[Results of the first year of experience of the cardiopulmonary resuscitation program "Juan Ramón Jiménez" Hospital (Huelva)].
OBJECTIVE
To present the results of the first year of the functioning of a Cardiopulmonary Resuscitation (CPR) Hospital Plan and to describe the characteristics of the patients with cardiopulmonary arrest (CPA) in hospital units with no monitoring facilities (HU).


METHODS
An observational, prospective study in a cohort of patients who presented CPA during a one-year period.


METHODS
HU of a general hospital and as province reference.


METHODS
Patients admitted to an HU from May 2007 to May 2008 with CPA and treated according to a specific hospital CPA Program, organized in order to: (a) decentralize the CPR through the training of the nurse as the first responder capable of performing immediate CPR and early defibrillation (DF) (less than 4 min), (b) a specific phone number as hospital alarm of CPR and (c) maintenance of the CPR maneuvers by an early intervention Resuscitation Team (RT) (less than 8 min).


METHODS
Characteristics of patients, CPA episode and results according to the <<Utstein style>>.


RESULTS
A total of 73 patients were included with activation of the CPA alarm, 8 of which were false alarms, with an average age of 70 years and 60% men. A total of 65% occurred in the medical area in patients with heart or respiratory failure, sepsis or septic shock. Initial heart rhythm of the patients attended was asystolic in 74% of the patients, ventricular fibrillation in 18% and electromechanical dissociation in 8%. The first attending person was the nurse in 79% of cases, CPR was always initiated in less than 1 min, DF in less than 2 min (92%) and RT in less than 8 min (96%). Fifty-five percent survived and 35% of the reanimated patients were discharged live from the hospital, 78% with good neurological outcomes.


CONCLUSIONS
The CPR "Juan Ramón Jiménez" Hospital Program is an applicable and effective initiative in our setting.
Herrera
M
M
Unidad de Cuidados Intensivos, Servicio de Cuidados Críticos y Urgencias, Hospital Juan Ramón Jiménez, Huelva, España. maheca@ono.com
López
F
F
González
H
H
Domínguez
P
P
García
C
C
Bocanegra
C
C
D000368:Aged; D016887:Cardiopulmonary Resuscitation; D005260:Female; D006323:Heart Arrest / Q000628:therapy*; D006761:Hospitals; D006769:Hospitals, General; D006801:Humans; D008297:Male; D015397:Program Evaluation; D011446:Prospective Studies; D013030:Spain; D013997:Time Factors