The association between emergency medical services staffing patterns and out-of-hospital cardiac arrest survival

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Nicholas M EschmannE Brooke Lerner

Abstract

To determine whether the number of advanced life support-trained personnel at the scene of an out-of-hospital cardiac arrest (OHCA) was associated with return of spontaneous circulation (ROSC) or survival to hospital discharge. A retrospective database review using Utstein-style reporting definitions was conducted in Milwaukee County. All adult (>or= 18 years of age) OHCA cases of presumed cardiac etiology from January 1993 through December 2005 were eligible for inclusion in the study. Cardiac arrests resulting from a drug overdose, suicide, drowning, hypoxia, exsanguination, stroke, or trauma were excluded from the study. Also excluded were cases in which no crew configuration or responding unit was available, cases in which no resuscitation effort was attempted, and cases in which no time data were available. Return of spontaneous circulation and survival to hospital discharge for OHCA patients treated by a crew with two paramedics were compared to those patients treated by crews with three or more paramedics. Multivariable logistic regression was used for the analysis and the results are reported as odds ratios (ORs). During the study period, there were 10,298 OHCAs of cardiac etiology. Of those, 10,057 (98%) cases had suff...Continue Reading

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Citations

Jul 25, 2012·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Clyde L CantrellMichael E Richards
Aug 3, 2012·Journal of Veterinary Emergency and Critical Care·Maureen McMichaelUNKNOWN RECOVER Preparedness and Prevention Domain Worksheet Authors
Feb 11, 2011·Health Services Research·P Daniel PattersonDonald M Yealy
May 17, 2014·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Allison C KollerJames J Menegazzi
Sep 3, 2013·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Marcus Eng Hock OngUNKNOWN Asian EMS Council
Dec 3, 2014·The American Journal of Emergency Medicine·Matthew L SundermannJames J Menegazzi
Sep 3, 2010·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·David D SalcidoJames J Menegazzi
Jan 18, 2017·Prehospital and Disaster Medicine·Eric J CortezDavid P Keseg
Mar 24, 2018·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Allart M VenemaJoost J L M Bierens
Jun 27, 2013·Circulation·Peter A MeaneyUNKNOWN CPR Quality Summit Investigators, the American Heart Association Emergency Cardiovascular Care Committee, and the Council on
Dec 28, 2018·Circulation·Richard ChocronUNKNOWN Paris SDEC Investigators
Jul 11, 2019·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Sun Young LeeSang Do Shin
Mar 20, 2020·International Journal of Environmental Research and Public Health·Pin-Hui FangChih-Hao Lin
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
Jan 22, 2011·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Kari B HaleyMichael Uihlein

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