Effects of dispatcher-assisted bystander cardiopulmonary resuscitation on neurological recovery in paediatric patients with out-of-hospital cardiac arrest based on the pre-hospital emergency medical service response time interval

Resuscitation ◽  
2018 ◽  
Vol 130 ◽  
pp. 49-56 ◽  
Author(s):  
Ikwan Chang ◽  
Seung Chul Lee ◽  
Sang Do Shin ◽  
Kyoung Jun Song ◽  
Young Sun Ro ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Response Time ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Time Interval ◽  
Hospital Emergency ◽  
Bystander Cardiopulmonary Resuscitation ◽  
Service Response Time ◽  
Hospital Cardiac Arrest

scholarly journals The Effect of Implementing Mechanical Cardiopulmonary Resuscitation Devices on Out-of-Hospital Cardiac Arrest Patients in an Urban City of Taiwan

2021 ◽  
Vol 18 (7) ◽  
pp. 3636
Author(s):  
Yi-Rong Chen ◽  
Chi-Jiang Liao ◽  
Han-Chun Huang ◽  
Cheng-Han Tsai ◽  
Yao-Sing Su ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Primary Outcome ◽  
Medical Service ◽  
Spontaneous Circulation ◽  
High Quality ◽  
Urban City ◽  
Service Response Time ◽  
Mechanical Cpr ◽  
Hospital Cardiac Arrest

High-quality cardiopulmonary resuscitation (CPR) is a key element in out-of-hospital cardiac arrest (OHCA) resuscitation. Mechanical CPR devices have been developed to provide uninterrupted and high-quality CPR. Although human studies have shown controversial results in favor of mechanical CPR devices, their application in pre-hospital settings continues to increase. There remains scant data on the pre-hospital use of mechanical CPR devices in Asia. Therefore, we conducted a retrospective cohort study between September 2018 and August 2020 in an urban city of Taiwan to analyze the effects of mechanical CPR devices on the outcomes of OHCA; the primary outcome was attainment of return of spontaneous circulation (ROSC). Of 552 patients with OHCA, 279 received mechanical CPR and 273 received manual CPR, before being transferred to the hospital. After multivariate adjustment for the influencing factors, mechanical CPR was independently associated with achievement of any ROSC (OR = 1.871; 95%CI:1.195–2.930) and sustained (≥24 h) ROSC (OR = 2.353; 95%CI:1.427–3.879). Subgroup analyses demonstrated that mechanical CPR is beneficial in shorter emergency medical service response time (≤4 min), witnessed cardiac arrest, and non-shockable cardiac rhythm. These findings support the importance of early EMS activation and high-quality CPR in OHCA resuscitation.

scholarly journals Prehospital cardiopulmonary resuscitation duration and neurological outcome after adult out-of-hospital cardiac arrest by location of arrest

2020 ◽  
Vol 9 (4_suppl) ◽  
pp. S90-S99
Author(s):  
Takefumi Kishimori ◽  
Tasuku Matsuyama ◽  
Kosuke Kiyohara ◽  
Tetsuhisa Kitamura ◽  
Haruka Shida ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Emergency Medical Service ◽  
Neurological Outcome ◽  
Medical Service ◽  
Regression Analyses ◽  
Neurological Outcomes ◽  
Shockable Rhythm ◽  
Hospital Cardiac Arrest

Background Little is known about the association between prehospital cardiopulmonary resuscitation duration for adults with out-of-hospital cardiac arrest and outcome by the location of arrests. This study aimed to investigate the association between prehospital cardiopulmonary resuscitation duration and one-month survival with favourable neurological outcome. Methods We analysed 276,391 adults aged 18 years and older with out-of-hospital cardiac arrest of medical origin before emergency medical service arrival. Prehospital cardiopulmonary resuscitation duration was defined as the time from emergency medical service-initiated cardiopulmonary resuscitation to prehospital return of spontaneous circulation or to hospital arrival. The primary outcome was one-month survival with favourable neurological outcome (cerebral performance category 1 or 2). The association between prehospital cardiopulmonary resuscitation duration and favourable neurological outcome was assessed using univariable and multivariable logistic regression analyses. Results The proportion of favourable neurological outcomes was 2.3% in total, 7.6% in public locations, 1.5% in residential locations and 0.7% in nursing homes ( P < 0.001). In univariable and multivariable logistic regression analyses, longer prehospital cardiopulmonary resuscitation duration was associated with poor neurological outcome, regardless of arrest location ( P for trend < 0.001). Patients with shockable rhythm in both public and residential locations had better neurological outcome than those in nursing homes at any time point, and residential and public locations had a similar neurological outcome tendency among patients with shockable rhythm. Conclusions Longer prehospital cardiopulmonary resuscitation duration was independently associated with a lower proportion of patients with favourable neurological outcomes. Moreover, the association between prehospital cardiopulmonary resuscitation duration and neurological outcome differed according to the location of arrest and the first documented rhythm.

scholarly journals Emergency Medical Service Dispatch Cardiopulmonary Resuscitation Prearrival Instructions to Improve Survival From Out-of-Hospital Cardiac Arrest

Circulation ◽  
2012 ◽  
Vol 125 (4) ◽  
pp. 648-655 ◽  
Author(s):  
E. Brooke Lerner ◽  
Thomas D. Rea ◽  
Bentley J. Bobrow ◽  
Joe E. Acker ◽  
Robert A. Berg ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Emergency Medical ◽  
Hospital Cardiac Arrest

scholarly journals IMPLEMENTATION OF INTERNET-BASED EMERGENCY MEDICAL SERVICE (EMS) AT OUT-OF CARDIAC ARREST HOSPITAL (OHCA): A SOLUTION TO IMPROVE CARDIAC ARREST RESPONSE TIME AND ITS POTENTIAL APPLICATION IN INDONESIA

2018 ◽  
Vol 4 (6) ◽  
pp. 530-536
Author(s):  
Ismail Fahmi ◽  
Elly Nurachmah
Keyword(s):  
Cardiac Arrest ◽  
Response Time ◽  
Web Service ◽  
Emergency Medical Service ◽  
Medical Service ◽  
The Internet ◽  
Mobile Web ◽  
Delay Response ◽  
Emergency Medical ◽  
Hospital Cardiac Arrest

Out-of Hospital Cardiac Arrest (OHCA) is a condition when heart stops beating in out of the hospital. The majority of OHCA leads to death because of the delay response. Emergency Medical Service (EMS) system is needed to take care of the patients carefully. The development of Internet-based EMS is one of the best solutions, which is not only to improve the response time, but also to help patients to get the ambulance immediately. The aim of this paper was to understand how the Internet -based EMS can be used and how it will affect the patients with OHCA. Our findings indicated that the Internet-based EMS with mobile web service is critically needed for immediate response of cardiac arrest and accident situation in pre-hospital condition. However, the Internet-based EMS development needs to involve inter-sectoral agencies, such as fire fighter, police, and National Search and Rescue (SAR) Agent.

A five-year retrospective study of out-of-hospital cardiac arrest in a north-east Italian urban area

2018 ◽  
Vol 18 (1) ◽  
pp. 67-74 ◽  
Author(s):  
Matteo Danielis ◽  
Martina Chittaro ◽  
Amato De Monte ◽  
Giulio Trillò ◽  
Davide Durì
Keyword(s):  
Cardiac Arrest ◽  
Retrospective Study ◽  
Cardiopulmonary Resuscitation ◽  
Emergency Medical Service ◽  
Odds Ratio ◽  
Medical Service ◽  
Spontaneous Circulation ◽  
Return Of Spontaneous Circulation ◽  
Emergency Medical ◽  
Hospital Cardiac Arrest

Background: The reporting and analysing of data of out-of-hospital cardiac arrests encourages the quality improvement of the emergency medical services. For this reason, the establishment of a sufficiently large patient database is intended to allow analysis of resuscitation treatments for out-of-hospital cardiac arrests and performances of different emergency medical services. Aims: The aim of this study was to describe the demographics, characteristics, outcomes and determinant factors of survival for patients who suffered an out-of-hospital cardiac arrest. Methods: this was a retrospective study including all out-of-hospital cardiac arrest cases treated by the emergency medical service in the district of Udine (Italy) from 1 January 2010–31 December 2014. Results: A total of 1105 out-of-hospital cardiac arrest patients were attended by the emergency medical service. Of these, 489 (44.2%) underwent cardiopulmonary resuscitation, and return of spontaneous circulation was achieved in 142 patients (29%). There was a male predominance overall, and the main age was 72.6 years (standard deviation 17.9). Cardiopulmonary resuscitation before emergency medical service arrival was performed on 62 cases (44%) in the return of spontaneous circulation group, and on 115 cases (33%) in the no return of spontaneous circulation group ( p<0.024). Among the 142 cases of return of spontaneous circulation, 29 (5.9%) survived to hospital discharge. There was a smaller likelihood of return of spontaneous circulation when patients were female (odds ratio 0.61, 0.40–0.93). Patients who had an out-of-hospital cardiac arrest with an initial shockable rhythm (odds ratio 6.33, 3.86–10.39) or an age <60 years (odds ratio 2.91, 1.86–4.57) had a greater likelihood of return of spontaneous circulation. In addition, bystander cardiopulmonary resuscitation (odds ratio 1.56, 1.04–2.33) was associated with an increased chance of return of spontaneous circulation. Conclusion: The incidence of out-of-hospital cardiac arrest and survival rate lies within the known range. A wider database is necessary to achieve a better knowledge of out-of-hospital cardiac arrest and to drive future investments in the healthcare system.

scholarly journals ERRATUM TO: IMPLEMENTATION OF INTERNET-BASED EMERGENCY MEDICAL SERVICE: A SOLUTION TO IMPROVE RESPONSE TIME IN OUT-OF-HOSPITAL CARDIAC ARREST AND ITS POTENTIAL APPLICATION IN INDONESIA

2020 ◽  
Vol 6 (5) ◽  
pp. 185
Author(s):  
Ismail Fahmi ◽  
Elly Nurachmah
Keyword(s):  
Cardiac Arrest ◽  
Response Time ◽  
Emergency Medical Service ◽  
Potential Application ◽  
Medical Service ◽  
Original Version ◽  
Is Implementation ◽  
Emergency Medical ◽  
Reference Format ◽  
Hospital Cardiac Arrest

After the publication of the article (Fahmi & Nurachmah, 2018), it has been brought to our attention that the wrong title was used on the initial publication. The correct title of this article is “Implementation of Internet-based emergency medical service: A solution to improve response time in out-of-hospital cardiac arrest and its potential application in Indonesia.” The original version of the article has been updated to reflect this.The reference format in this article has also been updated.The publisher apologizes for the errors.The corrected article can be seen in the following link: https://doi.org/10.33546/bnj.573

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