Cardiac arrest & resuscitation

Bystander cardiopulmonary resuscitation and outcomes of mass cardiac arrests caused by a crowd crush

ResuscitationPublished Observational study

Authors' conclusion

Most MCAs were pronounced deceased, likely due to their classification as Black Tag or delayed response times. Only a small percentage (4.8%) of bystander CPR cases included rescue breathing.

Study context

Population
Mass cardiac arrests (MCAs) in the Itaewon crowd crush, Halloween Festival 2022 (Korea Out-of-Hospital Cardiac Arrest Registry (KOHCAR) and Instagram/YouTube videos)MCAs in KOHCAR
Participants
119 arrests
Exposure
Compression-only cardiopulmonary resuscitation (CPR) vs CPR with rescue breathing
Outcome
Characteristics of bystander CPR and outcomes of MCAs
Methodological detailsregistry and social media video analysis, Video clips ≥10 s with clear view of bystander CPR analysed; 26 clips (14 of 251 Instagram, 12 of 187 YouTube)
  • Registry and social media video analysis
  • Video clips ≥10 s with clear view of bystander CPR analysed; 26 clips (14 of 251 Instagram, 12 of 187 YouTube)

Main finding

As reported in the abstract

Type of bystander CPR in social media videos (228 cases, 26 clips)
Received CPR before EMS resuscitation
22 (18.5%)
CPR first by EMS team
7 (5.9%)
Pronounced deceased by EMS
90 (75.6%)
Return of spontaneous circulation (ROSC) in the field
3 (2.5%)
Survival to hospital discharge
1 (0.8%)

Observational data: associations, not effects.

Further findings

Victim characteristics and EMS response (KOHCAR)

Mean age
24.5 years
Non-Korean
10 (8.4%)
Median ambulance response time
59 min

Original publication

Bystander cardiopulmonary resuscitation and outcomes of mass cardiac arrests caused by a crowd crush. Resuscitation. Published 19 December 2024. doi:10.1016/j.resuscitation.2024.110476

Composed by AI from the published abstract and checked against it. How Briefs are made →

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