Cardiac arrest in Irish general practice: An observational study from 426 general practices

Bury, Gerard; Headon, Mary; Dixon, Mark; Egan, Mairead

doi:10.1016/j.resuscitation.2009.07.010

Cited by 20 publications

(6 citation statements)

References 8 publications

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“…In a rural region with a GP defibrillator program, GPs provided the first shock to about 30% of survivors during 1992–2008 5 . An analysis of national data confirmed that GP participation in resuscitation attempts was associated with improved survival, 6 as have subsequent Irish studies 7,8 . The Irish experience was also that resuscitation was more likely to be ceased at the scene of the cardiac arrest if a GP was present, highlighting the role that GPs can play in compassionately managing the death of a patient when their resuscitation is no longer feasible.…”

mentioning

confidence: 88%

What is the role of general practice in the Chain of Survival for treating people with cardiac arrest?

Masterson

Barry

2021

Medical Journal of Australia

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confidence: 88%

What is the role of general practice in the Chain of Survival for treating people with cardiac arrest?

Masterson

Barry

2021

Medical Journal of Australia

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“…GPs equipped whit defibrillators in the UK were witnesses or very close to 46 % of 552 self-reported cardiac arrest cases, and GPs in a training network in Ireland witnessed 32 % of all cardiac arrests reported by the network group (85,86).…”

Section: Municipal Preparedness (Paper I)mentioning

confidence: 99%

Red response. Studies on the role of primary care doctors in out-of-hospital emergency medicine

2010

Sykepleien

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The regression analyses presented in table 5 and 6 in Study III are not correct. The dependent variables were coded opposite of what intended. Below we present correct tables 5 and 6. When comparing the original printed tables with the new ones, the reader will see that almost all odds ratios are inverted. For the interpretation of the results this means that some statements in the original paper should be changed to:1. There is a negative statistically significant association between alerts in not lifethreatening situations and alerts to primary care doctors in remote municipalities. 2. High severity score on NACA were associated with a higher possibility of call-out as response among the primary care doctors. There was a statistically significant negative association between call-out and remote municipalities. 3. Air ambulance mission was associated with a statistically significant increase in odds ratio for primary care doctors being on call-out to the same patients. 4. Increasing population in the primary care district is associated with less call-out as the response among the primary care doctors in all three areas

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“…The Republic of Ireland experiences over 2000 OHCAs per year where resuscitation is attempted and has approximately 3000 GPs [6][7][8]. The MERIT (medical emergency responders integration and training) project established in 2005 [9] supports the training and equipment of GPs for cardiac arrest management; over 500 defibrillators (AEDs) have been provided to individual practices and 50% of all Irish GPs have attended emergency care training [10]. Over 10 years, half of all participating practices and two thirds of rural practices managed one or more cardiac arrest resuscitation attempt(s) and Irish GPs were likely involved in the resuscitation of 10-15% of all patients who survived OHCA in Ireland [5].…”

Section: Introductionmentioning

confidence: 99%

GPs who volunteer to be first responders for out-of-hospital cardiac arrest: A qualitative study

Barry

Guérin

Headon

et al. 2019

European Journal of General Practice

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GPs contribute significantly to survival from cardiac arrest. In Ireland, emergency medical services now alert volunteer GP first responders. GPs volunteer for this role because of their relationship to the community. GP first responders provide holistic cardiac arrest care including basic life support, team working with paramedics, critical decision-making and psychosocial care for bystanders and family members. ABSTRACTBackground: Out-of-hospital cardiac arrest (OHCA) is a major cause of premature mortality. Survival is possible when timely cardiopulmonary resuscitation and defibrillation are available in the community. GPs are well placed to provide early OHCA care and significantly increased rates of survival are achieved when GPs participate in resuscitation. A novel project alerts volunteer GP first responders to nearby OHCAs in Ireland. Objectives: To explore the reasons why GPs volunteer to be OHCA first responders and their experience of participation. Methods: A qualitative study involving in-depth, semi-structured interviews followed by thematic analysis was undertaken in 2017/18. Fourteen GPs from differing geographical areas in Ireland, who volunteered as OHCA first-responders were recruited to participate by purposive methods. Results: GP participation in OHCA voluntary first response was understood as a function of GPs relationship to the community, their ability to manage competing demands in their personal and professional lives and also specific participatory gains. GPs expressed both altruistic motivations and a sense of obligation. GPs described a complex, multifaceted role in providing OHCA first response; they derived an inherent sense of satisfaction in delivering potentially life-saving interventions but also in the provision of holistic, compassionate end-of-life care for patients and their families. Participation was not without psychosocial risk for GPs. Conclusion: GPs volunteer to provide early OHCA emergency care because of their relationship to the community. Care provided is complex and includes both resuscitation and end-oflife care. ARTICLE HISTORY

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Cardiac arrest in Irish general practice: An observational study from 426 general practices

Cited by 20 publications

References 8 publications

What is the role of general practice in the Chain of Survival for treating people with cardiac arrest?

What is the role of general practice in the Chain of Survival for treating people with cardiac arrest?

Red response. Studies on the role of primary care doctors in out-of-hospital emergency medicine

GPs who volunteer to be first responders for out-of-hospital cardiac arrest: A qualitative study

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