Abstract Body

Background and purpose

Emergency cardiac problems arise suddenly and If not treated immediately, sudden cardiac arrest can lead to death. Survival rates are low in out-of-hospital cardiac arrests. Such cases sometimes refer to Family Health Centers (FHCs).

Case

On 12.02.2021 at lunch-time, a patient's relative came to FHC and said that his father couldn’t breathe at home and was standing still on the ground. The patient's home was reached at once.

The patient was 62 years old, male, had no known illness, didn’t use drugs, was a heavy smoker, had chest pain but didn’t consult a physician. Cardio-pulmonary resuscitation (CPR) was performed (at 12:53) because the pulse couldn’t be found. The ambulance team arrived at the 5^th minute’s of the CPR.

Tracheal intubation was performed. 1 mg adrenaline IV pulse and 0.9% NaCl solution was applied. The patient was asystole. At 13:12, the femoral pulse was palpated and the rhythm was found to be ventricular fibrillation and a 200 joule shock was applied with a defibrillator. The patient returned to sinus rhythm and was transferred to the emergency department. In coronary angiography, there was occlusion in coronary arteries. The patient, whose clinical condition is stable, continues to be treated in intensive care.

Discussion

Emergency health care is also included within the scope of primary health care services. The family physician has the responsibility of being ready for emergencies at all times, providing comprehensive care for all those need medical care and coordinating other healthcare personnel when necessary, acting within the framework of the core competencies of the family medicine discipline.