Ward Characteristics Associated with Delayed Defibrillator and Doctor Presence in Cardiopulmonary Resuscitation Simulated Survey

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Khemchat Wangtawesap
Arunotai Siriussawakul
Onuma Chaiwat
Tipa Chakorn
Rapeepan Nuntabut
Daranee Kusakunniran
Sudta Parakkamodom
Panisara Saengsung
Thanawin Chawaruechai
Wasinee Methapraphamorn
Chulaluk Komoltri


Objective: To survey the times to critical actions (defibrillator and doctor presence, initiation of chest compression) of inhospital
simulated cardiopulmonary resuscitation (CPR).
Methods: A 1-year retrospective simulated audit 2009 in a 2,400-bed university hospital in Thailand.
Results: A total of 57 adult wards (around a third of all wards in the hospital), including intensive care units, critical wards,
procedural units, general wards and out-patient units were audited. Overall, the median time of initiation of chest compression
and defibrillator presence among CPR teams were 1.27 (0.35-7.19) and 1.16 (0.00-26.00) minutes, respectively. The median
time of the first doctor presence was 3.45 (0.00-15.15) minutes. However, there were significant differences in time to defibrillator
and doctor presence among wards. The longer time of these critical managements were recorded in non-monitored areas
(general wards and out-patient units) (p = 0.004 and 0.007, respectively).
Conclusion: In our CPR simulated survey, delayed initiation of critical managements commonly occurred in non-monitored
areas. Better management should be concerned for favorable outcomes.


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Wangtawesap, K. ., Siriussawakul, A. ., Chaiwat, O. ., Chakorn, T. ., Nuntabut, R. ., Kusakunniran, D. ., Parakkamodom, S. ., Saengsung, P. ., Chawaruechai, T. ., Methapraphamorn, W. ., & Komoltri, C. . (2020). Ward Characteristics Associated with Delayed Defibrillator and Doctor Presence in Cardiopulmonary Resuscitation Simulated Survey. Siriraj Medical Journal, 63(6), 196–199. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/241011
Original Article


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