J.Jpn. Surg. Soc.. 100(7): 460-465, 1999

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Feature topic

OUT-OF-HOSPITAL CARDIAC ARREST AND THE UTSTEIN STYLE :
UTILIZATION OF AN INTERNATIONAL STANDARDIZED FORMAT TO EVALUATE SURGICAL OUTCOME

The Utstein style is the recommended guidelines for uniform reporting of data from out-of-hospital cardiac arrest. The Utstein style was, originally developed to analyze out-of-hospital cardiopulmonary arrest due to cardiac etiology. However trauma remains a major cause of out-of-hospital cardiac arrest and it is recommended that it also be reported accurately by the Utstein style. There exist some controversy regrading treatment methods such as military antishock trousers (MAST) or emergency room resuscitative thoracotomy for cardiac arrest due to trauma. MAST is has been shown to be beneficial experimentally in traumatic shock and cardiac arrest, but this has not been confirmed clinically and Mast is used rarely. Emergency room resuscitative thoracotomy is a common treatment for cardiac arrest due to trauma. There have been no survivors among those who experienced trauma-related cardiac arrest and showed no signs of life before transport to a hospital, although the survival rate of cardiac arrest due to penetrating chest injury is relatively high. clinical date should be accumulated following the Utstein style to determine the indications for these treatments.

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