Mar 10, 2007

The feasibility of a regional cardiac arrest receiving system

Resuscitation
Daniel P DavisJames V Dunford

Abstract

Patients suffering out-of-hospital cardiac arrest (OOHCA) are generally transported to the closest ED, presumably to expedite a hospital level of care and improve the chances of return for spontaneous circulation (ROSC) or provide post-resuscitative care for patients with prehospital ROSC. As hospital-based therapies for survivors of OOHCA are identified, such as hypothermia and emergency primary coronary interventions (PCI), certain hospitals may be designated as cardiac arrest receiving facilities. The safety of bypassing non-designated facilities with such a regional system is not known. To explore the potential ED contribution in OOHCA victims without prehospital ROSC and document the relationship between transport time and outcome in patients with prehospital ROSC. This was a prospective, observational study conducted in a large, urban EMS system over an 18-month period. Data were collected using the Utstein template for OOHCA. The incidence of prehospital ROSC was calculated for patients who were declared dead on scene, transported but died in the ED, died in the hospital, and survived to hospital discharge. The relationship between transport time and survival was also explored for patients with prehospital ROSC. A total ...Continue Reading

Mentioned in this Paper

Emergency Care
Circulatory Process
Basic Cardiac Life Support
Receiver Operating Characteristic
Observation - Diagnostic Procedure
Blood Circulation
Heart
Hypothermia, Natural
EMS System
Regional Medical Programs

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