Cardiac Ultrasonography in Predicting Resuscitation Outcomes in Cardiac Arrest Patients in the Emergency Department at Suez Canal University Hospital

Taha, Safaa Tharwat; Mustafa, Mohamed Saleh; Ali, Mohamed Amin; Salem, Ahmad Salah; Elsayed, Zaynab Mohammed

doi:10.21608/scumj.2025.417854.1726

Cardiac Ultrasonography in Predicting Resuscitation Outcomes in Cardiac Arrest Patients in the Emergency Department at Suez Canal University Hospital

Document Type : Original Article

Authors

¹ Department of Emergency Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

² Department of Orthopedic Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

³ Department of Cardiovascular Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

10.21608/scumj.2025.417854.1726

Abstract

Introduction: Cardiopulmonary arrest represents a critical endpoint for numerous medical conditions, characterized by the cessation of effective cardiac activity and the subsequent halt of blood circulation to essential organs. Without immediate intervention, this condition is rapidly fatal. Cardiac ultrasound is independent of the patient's heart rhythm and can provide information about cardiac contractions in patients who do not have a pulse. Aim: to assess how well emergency physicians' use of cardiac ultrasonography can forecast the results of resuscitation for individuals experiencing adult cardiac arrest. Methodology: This was an observational study that was done on 92 patients who were presented with cardiac arrest to the emergency department who fulfilled the inclusion criteria (adults aged 18 years or older, both sexes, and non-traumatic cardiac arrest). Results: US readings about the fate of the patients revealed that 97.3% (n: 72) of patients with a standstill on the 1st US reading died, while 5.56 %(n:1) survived. The rhythm distribution in relation to fate revealed that all patients with asystole rhythm 72 (97.3%) died, while patients with ROSC were 55.56 % (n:10) with fine VF, 38.89% (n: 7) with VF, 5.56% (n: 1) PEA, and no patient with pulseless VT was presented. Conclusion: Cardiac ultrasound in resuscitation had 97.30 percent specificity and sensitivity, with a 98.6% negative predictive value and an 89.47% positive predictive value.

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