Cardiac arrest attention in hospital before ALS team arrival

Objective: Analyze in hospital care provided to the patient in cardiac arrest (CA) prior to ALS Team arrival. This will be included in an improvement cycle in the context of commissioning a Cardiac Arrest management hospital plan. Material andmethods:Prospective observational study including CA alerts to the ALS Team (ICU of the University Hospital “Santa Lucia”, Cartagena, Spain) from January-2012 toMay-2013. It is done descriptive analysis of ward and emergencies personnel performance prior to the arrival of ALS team. Results: There were collected 73 patients. Mean age: 70.54 years (CI 95%: 67.25–73.83), Gender Male: 67.1%. Limitation of life support in 21.9%. Alert’s source: Internal Medicine ward (45.2%), followed by ER (36.9%). Basic life support was started at 45.2%. Delay CA team alert: 212.8′′ (CI 95%: 158.4–267.2′′), delay in cardiac rhythm acquisition: 381” (CI: 298.8–478.8). Delay in the onset of ALS manoeuvres: 325.26” (CI 340.0–410.5′′). The most common initial rhythm was Asystole (45.2%). Any kind of defibrillator was used by 8.33%. The teamperformed ALS in 79.5% of the alerts, 13.7% were falsearrests.Outcome:75.3%deadathospital discharge, 61.1% of the patients discharged alive had a Glasgow-Pittsburgh cerebral performance categories 1–2. Conclusions: