Salisbury Foundation Trust

FOI_5561

Internal Reference Number: FOI_5561

Date Request Received: 11/02/2020 09:03:28

Date Request Replied To: 09/03/2020 14:07:49

This response was sent via: By Email

Request Summary: OHCA TTM and IHCA Stats

Request Category: Companies

 
Question Number 1:
I would like to obtain information related to the management of out-of-hospital cardiac arrest (OHCA) and in-hospital cardiac arrest (IHCA) and the approach to targeted temperature management (TTM) in patients admitted to Salisbury NHS Foundation Trust following sudden cardiac arrest.

Can you please describe what guidelines are currently used in NHS Acute Trust Name for the management of OHCA and IHCA? Please attach a copy of Trust’s protocols for the management of OHCA.
 
Answer To Question 1:
The Trust use the Resuscitation Council UK guidelines (adapted from the 2015 ERC Guidelines) for the management of OHCA and IHCA. We do not have a protocol for the management of OHCA.
 
Question Number 2:
Has Salisbury NHS Foundation Trust incorporated the European Resuscitation Council Guidelines for Resuscitation 2015 into Trust’s post cardiac arrest care protocols?
 
Answer To Question 2:
The Trust uses the Resuscitation Council UK guidelines (adapted from the 2015 ERC Guidelines).
 
Question Number 3:
Can you please confirm if TTM is incorporated as part of the OHCA management in Salisbury NHS Foundation Trust? If yes, can you please confirm:
a. what is the target temperature?
b. what method or equipment is currently used to ensure that the target temperature is achieved and maintained?
c. which staff members are currently responsible for delivering TTM as part of OHCA management?
d. What proportion of OHCA that arrive at Salisbury NHS Foundation Trust that receive TTM
 
Answer To Question 3:
TTM is not incorporated into the management of patients following OHCA.
 
Question Number 4:
Can you confirm whether TTM is part of the OHCA training curriculum for the members of the resuscitation and advanced life support team and critical care team at Salisbury NHS Foundation Trust? Please include any relevant training materials and checklist currently in use.
 
Answer To Question 4:
TTM is included in our ALS training. No training materials or checklist currently in use.
 
Question Number 5:
Please provide data on outcomes for patients who had suffered OHCA and have been treated in Salisbury NHS Foundation Trust. Can you please tell us the number of patients who suffered OHCA and were admitted to Salisbury NHS Foundation Trust for the period from 2014 to 2019 (please include yearly breakdown where available) that:
a. have resulted in a poor outcome, such as severe neurological disability, persistent vegetative state or death (CPC scores 3, 4, or 5);
b. have been discharged with a good neurological outcome (CPC 1 or 2).
 
Answer To Question 5:
In 2014 we had 9 OHCA. x3 survived to discharge, 1 was transferred to another hospital and x5 died. We did not record CPC in 2014.
In 2015 we had 11 OHCA. x6 survived to discharge and x5 died. 2 patients were discharged with a CPC of 1. CPC was not recorded in the other 4 patients.
In 2016 we had 8 OHCA. x1 survived to discharge, 2 were transferred to another hospital and x5 died. 1 patient was discharged with a CPC of 1 and 1 patient was discharged with a CPC of 4. CPC was not recorded on a transferred patient.
In 2017 we had 7 OHCA. x1 was transferred to another hospital and x6 died. CPC was not recorded on the transferred patient.
In 2018 we had 8 OHCA. x1 was transferred to another hospital and x7 died. We did not record CPC for OHCA from 31-03-2018, as no longer required/input on NCAA.
In 2019 we had 11 OHCA. x2 survived to discharge, 2 were transferred to another hospital and x7 died. We did not record CPC for OHCA from 31-03-2018, as no longer required/input on NCAA.
 
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