ArticleArchives of academic emergency medicine2025
Point-of-Care Testing (POCT) for Blood Gas and Electrolyte Analysis in Out-of-Hospital Cardiac Arrests' Management; a Cross-sectional Study.
Article in Archives of academic emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Relevance of blood gas analysis in emergency medical services: an emergency physician's assessment.Die Anaesthesiologie · 2026Article
- Point-of-care testing for pre-hospital stratification after out-of-hospital cardiac arrest: the RAPID-MIRACLE study.European heart journal. Acute cardiovascular care · 2026Observational
- Comparison of Arterial Puncture Skill Improvement Between Training with an Arterial Puncture Part-Task Trainer Simulator and Conventional Training in Fifth-Year Medical Students: A Pilot Study.Advances in medical education and practice · 2026Article
- Prehospital Blood pH Testing and Survival in Non-Traumatic Out-of-Hospital Cardiac Arrest: Insights from a Thai EMS Unit.Open access emergency medicine : OAEM · 2026Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Hypokalemia, hyperkalemia, and acidosis are among the reversible causes of out-of-hospital cardiac arrest (OHCA) that can be promptly identified using point-of-care testing (POCT) for blood gas and electrolyte analysis. This study aimed to evaluate the efficacy of POCT in the prehospital setting for OHCA management. Methods: In this cross-sectional study the management and outcomes of OHCA patients were compared before and after implementing the POCT for blood gas and electrolyte analysis by EMS in the prehospital setting of Ramathibodi Hospital, Thailand. Results: 217 OHCA patients with a mean age of 61 ± 17.07 (range: 58.72-63.28) years were studied (64.06 % male). 148 (68.2%) patients received POCT in the prehospital setting. Patients in the POCT group received higher administration of sodium bicarbonate (p < 0.001) and calcium gluconate (p < 0.001) compared to those without POCT. Sustained ROSC was achieved in 25% of the POCT group, compared to 11.59% in the no POCT group (p = 0.030). POCT blood gas analysis was identified as an independent predictor of sustained ROSC based on multivariable analysis (adjusted Odds: 4.60, 95% CI: 1.35-15.69; p = 0.015). Conclusions: It seems that POCT for blood gas and electrolyte analysis in the prehospital setting could improve sustained ROSC in OHCA patients by enabling rapid and targeted management of cardiac arrest's reversible causes.
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