Journal of Emergencies, Trauma, and Shock

ORIGINAL ARTICLE
Year
: 2018  |  Volume : 11  |  Issue : 3  |  Page : 183--188

Resuscitation of out-of-hospital cardiac arrest victims in Lebanon: The experience and views of prehospital providers


Mohamad H Haidar1, Samar Noureddine2, Mona Osman3, Hussain Isma'eel3, Mazen El Sayed4 
1 Department of Nursing, United Staffing Solutions, New York, USA
2 Department of Nursing, American University of Beirut Hariri School of Nursing, Beirut, Lebanon
3 Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
4 Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon

Correspondence Address:
Dr. Mazen El Sayed
Department of Emergency Medicine, American University of Beirut Medical Center, Beirut
Lebanon

Background: The survival rate of out-of-hospital cardiac arrest (OHCA) victims in Lebanon is much lower than those seen internationally. In this study, we examined the attitudes and practices of prehospital providers in resuscitation. Methods: We devised a cross-sectional survey with questions adopted from the literature including a study out of Lebanon. Questionnaires were mailed to 300 volunteers who were recruited from 10 centers of local emergency medical services (EMS). Results: A total of 258 questionnaires were returned (86% response rate). Most participants (>80%) were younger than 30 years, and males (60%). Over half reported witnessing up to 10 arrests per year, with 72.5% reporting prehospital return of spontaneous circulation in <6% of cases. Futile resuscitation was frequently (91%) practiced. Participants believed resuscitation should be withdrawn when prolonged (55.4%) or in the presence of advanced directives (34.1%) or terminal illness (27.5%). Reported resuscitation challenges were related to the reaction of witnesses (70.1%), to delay in calling EMS (84.4%), and to traffic delays (30%). Participants recommended training lay persons in resuscitation (79%), training prehospital providers in advanced airway management (68.2%) and intravenous skills (60.1%), providing medications in ambulances (57.7%), and adjusting traffic laws (52%). Conclusion: Prehospital providers in Lebanon face several challenges in their resuscitation practices. A multi-faceted strategy to improve resuscitation practices is needed in Lebanon. In addition to policy development, structural changes should be put in place for improved outcomes in OHCA victims.


How to cite this article:
Haidar MH, Noureddine S, Osman M, Isma'eel H, El Sayed M. Resuscitation of out-of-hospital cardiac arrest victims in Lebanon: The experience and views of prehospital providers.J Emerg Trauma Shock 2018;11:183-188


How to cite this URL:
Haidar MH, Noureddine S, Osman M, Isma'eel H, El Sayed M. Resuscitation of out-of-hospital cardiac arrest victims in Lebanon: The experience and views of prehospital providers. J Emerg Trauma Shock [serial online] 2018 [cited 2021 May 11 ];11:183-188
Available from: https://www.onlinejets.org/article.asp?issn=0974-2700;year=2018;volume=11;issue=3;spage=183;epage=188;aulast=Haidar;type=0