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Submitted: 13 Nov 2023
Accepted: 13 Dec 2023
ePublished: 29 Dec 2023
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Avicenna J Aging Health care. 2023;1(1): 39-41.
doi: 10.34172/ajah.8
  Abstract View: 62
  PDF Download: 67

Case Report

Out-of-Hospital Cardiac Arrest in the Elderly: Unique Considerations and Challenges – A Case Series

Afshin Khazaei 1* ORCID logo, Ali Afshari 2, Fatemeh Darabi 3 ORCID logo

1 Department of Prehospital Emergency Medicine, Asadabad School of Medical Sciences, Asadabad, Iran
2 Department of Medical Surgical Nursing, Nursing and Midwifery School, Hamadan University of Medical Sciences, Hamadan, Iran
3 Department of Public Health, Asadabad School of Medical Sciences, Asadabad, Iran
*Corresponding Author: Afshin Khazaei, Email: a.khazaei91@yahoo.com, Email: a.khazaei91@yahoo.com

Abstract

Introduction: Out-of-hospital cardiac arrest (OHCA) is a significant public health issue. Developed countries have observed an increasing number of OHCAs in the elderly population. Emergency medical technicians (EMTs) are facing a growing number of OHCA cases in elderly patients, requiring special attention and consideration. As of 2020, the latest cardiopulmonary resuscitation (CPR) guidelines prioritize chest compressions as the initial course of action in OHCA situations.

Methods: A year-long statistical analysis (2020-2021) of elderly individuals in the pre-hospital system of Hamadan province examined 10 cases of OHCA in the elderly in 2020-21 that occurred after consuming food (postprandial myocardial infarction).

Results: Ten of 90 cardiac arrest cases attended by EMTs occurred in elderly individuals after eating, and despite resuscitation efforts by the EMTs, none of these cases were successful. Consequently, this complication significantly reduces the chances of successful resuscitation in these patients. Therefore, addressing the issue of aspiration in elderly individuals during resuscitation is crucial.

Conclusion: Continued research, collaboration, and adaptation of resuscitation protocols will contribute to advancements in the field and enhance the life-saving potential of elderly individuals who experience cardiac arrest.


Please cite this article as follows: Khazaei A, Afshari A, Darabi F. Out-of-hospital cardiac arrest in the elderly: unique considerations and challenges – a case series. Avicenna Journal of Aging and Healthcare, 2023; 1(1):39-41. doi: 10.34172/ajah.8
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