[Prehospital cardiac resuscitation in Queretaro, Mexico. Report of 3 cases. Importance of an integral emergency medical care system].
In Mexico, out-of-hospital cardiac arrest is a health problem that represents 33,000 to 150,000 or more deaths per year. The few existent reports show mortality as high as 100% in contrast to some international reports that show higher survival rates. In Queretaro, during the last 5 years there were no successful resuscitation cases. However, in 2012 some patients were reported to have return of spontaneous circulation. We report in this article 3 cases with return of spontaneous circulation and pulse at arrival to the hospital. Two of the patients were discharged alive, one of them with poor cerebral performance category. Community cardiopulmonary resuscitation, early defibrillation and better emergency medical system response times, are related with survival. This poorly explored health problem in Queretaro could be increased with quality and good public education, bystander assisted cardiopulmonary resuscitation, police involvement in cardiopulmonary resuscitation and defibrillation, public access defibrillation programs and measurement of indicators and feedback for better results.
Dirección de Enseñanza e Investigación, Hospital Tec 100, Querétaro, México; Academia Mexicana de Medicina Prehospitalaria A.C., Querétaro, México. Electronic address: juanmfraga@emergencias.com.mx.
Juan Manuel
JM
Fraga-Sastrías
Instituto Nacional de Pediatría, México DF, México.
Andrea
A
Aguilera-Campos
División de Medicina Interna, Hospital Tec 100, Querétaro, México.
Fernando
F
Barinagarrementería-Aldatz
Dirección del Centro Regulador de Urgencias Médicas, Secretaría de Salud, Querétaro, México.
Claudio
C
Ortíz-Mondragón
Academia Mexicana de Medicina Prehospitalaria A.C., Querétaro, México; División de Medicina Interna, Hospital Tec 100, Querétaro, México.
Enrique
E
Asensio-Lafuente
D000368:Aged; D004554:Electric Countershock; D004632:Emergency Medical Services / Q000379:methods*; D004837:Epinephrine / Q000008:administration & dosage; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008297:Male; D008800:Mexico; D008875:Middle Aged; D058687:Out-of-Hospital Cardiac Arrest / Q000150:complications / Q000628:therapy*; D016896:Treatment Outcome
D004837:Epinephrine
Cardiopulmonary resuscitation; Mexico; México; Out-of-hospital cardiac arrest; Paro cardiaco extrahospitalario; Reanimación cardiopulmonar