CPR variability during ground ambulance transport of patients in cardiac arrest

Resuscitation ◽  
2013 ◽  
Vol 84 (5) ◽  
pp. 592-595 ◽  
Author(s):  
Jason R. Roosa ◽  
Tyler F. Vadeboncoeur ◽  
Paul B. Dommer ◽  
Ashish R. Panchal ◽  
Mark Venuti ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Ambulance Transport ◽  
Ground Ambulance

Abstract 294: Different Effect of Bystander CPR According to Dispatcher-Assistance on Neurologic Outcome in Out-Of-Hospital Cardiac Arrest

Circulation ◽  
2019 ◽  
Vol 140 (Suppl_2) ◽  
Author(s):  
Jieun Pak ◽  
Tae Han Kim ◽  
Min Woo Kim ◽  
Jong Hwan Kim ◽  
Ki Jeong Hong ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Final Analysis ◽  
Neurologic Outcome ◽  
Multivariable Logistic Regression Model ◽  
Emergency Medical Dispatch ◽  
Ambulance Transport ◽  
Bystander Cpr ◽  
Cpr Training ◽  
Hospital Cardiac Arrest

Introduction: Bystander CPR is an important prognostic factor for outcome in out-of-hospital cardiac arrest (OHCA). Dispatcher-assisted(DA) CPR program have shown to successfully increase rate of bystander CPR in communities. However DA-CPR is usually targeted for bystanders with no or lower level of CPR training compared to bystanders who are able to perform CPR without dispatcher assistance. We evaluated the effect of bystander CPR separately according to presence of dispatcher assistance on neurologic outcome. Methods: Retrospective analysis was performed using nationwide OHCA database from 2014 to 2017. Adult EMS treated OHCA with presumed cardiac origin were enrolled. EMS witnessed arrest and arrest occurred during ambulance transport were excluded. Bystander CPR was classified into 2 groups according to presence of DA-CPR instruction from emergency medical dispatch center. Rate of favorable neurologic outcome (CPC 1 or 2) was compared according to type of bystander CPR. Multivariable logistic regression model was used to estimate effect of bystander CPR type on outcomes. Results: Total of 72,314 eligible OHCA were enrolled for final analysis. Proportion of patients with favorable neurologic outcome was highest in bystander CPR without dispatcher assistance. (8.6% for bystander CPR without DA, 5.0% for bystander CPR with DA and 2.9% for no bystander CPR, p<0.01). Bystander CPR with DA was associated with higher chance of good neurological recovery than no bystander CPR, effect on neurologic outcome was significantly different than bystander CPR without DA(adjusted OR with 95% CI (bystander CPR with DA as reference): 0.61[0.55-0.67] for no-bystander CPR , 1.24[1.14–1.36] for bystander CPR without DA) Conclusion: Bystander CPR with DA showed positive effect on neurologic outcome compared to no-bystander CPR. However bystander CPR with DA was less effective than bystander CPR performed without dispatcher assistance. To improve quality of bystander CPR with dispatcher assistance, strategy to monitor and give feedback bystander CPR during dispatcher assistance should be developed and implemented in dispatch center.

Modern Neonatal Transport: Sound and Vibration Levels and Their Impact on Physiological Stability

2018 ◽  
Vol 36 (04) ◽  
pp. 352-359
Author(s):  
Vickie Bailey ◽  
Kristi Cagle ◽  
Deborah Kurtz ◽  
Hala Chaaban ◽  
Dee Wu ◽  
...  
Keyword(s):  
Risk Index ◽  
Vital Signs ◽  
Whole Body ◽  
Noise Levels ◽  
Neonatal Transport ◽  
Sound Levels ◽  
Ambulance Transport ◽  
Ground Ambulance ◽  
Rotary Wing ◽  
Excessive Noise

Objective To measure sound and vibration in rotary wing air transport (RWAT) and ground ambulance transport (GAT), comparing them to current recommendations, and correlating them with physiological stability measures in transported neonates. Study Design This is a prospective cohort observational study including infants ≤ 7 days of age transported over an 8-month period. Infants with neurologic conditions were excluded. Sound and vibration was continuously measured during transport. Transport Risk Index of Physiologic Stability (TRIPS) scores were calculated from vital signs as a proxy for physiological stability. Results In total, 118 newborns were enrolled, of whom 109 were analyzed: 67 in RWAT and 42 in GAT. Peak sound levels ranged from 80.4 to 86.4 dBA in RWAT and from 70.3 to 71.6 dBA in GAT. Whole-body vibration ranged from 1.68 to 5.09 m/s2 in RWAT and from 1.82 to 3.96 m/s2 in GAT. Interval TRIPS scores for each infant were not significantly different despite excessive sound and vibration. Conclusion Noise levels during neonatal transport exceed published recommendations for both RWAT and GAT and are higher in RWAT. Transported infants are exposed to vibration levels exceeding acceptable adult standards. Despite excessive noise and vibration, levels of physiological stability remained stable after transport in both RWAT and GAT groups.

scholarly journals Kangaroo position during neonatal ground ambulance transport: Parents' experiences

2021 ◽  
Author(s):  
Pia Lundqvist ◽  
Ulf Jakobsson ◽  
Karina Terp ◽  
Johannes Berg
Keyword(s):  
Ambulance Transport ◽  
Ground Ambulance ◽  
Parents Experiences

scholarly journals Effect of topography and weather on call to automatic electrical defibrillator attach time by drone for out-of-hospital cardiac arrest: a virtual flight simulation study

2021 ◽  
Author(s):  
Dong Sun Choi ◽  
Ki Jeong Hong ◽  
Sang Do Shin ◽  
Chang-Gun Lee ◽  
Tae Han Kim ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Arrival Rate ◽  
Weather Conditions ◽  
Flight Simulation ◽  
Secondary Outcome ◽  
3 Dimensional ◽  
Ground Ambulance ◽  
And Control ◽  
Hospital Cardiac Arrest ◽  
Electrical Defibrillator

Abstract Background Delivery of automatic electrical defibrillator (AED) by unmanned aerial vehicle like drones was suggested to improve early defibrillation for out-of-hospital cardiac arrest. We developed a drone-AED flight virtual simulator using 3-dimensional topographic and meteorological information. The goal of this study is to assess the effect of topography and weather on call to AED attach time in drone-AED program. Methods We included patients from 2013 to 2016 in Seoul, South Korea, registered in the Korean out-of-hospital cardiac arrest registry. We developed a drone-AED flight simulation using topographic information of Seoul for Euclidean flight pathway and topographic flight pathway including vertical flight to overcome high-rise structures. We used 4 drone flight scenarios according to weather conditions or visibility: flight and control advanced drone, flight advanced drone, control advanced drone and basic drone. Primary outcome was emergency medical service call to AED attach time. Secondary outcome was success rate of call to AED attachment within 5 or 10 minutes, and pre-arrival rate of drone-AED before AED delivery by ground ambulance. Results 16,596 patients were included. Median flight time of drone-AED was 2.6 and 1.0 minute for topographic flight simulation and Euclidean pathway. Call to AED attach time in topographic pathway was 7.0 minutes in flight and control advanced drone and 8.0 minutes in basic drone. The time in Euclidean pathway was 6.5 minutes in flight and control advanced drone and 7.0 minutes in basic drone. Pre-arrival rate of drone-AED in Euclidean pathway was 38.0% and 16.3% for flight and control advanced drone and basic drone. whereas, pre-arrival rate in the topographic pathway was 27.0% and 11.7%, respectively. Conclusions Drone-AED took longer call to AED attach time in basic drone than flight and control advanced drone. Pre-arrival rate of flight and control advanced drone was decreased in topographic flight pathway compared to Euclidean pathway. Trial registration This study used cases retrospectively registered in the Korean out-of-hospital cardiac arrest registry.

Association of Interfacility Helicopter versus Ground Ambulance Transport and in-Hospital Mortality among Trauma Patients

2020 ◽  
pp. 1-9
Author(s):  
Kenneth Stewart ◽  
Tabitha Garwe ◽  
Babawale Oluborode ◽  
Zoona Sarwar ◽  
Roxie M. Albrecht
Keyword(s):  
Hospital Mortality ◽  
Trauma Patients ◽  
Ambulance Transport ◽  
Ground Ambulance

scholarly journals Continuous flow insufflation of oxygen compared with manual ventilation during out-of-hospital cardiac arrest: A survey of the paramedics

2021 ◽  
Vol 9 ◽  
pp. 205031212110181
Author(s):  
Mathieu Groulx ◽  
Alexandra Nadeau ◽  
Marcel Émond ◽  
Jessica Harrisson ◽  
Pierre-Gilles Blanchard ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Continuous Flow ◽  
Online Survey ◽  
Standard Of Care ◽  
Supraglottic Airway ◽  
Manual Ventilation ◽  
Simplified Approach ◽  
Ambulance Transport ◽  
Survey Monkey ◽  
Hospital Cardiac Arrest

Introduction: In 2018, a continuous flow insufflation of oxygen (CFIO) device (b-card™, Vygon (USA)) placed on a supraglottic airway (SGA) became the standard of care to ventilate patients during adult out-of-hospital cardiac arrest (OHCA) care in Quebec–Capitale-Nationale region, Canada. This study aims to assess the paramedics’ perception as well as the disadvantages and the benefits relative to the use of CFIO during OHCA management. Methods: An invitation to complete an online survey (Survey Monkey™) was sent to all 560 paramedics who are working in our region. The survey included 22 questions of which 9 aimed to compare the traditional manual ventilation with a bag to the CFIO using a 5-point Likert-type scale. Results: A total of 244 paramedics completed the survey, of which 189 (77.5%) had used the CFIO device during an OHCA at least once. Most respondents felt that the intervention was faster (70.2%) and easier (86.5%) with the CFIO device compared with manual ventilation. CFIO was also associated with perceived increased patient safety (64.4%) as well as paramedic safety during the evacuation (88.9%) and the ambulance transport (88.9%). Paramedics reported that physical (48.1%) and cognitive (52.9%) fatigue were also improved with CFIO. The main reported barriers were the bending of the external SGA tube and the loss of capnography values. Conclusion: The use of CFIO during adult OHCA care allows a simplified approach and was perceived as safer for the patient and the paramedics compared with manual ventilation. Its impact on patient-centred outcomes needs to be assessed.

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