PMID: 9193975May 1, 1997Paper

Paramedic interventions increase the rate of return of spontaneous circulation in out of hospital cardiac arrests

Journal of Accident & Emergency Medicine
C J Mann, H Guly

Abstract

To determine whether paramedic interventions increased the rate of return of spontaneous circulation in the victims of out of hospital cardiac arrest. A retrospective analysis of 276 out of hospital cardiac arrests was made. Data analysed included age, sex, presenting rhythm, ambulance response time, presence of a pulse at any point, interventions performed by the ambulance crews, and survival to discharge. 146 patients were treated by paramedics and 130 by technicians. There was no difference in the rate of return of spontaneous circulation or survival to discharge in patients presenting in ventricular fibrillation (VF). In non-VF arrests there was no increase in survival to discharge, but 15% of patients in non-VF arrests achieved a return of spontaneous circulation when treated by paramedics compared to none treated by technicians. There were no other significant differences in any of the variables assessed. Out of hospital cardiac arrests presenting in VF are managed equally well by paramedics and technicians. However, in non-VF arrests there is a significantly increased rate of return of spontaneous circulation in those patients attended by paramedics.

References

Jan 8, 1992·JAMA : the Journal of the American Medical Association·T D ValenzuelaG A Ewy
Jun 22, 1991·BMJ : British Medical Journal·S M CobbeD J Carrington
Nov 1, 1986·The American Journal of Emergency Medicine·K R Stults, D D Brown
Apr 29, 1995·BMJ : British Medical Journal·U M GulyC E Robertson
Mar 2, 1994·JAMA : the Journal of the American Medical Association·G LombardiP Gennis

❮ Previous
Next ❯

Citations

Mar 21, 2002·Emergency Medicine Journal : EMJ·T B Hassan, D B Barnett
May 25, 2005·Emergency Medicine Journal : EMJ·H K SimpsonK Rowan
Jun 6, 2009·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·David T MarkelMickey S Eisenberg
Feb 5, 2010·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Christian Martin-GillJon C Rittenberger
Sep 13, 2002·The Medical Journal of Australia·Karen L SmithUNKNOWN Emergency Medical Response Steering Committee

❮ Previous
Next ❯

Related Concepts

Related Feeds

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Related Papers

The American Journal of Emergency Medicine
A E KuehlJ M Thompson
JEMS : a Journal of Emergency Medical Services
Joshua Cox, Eric T Richardson
© 2021 Meta ULC. All rights reserved