Hanging-associated out-of-hospital cardiac arrests in Melbourne, Australia

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Abstract

Introduction Hanging is an infrequent but devastating cause of out-of-hospital cardiac arrest (OHCA). We determine the characteristics and outcomes of hangingassociated OHCA in Melbourne Australia. Methods A 10-year retrospective case review of all adult hangings (aged 16 years) associated with OHCA, was conducted using data from the Victorian Ambulance Cardiac Arrest Registry. Results Between 2000 and 2009, the emergency medical service (EMS) attended 33 178 adult OHCAs of which 1321 (4 ) had hanging as the aetiology. The median age (IQR) of hanging-associated OHCA cases was 39 (29e51) years and 1162 were men (88 ). The ?rst recorded rhythm by EMS was asystole seen in 1276 (75.5 ) patients, pulseless electrical activity (PEA) in 38 (13.4 ) cases and ventricular ?brillation in 7 cases (0.5 ). EMS attempted resuscitation in 208 (15.7 ) patients of whom 61 (29.3 ) achieved return of spontaneous circulation (ROSC) and were transported, and 7 (3.3 ) survived to hospital discharge. Hangingassociated OHCAs were younger (median (IQR) 38 (29e51) years versus 74 (61e82) years, p
Original languageEnglish
Pages (from-to)38 - 42
Number of pages5
JournalEmergency Medicine Journal
Volume30
Issue number1
DOIs
Publication statusPublished - 2013

Cite this

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title = "Hanging-associated out-of-hospital cardiac arrests in Melbourne, Australia",
abstract = "Introduction Hanging is an infrequent but devastating cause of out-of-hospital cardiac arrest (OHCA). We determine the characteristics and outcomes of hangingassociated OHCA in Melbourne Australia. Methods A 10-year retrospective case review of all adult hangings (aged 16 years) associated with OHCA, was conducted using data from the Victorian Ambulance Cardiac Arrest Registry. Results Between 2000 and 2009, the emergency medical service (EMS) attended 33 178 adult OHCAs of which 1321 (4 ) had hanging as the aetiology. The median age (IQR) of hanging-associated OHCA cases was 39 (29e51) years and 1162 were men (88 ). The ?rst recorded rhythm by EMS was asystole seen in 1276 (75.5 ) patients, pulseless electrical activity (PEA) in 38 (13.4 ) cases and ventricular ?brillation in 7 cases (0.5 ). EMS attempted resuscitation in 208 (15.7 ) patients of whom 61 (29.3 ) achieved return of spontaneous circulation (ROSC) and were transported, and 7 (3.3 ) survived to hospital discharge. Hangingassociated OHCAs were younger (median (IQR) 38 (29e51) years versus 74 (61e82) years, p",
author = "Conor Deasy and Bray, {Janet E} and Smith, {Karen Louise} and Bernard, {Stephen Anthony} and Peter Cameron",
year = "2013",
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language = "English",
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pages = "38 -- 42",
journal = "Emergency Medicine Journal",
issn = "1472-0205",
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TY - JOUR

T1 - Hanging-associated out-of-hospital cardiac arrests in Melbourne, Australia

AU - Deasy, Conor

AU - Bray, Janet E

AU - Smith, Karen Louise

AU - Bernard, Stephen Anthony

AU - Cameron, Peter

PY - 2013

Y1 - 2013

N2 - Introduction Hanging is an infrequent but devastating cause of out-of-hospital cardiac arrest (OHCA). We determine the characteristics and outcomes of hangingassociated OHCA in Melbourne Australia. Methods A 10-year retrospective case review of all adult hangings (aged 16 years) associated with OHCA, was conducted using data from the Victorian Ambulance Cardiac Arrest Registry. Results Between 2000 and 2009, the emergency medical service (EMS) attended 33 178 adult OHCAs of which 1321 (4 ) had hanging as the aetiology. The median age (IQR) of hanging-associated OHCA cases was 39 (29e51) years and 1162 were men (88 ). The ?rst recorded rhythm by EMS was asystole seen in 1276 (75.5 ) patients, pulseless electrical activity (PEA) in 38 (13.4 ) cases and ventricular ?brillation in 7 cases (0.5 ). EMS attempted resuscitation in 208 (15.7 ) patients of whom 61 (29.3 ) achieved return of spontaneous circulation (ROSC) and were transported, and 7 (3.3 ) survived to hospital discharge. Hangingassociated OHCAs were younger (median (IQR) 38 (29e51) years versus 74 (61e82) years, p

AB - Introduction Hanging is an infrequent but devastating cause of out-of-hospital cardiac arrest (OHCA). We determine the characteristics and outcomes of hangingassociated OHCA in Melbourne Australia. Methods A 10-year retrospective case review of all adult hangings (aged 16 years) associated with OHCA, was conducted using data from the Victorian Ambulance Cardiac Arrest Registry. Results Between 2000 and 2009, the emergency medical service (EMS) attended 33 178 adult OHCAs of which 1321 (4 ) had hanging as the aetiology. The median age (IQR) of hanging-associated OHCA cases was 39 (29e51) years and 1162 were men (88 ). The ?rst recorded rhythm by EMS was asystole seen in 1276 (75.5 ) patients, pulseless electrical activity (PEA) in 38 (13.4 ) cases and ventricular ?brillation in 7 cases (0.5 ). EMS attempted resuscitation in 208 (15.7 ) patients of whom 61 (29.3 ) achieved return of spontaneous circulation (ROSC) and were transported, and 7 (3.3 ) survived to hospital discharge. Hangingassociated OHCAs were younger (median (IQR) 38 (29e51) years versus 74 (61e82) years, p

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U2 - 10.1136/emermed-2011-201035

DO - 10.1136/emermed-2011-201035

M3 - Article

VL - 30

SP - 38

EP - 42

JO - Emergency Medicine Journal

JF - Emergency Medicine Journal

SN - 1472-0205

IS - 1

ER -