Please type the ABSTRACT in the box belowobjectives : Find Out The Effect Of Cpr In An Out Of Hospital Cardiac Arrest Full Neurological Recovery Following Late Cpr In An Out Of Hospital Cardiac Arrest In India

Sudden cardiac arrest has high mortality rate. Out of hospital cardiac arrest has poor outcome compared to those occurring in a health care setup due to lack of awareness and appropriate resources. The most common rhythm abnormality in out of hospital cardiac arrest is ventricular fibrillation which requires early defibrillation, ideally on the location.

A 19 yrs male was witnessed by lay bystanders to have became unresponsive following contact with an electric lighting pole on the road median in Chandigarh. A passer-by medical resident detected no pulse and initiated chest compression. Since there was no immediate return of spontaneous circulation and etiology suggested a defibrillatable rhythm we rushed him to our centre, 10 minutes away. CPR was interrupted for the duration of transport for lack of adequate personnel. Ventricular Fibrillation was noted and shock was delivered along with inotropes. Around 26 minutes into the resuscitation, the patient had return of spontaneous circulation. After post cardiac arrest care in ICU, he was extubated and discharged home in 1 week with full neurological recovery.

Recovery of full neurologic function could be explained by the sensational Lazarus syndrome or more likely, the alternating presence of stable and unstable cardiac rhythms, in part at least brought about by immediate attempts at resuscitation. The report seeks to review these aspects of emergency care besides highlighting the need for both immediate and accurate emergency medical services such as lay responder training, public access defibrillation and responsive transport systems for such patients.