Characteristics of Cardiac Arrest Occurring in the Workplace: A Post Hoc Analysis of the Paris Area Fire Brigade Registry.

J Occup Environ Med

Emergency Medical Unit, Paris Fire Brigade (Drs Palaghita, Jost, Tourtier); AP-HP, EMS (Samu92) (Drs Palaghita, Loeb, Descatha), AP-HP UVSQ, Occupational Health Unit, University Hospital of West Suburb of Paris, Poincaré site, Garches (Drs Palaghita, Despreaux, Descatha); Sudden Death Expertise Center (SDEC), INSERM U 970, Paris (Drs Jost, Beganton, Beganton); Versailles St-Quentin University UVSQ, Versailles (Drs Despreaux, Descatha); and Inserm, VIMA: Aging and Chronic Diseases, Epidemiological and Public Health Approaches, Villejuif, France (Dr Descatha).

Published: August 2016

Objectives: The aim of this study was to describe the characteristics of out-of-hospital cardiac arrest (OHCA) in different workplaces, their management, and the survival rate.

Methods: A post hoc analysis included all the OHCA cases that occurred at the workplace and were listed in the Fire Brigade of Paris database registry (2010 to 2014). Utstein-style variables, survival, and types of workplace were analyzed.

Results: The study included 298 OHCA cases, mostly young (44% between 18 and 50 years), male (86%), and nontraumatic (86%). Differences in the survival chain were found to be related to the types of work location: bystander cardiopulmonary resuscitation was performed in 0% to 55% of cases, and workplace-automated external defibrillators were used in 0% to 20% of cases. Long-term survival without major incapacity was 0% to 23%.

Conclusions: The characteristics of OHCA differ as a function of the type of workplace.

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Source
http://dx.doi.org/10.1097/JOM.0000000000000783DOI Listing

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