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J Emerg Trauma Shock. 2016 Jul-Sep;9(3):115-21. doi: 10.4103/0974-2700.185275.

Assessment of cardiopulmonary resuscitation practices in emergency departments for out-of-hospital cardiac arrest victims in Lebanon.

Author information

1
Department of Nursing, Hariri School of Nursing, American University of Beirut, Beirut 1107 2020, Lebanon.
2
Division of Cardiology, American University of Beirut Medical Center, Beirut 1107 2020, Lebanon.
3
Department of Emergency Medicine, American University of Beirut Medical Center, Beirut 1107 2020, Lebanon.

Abstract

BACKGROUND:

The survival rate of out-of-hospital cardiac arrest (OHCA) victims in Lebanon is low. A national policy on resuscitation practice is lacking. This survey explored the practices of emergency physicians related to the resuscitation of OHCA victims in Lebanon.

METHODS:

A sample of 705 physicians working in emergency departments (EDs) was recruited and surveyed using the LimeSurvey software (Carsten Schmitz, Germany). Seventy-five participants responded, yielding 10.64% response rate.

RESULTS:

The most important factors in the participants' decision to initiate or continue resuscitation were presence of pulse on arrival (93.2%), underlying cardiac rhythm (93.1%), the physician's ethical duty to resuscitate (93.2%), transport time to the ED (89%), and down time (84.9%). The participants were optimistic regarding the survival of OHCA victims (58.1% reporting > 10% survival) and reported frequent resuscitation attempts in medically futile situations. The most frequently reported challenges during resuscitation decisions were related to pressure or presence of victim's family (38.8%) and lack of policy (30%).

CONCLUSION:

In our setting, physicians often rely on well-established criteria for initiating/continuing resuscitation; however, their decisions are also influenced by cultural factors such as victim's family wishes. The findings support the need for a national policy on resuscitation of OHCA victims.

KEYWORDS:

Emergency department; Lebanon; out-of-hospital cardiac arrest; practices; resuscitation

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