Korea represents high suicide rate by poisoning. Especially, since a lot of people died by high concentrated paraquat which has extremely high fatality rate, paraquat sales were prohibited in 2012. We investigated to find out how the prohibition of sales affected occurrence of pesticide poisoned patients and what kinds of influences did it have for severity and death rate. By targeting patients who visited emergency room by pesticide poisoning from 2010 to 2014, we researched insecticides poisoned patients and herbicidal poisoned patients grouped into 9 categories. Before and after 2012, We compared A term (2010, 2011) and B term (2013, 2014)’s pesticide occurrence, especially distribution of herbicide occurrence and compared hospitalization rate, hospitalization period, length of stay in ICU (Intensive Care Unit), severity, and death rate. The number of insecticide patients was 219 (37.4%) and the number of herbicide patients was 367 (62.6%) who visited emergency room in five years and the rate was similar every year. In case of paraquat, there was 70.5% decrease by 105 people for A term and 31 people for B term and increase of double for glyphosate, glufosinate, and other herbicides. The death rate was decreased but hospitalization was increased. There weren’t any difference of rate in ICU admission, intubation and ventilator therapy. By prohibition of using paraquat, the death rate by pesticide poisoning was decreased. However, patients who poisoned by other herbicides were increased, so hospitalization rate increased and there weren’t any difference at patient’s severity rates.

The aim of this study is to confirm the importance of a more immediate advanced cardiac life support (ACLS) through a comparative analysis of the results of cardiopulmonary resuscitation (CPR) according to the occurrence place of cardiac arrest in tertiary emergency department. The subjects were 493 patients who had received CPR in Chosun university, Emergency Medical Department, between April 2013 and March 2015. The subjects were categorized into three groups according to the occurrence place of cardiac arrest: pre-hospital, in-emergency room, and in-ward. We conducted a clinical analysis of the results. During the period, 493 cardiac arrest patients underwent CPR, 63 patients (12.8%) were discharged alive and 41 patients (8.3%) got a good score on the cerebral performance category (CPC). Concerned occurrence place of cardiac arrest, 11.3% (16 patients) of the in-emergency room group (total 288 patients) were discharged alive. Also, 9.4% (27 patients) of the In-emergency room group got a good score on the CPC. In the other two-group cases, 7.1% (10 patients) of pre-hospital group (total 141 patients) and 6,2% (4 patients) of in-ward group (total 64 patients) got a good score on the CPC. These results indicate that both the rates of alive discharge and a good CPC score of the in-emergency room group are higher than in out-of-emergency room. This difference might be due to the fact that patients could get the more immediate ACLS by emergency medicine doctors if cardiac arrest occurs in emergency room than other places.

The purpose of this research is to compare between past and present resuscitation outcome of cardiac arrest patients in one emergency department. A clinical analysis of 429 cases of CPR performed in one emergency department from April 2013 to March 2015 was conducted. Then we compared this with previous paper that were written in same emergency department in 2004. During the period, 429 patients received resuscitations. Between the two studies, all patients under CPR were increased 2.27 times (94.33 pts/years to 214.5 pts/years). As the cause of cardiac arrest, traumatic cardiac arrest increased to 30.1% form 24.1%. Cardiogenic cardiac arrest showed highest survival rate in two studies, and the ratio was increased from 6.8% to 15.2%. VF/VT showed highest survival rate in two studies, and the ratio was increased from 8.8% to 20.7%. In this study, At least who once became ROSC patients was 260 people (60.6%), permanent surviving patient was 34 people (7.93 %), patients with CPC score 1-2 was 26 people (6.06%). The survival rate of patients with cardiac arrest has increased compared to the past. But in-hospital cardiac arrest survival rate is still low so it is necessary to increase the recovery rate of cardiogenic arrest survival rate to increase the permanent survival rate and good prognosis patients.