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Korean Journal of Legal Medicine 2009;33(2):111-115.
Published online November 30, 2009.
Autopsy Results of Out-of-hospital Cardiac Arrest.
Jaehee Lee, Young Jin Cheon, Hye Jin Park, Hyuna Bae
1Department of Emergency Medicine, School of Medicine, Ewha Womans University, Seoul, Korea.
2Division of Forensic Medicine, National Institute of Scientific Investigation, Seoul, Korea.
3School of Law, Ewha Womans University, Seoul, Korea. sincerebae@ewha.ac.kr
Abstract
Mostly of the sudden deaths, except in-hospital death and death within 48 hours of discharge, are declared in the emergency department by emergency physician. The purpose of this study is to review the protocol of cardiopulmonary resuscitation (CPR) in out-of-hospital cardiac arrest by understanding the cause of sudden death from autopsy results. A retrospective analysis was performed by 48 months of medical records from emergency department of a tertiary hospital. The analysis was made from the patient group which gone through autopsy in the main office of National Institute of Scientific Investigation. In the emergency department, 1913 patients were declared death and 43 patients have received autopsy and 19 (1.0%) were natural death. 14 partients received CPR in the natural death group, and 13 were specified as cardiovascular disease. Result of this study represents the importance of prehospital CPR in case of unexpected cardiac arrest patients. However to generalize this result, all dead patients must go through autopsies for medical purpose which the frequency alse should be increased.
Key Words: Prehospital cardiac arrest, cardiopulmonary resuscitation, sudden death, autopsy
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