Evidence-based crisis standards of care for out-of-hospital cardiac arrests in a pandemic

Natalzia, Peter; Murk, William; Thompson, Jeffrey J.; Dorsett, Maia; Cushman, Jeremy T.; Reed, Philip A.; Clemency, Brian M.

doi:10.1016/j.resuscitation.2020.07.021

Cited by 6 publications

(6 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… Treatment 77 Natalzia et. al 89 Evidence-based crisis standards of care for out-of-hospital cardiac arrests in a pandemic Cohort Cardiac arrest events in the CARES database US ● Favorable outcomes were associated with initial shockable rhythms or arrest witnessed by EMS. ● A proposed crisis standard of care protocol suggested to only initiate out-of-hospital resuscitation in these patients resulted in a prevalence of 70.5% favorable neurological outcomes.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Emergency Medical Services Prehospital Response to the COVID-19 Pandemic in the US: A Brief Literature Review

Ventura¹,

Denton²,

David³

et al. 2022

OAEM

View full text Add to dashboard Cite

This study aimed to analyze prehospital Emergency Medical Services (EMS) response to the COVID-19 pandemic in the US through a brief systematic review of available literature in context with international prehospital counterparts. An exploration of the NCBI repository was performed using a search string of relevant keywords which returned n=5128 results; articles that met the inclusion criteria (n=77) were reviewed and analyzed in accordance with PRISMA and PROSPERO recommendations. Methodical quality was assessed using critical appraisal tools, and the Egger’s test was used for risk of bias reduction upon linear regression analysis of a funnel plot. Sources of heterogeneity as defined by P < 0.10 or I^2 > 50% were interrogated. Findings were considered within ten domains: structural/systemic; clinical outcomes; clinical assessment; treatment; special populations; dispatch/activation; education; mental health; perspectives/experiences; and transport. Findings suggest, EMS clinicians have likely made significant and unmeasured contributions to care during the pandemic via nontraditional roles, ie, COVID-19 testing and vaccine deployment. EMS plays a critical role in counteracting the COVID-19 pandemic in addition to the worsening opioid epidemic, both of which disproportionately impact patients of color. As such, being uniquely influential on clinical outcomes, these providers may benefit from standardized education on care and access disparities such as racial identity. Access to distance learning continuing education opportunities may increase rates of provider recertification. Additionally, there is a high prevalence of vaccine hesitancy among surveyed nationally registered EMS providers. Continued rigorous investigation on the impact of COVID-19 on EMS systems and personnel is warranted to ensure informed preparation for future pandemic and infectious disease responses.

show abstract

Section: Resultsmentioning

confidence: 99%

“…They state that this protocol could account for 70.5% of favorable neurological outcomes and provide 6.3 additional available hospital beds per patient. 89 …”

Section: Discussionmentioning

confidence: 99%

Emergency Medical Services Prehospital Response to the COVID-19 Pandemic in the US: A Brief Literature Review

Ventura¹,

Denton²,

David³

et al. 2022

OAEM

View full text Add to dashboard Cite

show abstract

“…In a study conducted in the Korea by Jung et al (20), it was reported that 34.4% of the patients needed Advanced Cardiac Life Support (ACLS). Moreover, Natalzia et al (21) reported that 63.7% of the patients with COVID-19 suffered from an unstable situation. In this regard, our ndings indicate that the patient's condition may be worsen and require emergency intervention due to the nature of the disease (22), failure to refer to the health center on time due to fear of infection with the disease and intention to follow the home care (8).…”

Section: Resultsmentioning

confidence: 99%

Pre-hospital medical interventions delivered to COVID-19 patients by Emergency Medical Service: A cross-sectional study

Javanmardi

Gilani

Ghafourifard

et al. 2022

Preprint

View full text Add to dashboard Cite

Background Many people in the community become infected with the coronavirus and seek help from the pre-hospital Emergency Medical Service (EMS) system. This study aimed to identify the pre-hospital medical intervention delivered to the COVID-19 patients by EMS personnel. Methods In this cross-sectional study, 335 EMS personnel were selected by random sampling method from the 49 pre-hospital emergency stations of east and west Azerbaijan Province, Iran. Data were collected using a questionnaire assessing the demographic characteristics and pre-hospital medical intervention delivered to COVID-19 patients. Data were analyzed using SPSS software version 21. Results The results showed that 68.9% of the missions for COVID-19 patients were emergency situation, and for these patients invasive interventions; Cardiopulmonary Resuscitation (CPR) (60.9%), intubation (53.1%) and suction (38.8%) were performed. Administration of oxygen, intravenous (IV) line, patients transport to emergency department, serum therapy and recommendation for home care were the most common pre-hospital medical interventions. The results showed that there was a significant relationship between the pre-hospital medical intervention with personnel’s educational degree, field of study, and history of the COVID-19 disease (P < 0.001). Conclusions The results showed that EMS personnel, in addition to close contact with COVID-19 patients, perform various advanced interventions for them. Therefore, planning to train these personnel, developing standards, following protocols and adequate access to personal protective equipment (PPE) and diagnostic and therapeutic equipment can be useful in improving the quality of patient care, handling of the patients and personnel safety in recent and future pandemics.

show abstract

“…Natalzia et al proposes a protocol to maximize cardiac arrest resources in EMS in which one should only initiate resuscitation of a patient in cardiac arrest if the arrest is witnessed or a shockable rhythm is present. They state that this protocol could account for 70.5% of favorable neurological outcomes and provide 6.3 additional available hospital beds per patient (89) .…”

Section: Discussionmentioning

confidence: 99%

EMS prehospital response to the COVID-19 pandemic in the US: A brief literature review

Ventura

Denton

David

et al. 2022

Preprint

View full text Add to dashboard Cite

This study aimed to analyze prehospital Emergency Medical Services (EMS) response to the COVID-19 pandemic in the US through a brief systematic review of available literature in context with international prehospital counterparts. An exploration of the NCBI repository was performed using a search string of relevant keywords which returned n=5128 results; articles that met the inclusion criteria (n=77) were reviewed and analyzed in accordance with PRISMA and PROSPERO recommendations. Methodical quality was assessed using critical appraisal tools, and the Eggers test was used for risk of bias reduction upon linear regression analysis of a funnel plot. Sources of heterogeneity as defined by P < 0.10 or I^2 > 50% were interrogated. Findings were considered within ten domains: structural/systemic; clinical outcomes; clinical assessment; treatment; special populations; dispatch/activation; education; mental health; perspectives/experiences; and transport. Findings suggest, EMS clinicians have likely made significant and unmeasured contributions to care during the pandemic via nontraditional roles, i.e., COVID-19 testing and vaccine deployment. EMS plays a critical role in counteracting the COVID-19 pandemic in addition to the worsening opioid epidemic, both of which disproportionately impact patients of color. As such, being uniquely influential on clinical outcomes, these providers may benefit from standardized education on care and access disparities such as racial identity. Access to distance learning continuing education opportunities may increase rates of provider recertification. Additionally, there is a high prevalence of vaccine hesitancy among surveyed nationally registered EMS providers. Continued rigorous investigation on the impact of COVID-19 on EMS systems and personnel is warranted to ensure informed preparation for future pandemic and infectious disease response.

show abstract

Evidence-based crisis standards of care for out-of-hospital cardiac arrests in a pandemic

Cited by 6 publications

References 14 publications

Emergency Medical Services Prehospital Response to the COVID-19 Pandemic in the US: A Brief Literature Review

Emergency Medical Services Prehospital Response to the COVID-19 Pandemic in the US: A Brief Literature Review

Pre-hospital medical interventions delivered to COVID-19 patients by Emergency Medical Service: A cross-sectional study

EMS prehospital response to the COVID-19 pandemic in the US: A brief literature review

Contact Info

Product

Resources

About