After the lights and sirens: Patient access delay in cardiac arrest

Singer, Jordan L.; Mosesso, Vincent N.

doi:10.1016/j.resuscitation.2020.07.027

Cited by 4 publications

(2 citation statements)

References 14 publications

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“…However, it is crucial to emphasize the importance of treating these patients as soon as possible. Delaying the initiation of resuscitation decreases the chances of survival and increases the risk of neurological damage [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Prognostic effects of cardiopulmonary resuscitation (CPR) start time and the interval between CPR to extracorporeal cardiopulmonary resuscitation (ECPR) on patient outcomes under extracorporeal membrane oxygenation (ECMO): a single-center, retrospective observational study

Vahedian-Azimi,

Hassan,

Rahimi-Bashar

et al. 2024

BMC Emerg Med

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Background The impact of the chronological sequence of events, including cardiac arrest (CA), initial cardiopulmonary resuscitation (CPR), return of spontaneous circulation (ROSC), and extracorporeal cardiopulmonary resuscitation (ECPR) implementation, on clinical outcomes in patients with both out-of-hospital cardiac arrest (OHCA) and in-hospital cardiac arrest (IHCA), is still not clear. The aim of this study was to investigate the prognostic effects of the time interval from collapse to start of CPR (no-flow time, NFT) and the time interval from start of CPR to implementation of ECPR (low-flow time, LFT) on patient outcomes under Extracorporeal Membrane Oxygenation (ECMO). Methods This single-center, retrospective observational study was conducted on 48 patients with OHCA or IHCA who underwent ECMO at Hamad General Hospital (HGH), the tertiary governmental hospital of Qatar, between February 2016 and March 2020. We investigated the impact of prognostic factors such as NFT and LFT on various clinical outcomes following cardiac arrest, including 24-hour survival, 28-day survival, CPR duration, ECMO length of stay (LOS), ICU LOS, hospital LOS, disability (assessed using the modified Rankin Scale, mRS), and neurological status (evaluated based on the Cerebral Performance Category, CPC) at 28 days after the CA. Results The results of the adjusted logistic regression analysis showed that a longer NFT was associated with unfavorable clinical outcomes. These outcomes included longer CPR duration (OR: 1.779, 95%CI: 1.218–2.605, P = 0.034) and decreased survival rates for ECMO at 24 h (OR: 0.561, 95%CI: 0.183–0.903, P = 0.009) and 28 days (OR: 0.498, 95%CI: 0.106–0.802, P = 0.011). Additionally, a longer LFT was found to be associated only with a higher probability of prolonged CPR (OR: 1.818, 95%CI: 1.332–3.312, P = 0.006). However, there was no statistically significant connection between either the NFT or the LFT and the improvement of disability or neurologically favorable survival after 28 days of cardiac arrest. Conclusions Based on our findings, it has been determined that the NFT is a more effective predictor than the LFT in assessing clinical outcomes for patients with OHCA or IHCA who underwent ECMO. This understanding of their distinct predictive abilities enables medical professionals to identify high-risk patients more accurately and customize their interventions accordingly.

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Section: Introductionmentioning

confidence: 99%

Prognostic effects of cardiopulmonary resuscitation (CPR) start time and the interval between CPR to extracorporeal cardiopulmonary resuscitation (ECPR) on patient outcomes under extracorporeal membrane oxygenation (ECMO): a single-center, retrospective observational study

Vahedian-Azimi,

Hassan,

Rahimi-Bashar

et al. 2024

BMC Emerg Med

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“…Vertical response time includes time interval from arrival on-scene to arrival at the patient's side [10]. Although shorter ambulance response time can increase medical effectiveness and satisfaction, it may reduce productivity due to the resources required and increased costs [13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Ambulance Response Time: A Study of Tabriz Emergency Medical Center, Tabriz City, Iran

Feizollahzadeh

Safa

Rajaei

et al. 2022

HDQ

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Background: The emergency medical services system has a vital role in the timely treatment of victims and the reduction of injury and mortality rates. Ambulance response time is an essential variable in evaluating the quality of its services. The aim of this study was to determine the ambulance response time and to compare it according to background variables. Materials & Methods: This descriptive study was conducted on ambulance emergency missions in Tabriz Emergency Medical Center. The data file related to the eligible missions in the server of the center was read and listened and ambulance response time and background variables were extracted and analyzed using descriptive statistics. Results: The average ambulance response time was 11.58 (5.69) minutes and was long. The results showed there is a statistically significant relationship between ambulance response time and ambulance technical readiness, traffic conditions, accident time, and the educational level of ambulance personnel. Conclusion: Compared to the standard value, the average ambulance response time in Tabriz Emergency Medical Center was longer. By recognizing the effective variables and taking the required actions, one can improve the ambulance response time and facilitate the medical services providing process in emergency conditions.

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Association between bystander automated external defibrillator use and survival in witnessed out-of-hospital cardiac arrest: A nationwide observational study in South Korea

Heo,

Oh,

Kim

et al. 2024

Resuscitation

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After the lights and sirens: Patient access delay in cardiac arrest

Cited by 4 publications

References 14 publications

Prognostic effects of cardiopulmonary resuscitation (CPR) start time and the interval between CPR to extracorporeal cardiopulmonary resuscitation (ECPR) on patient outcomes under extracorporeal membrane oxygenation (ECMO): a single-center, retrospective observational study

Prognostic effects of cardiopulmonary resuscitation (CPR) start time and the interval between CPR to extracorporeal cardiopulmonary resuscitation (ECPR) on patient outcomes under extracorporeal membrane oxygenation (ECMO): a single-center, retrospective observational study

Assessment of Ambulance Response Time: A Study of Tabriz Emergency Medical Center, Tabriz City, Iran

Association between bystander automated external defibrillator use and survival in witnessed out-of-hospital cardiac arrest: A nationwide observational study in South Korea

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