PMID: 9193974May 1, 1997Paper

Effectiveness of ambulance paramedics versus ambulance technicians in managing out of hospital cardiac arrest

Journal of Accident & Emergency Medicine
J S Nguyen-Van-TamR J Madeley

Abstract

To determine the effectiveness of extended trained ambulance personnel (paramedics) for the management of out of hospital cardiac arrest. A retrospective cohort study of patients who suffered a cardiac arrest between 1 January 1992 and 31 July 1994, and who were transported to their local accident and emergency (A&E) department. Data were collected on basic demography, operational time intervals, and ambulance crew status. Further clinical data were collected, and outcome measures included status on arrival at A&E, status on leaving A&E (hospital admission), and status on leaving hospital. The data were analysed using univariate and multivariate techniques. Univariate analysis showed the likelihood of arriving in A&E with a return of spontaneous circulation was more than doubled among patients attended by a paramedic crew compared with those attended by technicians (relative risk = 2.48, 95% confidence interval 1.34 to 4.60). The likelihood of successful hospital admission was also significantly increased (RR = 1.92, 95% CI 1.13 to 3.27); however, beyond this point, further survival benefits appeared to be much smaller. Similar findings were revealed using multivariate analysis. Second level modelling revealed further possible ...Continue Reading

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Citations

May 25, 2005·Emergency Medicine Journal : EMJ·H K SimpsonK Rowan
Nov 26, 2010·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Olli-Pekka RyynänenAntti Malmivaara
May 8, 1999·Accident and Emergency Nursing·B O Suserud, H Haljamäe
Jul 10, 2007·Accident and Emergency Nursing·Annie JenkinSimon Cooper
Jan 13, 1999·European Journal of Anaesthesiology·J S RobinsonS N Edwards
Aug 12, 2017·Critical Reviews in Food Science and Nutrition·Jae-Hyun Yoon, Sun-Young Lee

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