Training in Cardiopulmonary Resuscitation and in-Hospital Cardiopulmonary Arrest Treated in A Second-Level Hospital in Spain

Authors

  • Ion Koldobika Iribar Diéguez Medical Specialist in Emergency Medicine, Emergency Department of the Bidasoa Regional Hospital, Hondarribia, Author
  • Jon Gil Barreiro Medical Intern Resident, Multidisciplinary Teaching Unit of Family and Community Medicine of Guipúzcoa, Donostia, Guipúzcoa, Spain Author
  • Irati Lanceta Barandiarán Medical Specialist in Family and Community Medicine, Spain Author
  • Daniel Uzal Escudero Nurse. Surgery Department of the Bidasoa Regional Hospital, Hondarribia, Guipúzcoa, Spain Author
  • Aitziber Tranche Aristizabal Nurse. Emergency Department of the Bidasoa Regional Hospital, Hondarribia, Guipúzcoa, Spain Author
  • Ibai Mauduit Aznar Medical Specialist in Family and Community Medicine, Spain Author
  • Irati Arístegi Sánchez Medical Specialist in Emergency Medicine, Emergency Department of the Bidasoa Regional Hospital, Hondarribia, Guipúzcoa, Spain Author
  • Itziar González Etxepare Nurse. Emergency Department of the Bidasoa Regional Hospital, Hondarribia, Guipúzcoa, Spain Author
  • María Gómez Martínez 2Medical Specialist in Emergency Medicine, Emergency Department of the Bidasoa Regional Hospital, Hondarribia, Guipúzcoa, Spain Author
  • Igor Garín Martín Senior Technician in Diagnostic Imaging, Nuclear Medicine, Radiodiagnosis Service, Bidasoa Hospital, Hondarribia, Guipúzcoa, Spain Author

DOI:

https://doi.org/10.47363/JHS/2026(2)119

Keywords:

In-Hospital Cardiac Arrest, Ulstein Style, Cardiopulmonary Resuscitation, Training

Abstract

Introduction: Cardiopulmonary arrest is a leading cause of premature death; it is unpredictable and potentially reversible. When it occurs in a
hospital, the patient has a greater chance of survival. Bidasoa Hospital has a cardiopulmonary resuscitation training group and a structured response
system for in-hospital cardiac arrest.

Objective: To evaluate the training program and the epidemiological characteristics of in-hospital cardiorespiratory arrests treated since 2016.

Method: Observational, retrospective and descriptive study. Registration records for CPR courses held between 2020 and 2025 were reviewed, analyzing the type of training received, participating professional categories, course repetition, and expressed satisfaction. In-hospital cardiac arrests recorded between January 2016 and December 2025, coded with diagnoses of cardiac arrest, were also analyzed. For each episode, sociodemographic and episode variables were collected following the international Utstein model. In the analysis of the results, p-values <0.05 were considered statistically significant.

Results: A low survival rate was observed (20% of resuscitated cardiac arrests), lower than that described in the literature. This is despite having an effective and widely accepted ongoing training program and an organized response system.

Conclusions: The study makes it possible to identify areas for improvement, such as the need to establish a mandatory and standardized record of all cardiorespiratory arrests attended, following the Utstein model; to insist on correct coding; and to reinforce periodic refresher training.

Author Biographies

  • Ion Koldobika Iribar Diéguez, Medical Specialist in Emergency Medicine, Emergency Department of the Bidasoa Regional Hospital, Hondarribia,

    Ion Koldobika Iribar Diéguez, Medical Specialist in Emergency Medicine, Emergency Department of the Bidasoa Regional Hospital, Hondarribia,

  • Jon Gil Barreiro, Medical Intern Resident, Multidisciplinary Teaching Unit of Family and Community Medicine of Guipúzcoa, Donostia, Guipúzcoa, Spain

    Jon Gil Barreiro, Medical Intern Resident, Multidisciplinary Teaching Unit of Family and Community Medicine of Guipúzcoa, Donostia, Guipúzcoa, Spain

  • Irati Lanceta Barandiarán, Medical Specialist in Family and Community Medicine, Spain

    Irati Lanceta Barandiarán, Medical Specialist in Family and Community Medicine, Spain

  • Daniel Uzal Escudero, Nurse. Surgery Department of the Bidasoa Regional Hospital, Hondarribia, Guipúzcoa, Spain

    Daniel Uzal Escudero, Nurse. Surgery Department of the Bidasoa Regional Hospital, Hondarribia, Guipúzcoa, Spain

  • Aitziber Tranche Aristizabal, Nurse. Emergency Department of the Bidasoa Regional Hospital, Hondarribia, Guipúzcoa, Spain

    Aitziber Tranche Aristizabal, Nurse. Emergency Department of the Bidasoa Regional Hospital, Hondarribia, Guipúzcoa, Spain

  • Ibai Mauduit Aznar, Medical Specialist in Family and Community Medicine, Spain

    Ibai Mauduit Aznar, Medical Specialist in Family and Community Medicine, Spain

  • Irati Arístegi Sánchez, Medical Specialist in Emergency Medicine, Emergency Department of the Bidasoa Regional Hospital, Hondarribia, Guipúzcoa, Spain

    Irati Arístegi Sánchez, Medical Specialist in Emergency Medicine, Emergency Department of the Bidasoa Regional Hospital, Hondarribia, Guipúzcoa, Spain

  • Itziar González Etxepare, Nurse. Emergency Department of the Bidasoa Regional Hospital, Hondarribia, Guipúzcoa, Spain

    Itziar González Etxepare, Nurse. Emergency Department of the Bidasoa Regional Hospital, Hondarribia, Guipúzcoa, Spain

  • María Gómez Martínez, 2Medical Specialist in Emergency Medicine, Emergency Department of the Bidasoa Regional Hospital, Hondarribia, Guipúzcoa, Spain

    María Gómez Martínez, 2Medical Specialist in Emergency Medicine, Emergency Department of the Bidasoa Regional Hospital, Hondarribia, Guipúzcoa, Spain

  • Igor Garín Martín, Senior Technician in Diagnostic Imaging, Nuclear Medicine, Radiodiagnosis Service, Bidasoa Hospital, Hondarribia, Guipúzcoa, Spain

    Igor Garín Martín, Senior Technician in Diagnostic Imaging, Nuclear Medicine, Radiodiagnosis Service, Bidasoa Hospital, Hondarribia, Guipúzcoa, Spain

Downloads

Published

2026-08-28