Cardiac Arrest Management in the Workplace: Improving but Not Enough?

The aim was to describe out-of-hospital cardiac arrest (OHCA) occurring in the workplace of a large emergency network, and compare the evolution of their management in the last 15 years. A retrospective study based on data from the Northern Alps Emergency Network compared characteristics of OHCA bet...

Full description

Bibliographic Details
Main Authors: Alexis Descatha, François Morin, Marc Fadel, Thomas Bizouard, Romain Mermillod-Blondin, Julien Turk, Alexandre Armaingaud, Hélène Duhem, Dominique Savary
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:Safety and Health at Work
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2093791122001615
_version_ 1797700709377900544
author Alexis Descatha
François Morin
Marc Fadel
Thomas Bizouard
Romain Mermillod-Blondin
Julien Turk
Alexandre Armaingaud
Hélène Duhem
Dominique Savary
author_facet Alexis Descatha
François Morin
Marc Fadel
Thomas Bizouard
Romain Mermillod-Blondin
Julien Turk
Alexandre Armaingaud
Hélène Duhem
Dominique Savary
author_sort Alexis Descatha
collection DOAJ
description The aim was to describe out-of-hospital cardiac arrest (OHCA) occurring in the workplace of a large emergency network, and compare the evolution of their management in the last 15 years. A retrospective study based on data from the Northern Alps Emergency Network compared characteristics of OHCA between cases in and out the workplace, and between cases occurring from January 2004 to December 2010 and from January 2011 to December 2017. Among the 15,320 OHCA cases included, 320 occurred in the workplace (2.1%). They were more often in younger men, and happened more frequently in an area with access to public defibrillation, had more often a shockable rhythm, had a cardiopulmonary resuscitation started by a bystander more frequently, and had a better outcome. Cardiopulmonary resuscitation started by a bystander was the only chain of survival link that improved for cases occurring after December 2010. Workplace OHCA seems to be managed more effectively than others; however, only a slight survival improvement was observed, suggesting that progress is still needed.
first_indexed 2024-03-12T04:25:35Z
format Article
id doaj.art-162af6de5b7148b9bc747979f4451cbd
institution Directory Open Access Journal
issn 2093-7911
language English
last_indexed 2024-03-12T04:25:35Z
publishDate 2023-03-01
publisher Elsevier
record_format Article
series Safety and Health at Work
spelling doaj.art-162af6de5b7148b9bc747979f4451cbd2023-09-03T10:21:04ZengElsevierSafety and Health at Work2093-79112023-03-01141131134Cardiac Arrest Management in the Workplace: Improving but Not Enough?Alexis Descatha0François Morin1Marc Fadel2Thomas Bizouard3Romain Mermillod-Blondin4Julien Turk5Alexandre Armaingaud6Hélène Duhem7Dominique Savary8Univ Angers, CHU Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de Recherche en Santé, Environnement et Travail) - UMR_S 1085, IRSET-ESTER, SFR ICAT, CAPTV CDC, F-49000, Angers, France; Department of Occupational Medicine, Epidemiology and Prevention, Northwell Health Hofstra, New York, USAEmergency Department, Angers University Hospital, Angers, FranceUniv Angers, CHU Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de Recherche en Santé, Environnement et Travail) - UMR_S 1085, IRSET-ESTER, SFR ICAT, CAPTV CDC, F-49000, Angers, France; Corresponding author. Univ Angers, CHU Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) – UMR_S 1085, SFR ICAT, CAPTV CDC, F-49000, Angers, France.Emergency Department, Angers University Hospital, Angers, FranceSAMU 74, Emergency Department, General Hospital, Annecy, FranceSAMU 73, Emergency Department, General Hospital, Chambéry, FranceSAMU 74, Emergency Department, General Hospital, Annecy, France; Northern French Alps Emergency Network, General Hospital, Annecy, FranceUniversity Grenoble Alps/CNRS/CHU de Grenoble Alpes/TIMC-IMAG UMR 5525, Grenoble, FranceUniv Angers, CHU Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de Recherche en Santé, Environnement et Travail) - UMR_S 1085, IRSET-ESTER, SFR ICAT, CAPTV CDC, F-49000, Angers, France; Emergency Department, Angers University Hospital, Angers, FranceThe aim was to describe out-of-hospital cardiac arrest (OHCA) occurring in the workplace of a large emergency network, and compare the evolution of their management in the last 15 years. A retrospective study based on data from the Northern Alps Emergency Network compared characteristics of OHCA between cases in and out the workplace, and between cases occurring from January 2004 to December 2010 and from January 2011 to December 2017. Among the 15,320 OHCA cases included, 320 occurred in the workplace (2.1%). They were more often in younger men, and happened more frequently in an area with access to public defibrillation, had more often a shockable rhythm, had a cardiopulmonary resuscitation started by a bystander more frequently, and had a better outcome. Cardiopulmonary resuscitation started by a bystander was the only chain of survival link that improved for cases occurring after December 2010. Workplace OHCA seems to be managed more effectively than others; however, only a slight survival improvement was observed, suggesting that progress is still needed.http://www.sciencedirect.com/science/article/pii/S2093791122001615cardiac arrestlocationoccupationalpublic healthwork
spellingShingle Alexis Descatha
François Morin
Marc Fadel
Thomas Bizouard
Romain Mermillod-Blondin
Julien Turk
Alexandre Armaingaud
Hélène Duhem
Dominique Savary
Cardiac Arrest Management in the Workplace: Improving but Not Enough?
Safety and Health at Work
cardiac arrest
location
occupational
public health
work
title Cardiac Arrest Management in the Workplace: Improving but Not Enough?
title_full Cardiac Arrest Management in the Workplace: Improving but Not Enough?
title_fullStr Cardiac Arrest Management in the Workplace: Improving but Not Enough?
title_full_unstemmed Cardiac Arrest Management in the Workplace: Improving but Not Enough?
title_short Cardiac Arrest Management in the Workplace: Improving but Not Enough?
title_sort cardiac arrest management in the workplace improving but not enough
topic cardiac arrest
location
occupational
public health
work
url http://www.sciencedirect.com/science/article/pii/S2093791122001615
work_keys_str_mv AT alexisdescatha cardiacarrestmanagementintheworkplaceimprovingbutnotenough
AT francoismorin cardiacarrestmanagementintheworkplaceimprovingbutnotenough
AT marcfadel cardiacarrestmanagementintheworkplaceimprovingbutnotenough
AT thomasbizouard cardiacarrestmanagementintheworkplaceimprovingbutnotenough
AT romainmermillodblondin cardiacarrestmanagementintheworkplaceimprovingbutnotenough
AT julienturk cardiacarrestmanagementintheworkplaceimprovingbutnotenough
AT alexandrearmaingaud cardiacarrestmanagementintheworkplaceimprovingbutnotenough
AT heleneduhem cardiacarrestmanagementintheworkplaceimprovingbutnotenough
AT dominiquesavary cardiacarrestmanagementintheworkplaceimprovingbutnotenough