Paramedic Out-of-hospital Cardiac Arrest Case Volume Is a Predictor of Return of Spontaneous Circulation

The Western Journal of Emergency Medicine
Jenna E Tuttle, Michael W Hubble

Abstract

Many factors contribute to the survival of out-of-hospital cardiac arrest (OHCA). One such factor is the quality of resuscitation efforts, which in turn may be a function of OHCA case volume. However, few studies have investigated the OHCA case volume-survival relationship. Consequently, we sought to develop a model describing the likelihood of return of spontaneous circulation (ROSC) as a function of paramedic cumulative OHCA experience. We conducted a statewide retrospective study of cardiac arrest using the North Carolina Prehospital Care Reporting System. Adult patients suffering a witnessed, non-traumatic cardiac arrest between January 2012 and June 2014 were included. Using logistic regression, we calculated an adjusted odds ratio (OR) for the influence of the preceding five-year paramedic OHCA case volume on ROSC while controlling for the potentially confounding variables identified a priori as patient age, gender, and non-Caucasian race; shockable presenting rhythm; layperson/first responder cardiopulmonary resuscitation (CPR); and emergency medical services (EMS) response time. Of the 6,405 patients meeting inclusion criteria, 3,155 (49.3%) experienced ROSC. ROSC was more likely among patients treated by paramedics wit...Continue Reading

References

Jun 28, 2006·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Drew E Dawson
Nov 22, 2007·JAMA : the Journal of the American Medical Association·Paul J SharekStephen J Roth
Feb 14, 2009·Journal of the American College of Cardiology·V S SrinivasMichael H Alderman
Jun 6, 2009·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Laura S Gold, Mickey S Eisenberg
Feb 9, 2010·Annals of Emergency Medicine·Henry E WangDonald M Yealy
Jun 29, 2010·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Pamela AndreattaGail Annich
Sep 29, 2011·JAMA : the Journal of the American Medical Association·Brahmajee K NallamothuJohn D Birkmeyer
Nov 17, 2011·Critical Care : the Official Journal of the Critical Care Forum·Jeremy R BeitlerDavid H Chong
Feb 1, 2013·Emergency Medicine Journal : EMJ·Scott ClarkeGareth R Clegg
Dec 19, 2014·Circulation·Dariush MozaffarianUNKNOWN American Heart Association Statistics Committee and Stroke Statistics Subcommittee
Feb 11, 2015·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Kim D McKennaJoann Freel
Sep 20, 2015·The Journal of Thoracic and Cardiovascular Surgery·Bryan M BurtJohn G Byrne
Jan 28, 2016·Circulation. Cardiovascular Quality and Outcomes·Kylie DysonJudith Finn
Feb 24, 2016·Intensive Care Medicine·Boris JungSamir Jaber

❮ Previous
Next ❯

Citations

Mar 20, 2020·International Journal of Environmental Research and Public Health·Pin-Hui FangChih-Hao Lin
Mar 19, 2020·International Journal of Clinical Practice·Kumpol AmnuaypattanaponAnan Wattanathum
Apr 15, 2020·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·M F SpignerJ T McMullan
Aug 10, 2020·Resuscitation·Janet BrayUNKNOWN Education Implementation Teams Task Force of the International Liaison Committee on Resuscitation
Mar 29, 2021·Resuscitation·Jasmeet SoarJerry P Nolan
May 27, 2021·Clinical and Experimental Emergency Medicine·Mi Jin LeeUNKNOWN Steering Committee of 2020 Korean Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
Jun 15, 2021·Notfall & Rettungsmedizin·Jasmeet SoarJerry P Nolan

❮ Previous
Next ❯

Software Mentioned

SPSS Statistics
PreMIS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Michael W HubbleJonina Wiser
Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
E B LernerRonald G Pirrallo
Circulation. Cardiovascular Quality and Outcomes
Comilla SassonArthur L Kellermann
Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
David A WamplerJason T McMullan
© 2022 Meta ULC. All rights reserved