AED and text message responders density in residential areas for rapid response in out-of-hospital cardiac arrest

Stieglis, Remy; Zijlstra, Jolande A.; Riedijk, Frank; Smeekes, Martin; Worp, Wim E. van der; Koster, Rudolph W.

doi:10.1016/j.resuscitation.2020.01.031

“…However, picking up an AED may lead to a delay in CPR (47), especially in areas with low population densities and limited availability of AED. Results from a Dutch study indicate, that the optimum constellation is more than ten First Responders and 2 AED per square kilometre (48).…”

Section: Discussionmentioning

confidence: 99%

Smartphone-based dispatch of Community First Responders to Out-of-Hospital Cardiac Arrest - Statements from an International Consensus Conference

Metelmann

¹

,

Metelmann

²

,

Kohnen³

et al. 2020

Preprint

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Background: Over the past decade Smartphone-based activation (SBA) of Community First Responders (CFR) to out-of-hospital cardiac arrests (OHCA) has gained much attention and popularity throughout Europe. Various programmes have been established, and interestingly there are considerable differences in technology, responder spectrum and the degree of integration into the prehospital emergency services. It is unclear whether these dissimilarities affect outcome. This consensus paper reviews the current state in Europe, reveals similarities and controversies, and aims to help aligning future strategies for SBA of CFR in Europe.Methods: In a consensus conference a three-step approach was used: (i) presentation of current research from five European countries; (ii) workshops discussing evidence amongst the audience to generate consensus statements; (iii) anonymous real-time voting applying the modified RAND-UCLA methodology to adopt or reject the statements. The consensus panel aimed to represent all stakeholders involved in this topic.Results: While 21 of 25 generated statements gained approval, consensus was only found for 5 of them. One statement was rejected but without consensus. Members of the consensus conference confirmed that CFR save lives. They further acknowledged the crucial role of emergency medical control centres and called for nationwide strategies. Conclusions: Smartphone-based alert of CFR to OHCA saves lives. The statement generated by the consensus conference help to advise the public, healthcare services and governments to utilise these systems to their full potential, and direct the research community towards fields that still need to be addressed.

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“…the first link (early call for help) [15], or in the fourth link (post-resuscitation care) [16]. Development of different "first responder systems" may also explain part of the variability in survival [17].…”

Section: Introductionmentioning

confidence: 99%

Description of Emergency Medical Services, treatment of cardiac arrest patients and cardiac arrest registries in Europe

Tjelmeland

¹

,

Alm-Kruse

²

,

Gräsner

³

et al. 2020

Scand J Trauma Resusc Emerg Med

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Background Variation in the incidence, survival rate and factors associated with survival after cardiac arrest in Europe is reported. Some studies have tried to fill the knowledge gap regarding the epidemiology of out-of-hospital cardiac arrest in Europe but were unable to identify reasons for the reported differences. Therefore, the purpose of this study was to describe European Emergency Medical Systems, particularly from the perspective of country and ambulance service characteristics, cardiac arrest identification, dispatch, treatment, and monitoring. Methods An online questionnaire with 51 questions about ambulance and dispatch characteristics, on-scene management of cardiac arrest and the availability and dataset in cardiac arrest registries, was sent to all national coordinators who participated in the European Registry of Cardiac Arrest studies. In addition, individual invitations were sent to the remaining European countries. Results Participants from 28 European countries responded to the questionnaire. Results were combined with official information on population density. Overall, the number of Emergency Medical Service missions, level of training of personnel, availability of Helicopter Emergency Medical Services and the involvement of first responders varied across and within countries. There were similarities in team training, availability of key resuscitation equipment and permission for ongoing performance of cardiopulmonary resuscitation during transported. The quality of reporting to cardiac arrest registries varied, as well as the data availability in the registries. Conclusions Throughout Europe there are important differences in Emergency Medical Service systems and the response to out-of-hospital cardiac arrest. Explaining these differences is complicated due to significant variation in how variables are reported to and used in registries.

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“…(16) Development of different "first responder systems" may also explain part of the variability in survival. (17) In the last European-wide study, EuReCa TWO, the mean incidence rate of started resuscitations was 56 per 100,000 inhabitants per year, ranging from 27 to 91 per 100,000 inhabitants per year. (5) This wide range in national incidence estimates may have been caused by differences in how key variables were interpreted.…”

Section: Introductionmentioning

confidence: 99%

Description of Emergency Medical Services, treatment of cardiac arrest patients and cardiac arrest registries in Europe

Tjelmeland¹,

Masterson

²

,

Herlítz

³

et al. 2020

Preprint

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Background Variation in the incidence, survival rate and factors associated with survival after cardiac arrest in Europe is reported. Some studies have tried to fill the knowledge gap regarding the epidemiology of out-of-hospital cardiac arrest in Europe but were unable to identify reasons for the reported differences. Therefore, the purpose of this study was to describe European Emergency Medical Systems, particularly from the perspective of country and ambulance service characteristics, cardiac arrest identification, dispatch, treatment, and monitoring. Methods An online questionnaire with 51 questions about ambulance and dispatch characteristics, on-scene management of cardiac arrest and the availability and dataset in cardiac arrest registries, was sent to all national coordinators who participated in the European Registry of Cardiac Arrest studies. In addition, individual invitations were sent to the remaining European countries. Results Participants from 28 European countries responded to the questionnaire. Results were combined with official information on population density. Overall, the number of Emergency Medical Service missions, level of training of personnel, availability of Helicopter Emergency Medical Services and the involvement of first responders varied across and within countries. There were similarities in team training, availability of key resuscitation equipment and permission for ongoing performance of cardiopulmonary resuscitation during transported. The quality of reporting to cardiac arrest registries varied, as well as the data availability in the registries. Conclusions Throughout Europe there are important differences in Emergency Medical Service systems and the response to out-of-hospital cardiac arrest. Explaining these differences is complicated due to significant variation in how variables are reported to and used in registries.

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AED and text message responders density in residential areas for rapid response in out-of-hospital cardiac arrest

Cited by 56 publications

References 26 publications

Smartphone-based dispatch of Community First Responders to Out-of-Hospital Cardiac Arrest - Statements from an International Consensus Conference

Smartphone-based dispatch of Community First Responders to Out-of-Hospital Cardiac Arrest - Statements from an International Consensus Conference

Description of Emergency Medical Services, treatment of cardiac arrest patients and cardiac arrest registries in Europe

Description of Emergency Medical Services, treatment of cardiac arrest patients and cardiac arrest registries in Europe

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