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Cardiac arrest

In-hospital arrests in resource-limited Somalia

In-hospital cardiac arrest in a resource-limited emergency department in Somalia: Outcomes and priorities for resuscitation system development
Resuscitation Plus · Added 22 September 2026

Prospective study of 240 in-hospital arrests in a Mogadishu ED — ROSC 5.8%, survival past 24 hours 1.3%, with CPR initiation documented in only 15% of cases, underlining system gaps rather than treatment questions

Study type
Cohort
Design
Prospective single-centre observational study
Participants
240 adult in-hospital cardiac arrests in a Mogadishu ED
Main finding
ROSC achieved in 5.8% and survival beyond 24 hours in 1.3%; CPR initiation documented in only 14.6% and emergency response activation in 22.6%
Caveat
Single resource-limited in-hospital setting with incomplete documentation; not generalisable and not prehospital
Bottom line
Context only

Why it matters in Australia (Low relevance). transferability — resource-limited hospital setting with a trauma-dominated case mix — little transfers to a well-resourced two-tier ambulance service

Learning goal

Understand how system gaps in emergency response activation affect resuscitation outcomes in resource-limited settings.

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