view, ventricular fibrillation is the most common cause of sudden cardiac death in adults (80 %), but it is also the least severe, as long as early defibrillation is provided, with a survival greater than 90%, which decreases a 10% for every minute of delay. In cases of sudden death, cardiopulmonary resuscitation is the most im-portant indication. Its importance is such that it is a prerequisite for health personnel and first response members in many countries.
Conclusions: The increase in sudden deaths has conditioned the creation of institu-tions for the dissemination of knowledge, training and accreditation of cardiopul-monary resuscitation, early defibrillation programs and public access defibrillation. The Peruvian Resuscitation Council (www.cpr.com.pe) is the institution responsible for meeting these guidelines in Peru.

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