Out of hospital cardiac arrests in the Gulf Region: a scoping review

Batt, Alan M; Lanos, Chelsea; Delport, Shannon; Alhasan, Dalal; Knox, Shane; Alhmoudi, Assim; Anderson, Megan L.; Fares, Saleh; Cummins, Fergal

doi:10.1101/19014118

Cited by 2 publications

(2 citation statements)

References 49 publications

(48 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A recent scoping review of the OHCA in the gulf region showed a variety of demographic data, low CPR rates, and fewer ROSCs in the gulf region compared with several western-based studies. 17 In our study, we included a total of 1307 OHCA between April and June 2021. Not a surprise, as 65% of our sample were males, and that was similar to both local and international figures.…”

Section: Discussionmentioning

confidence: 99%

Out of Hospital Cardiac Arrest: Saudi Red Crescent Experience Throughout COVID-19 Era

Alsofayan¹,

Althunayyan²,

Mohamed³

et al. 2021

OAEM

View full text Add to dashboard Cite

Purpose The quality of resuscitation for out hospital cardiac arrest (OHCA) during the COVID-19 era could be affected. We aim to describe prehospital healthcare providers’ resuscitative efforts for OHCA cases and their definitive outcomes. Patients and Methods This retrospective cross-sectional study included all OHCA cases between April and June 2021 across all regions in the Kingdom of Saudi Arabia (KSA). Demographic variables, response times, CPR providers, initial rhythm, use of AED/Defibrillator, medical interventions, ROSC data, and dispatch codes were extracted from a central electronic platform. Results A total of 1307 OHCA cases were included in this study, males constituted 65% and 42% were ≥65 years. Although the median response time to initiate CPR was 13 min, 11% of OHCA cases had a response time between 0 and 6 min. About 75% of CPR was provided on scene by BLS units, 78% of OHCA cases had asystole as their initial rhythm, an AED/Defibrillator was used more than 90% of the time for pulseless VT/VF rhythm, and ROSC was achieved in 8% of OHCA patients. Conclusion During the COVID-19 pandemic, maintaining resuscitative efforts for OHCA continues in KSA. Closing knowledge gaps in the community and a better description of OHCA for the dispatcher could guide dispatch-assisted CPR and minimize OHCA response times.

show abstract

Section: Discussionmentioning

confidence: 99%

Out of Hospital Cardiac Arrest: Saudi Red Crescent Experience Throughout COVID-19 Era

Alsofayan¹,

Althunayyan²,

Mohamed³

et al. 2021

OAEM

View full text Add to dashboard Cite

show abstract

“…Our review highlights the safety of clinical roles within the MCC to perform roles that may provide alternatives to traditional transport. However, it is critical to consider that many of our included studies come from highly progressive systems where entry to practice may include baccalaureate training for both paramedics and nurses [55][56][57].…”

Section: Discussionmentioning

confidence: 99%

Clinical Roles in the Medical Communications Centre: A Rapid Scoping Review

Greene¹,

Goldstein²,

Stirling³

et al. 2023

Cureus

View full text Add to dashboard Cite

In recent years, 911 call volumes have increased, and emergency medical services (EMS) are routinely stretched beyond capacity. To better match resources with patient needs, some EMS systems have integrated clinician roles into the emergency medical communications centre (MCC). Our objective was to explore the nature and scope of clinical roles in emergency MCCs. Using a rapid scoping review methodology, we searched PubMed for studies related to any clinical role employed within an emergency MCC. We accepted reviews, experimental and observational designs, as well as expert opinions. Studies reporting on dispatcher recognition and pre-arrival instructions were excluded. Title and abstract screening were conducted by a single reviewer, included studies were verified by two reviewers, and data extraction was completed in duplicate, all using Covidence review software. The level of evidence was assessed using the prehospital evidence-based practice (PEP) scale. The protocol was registered in Open Science Framework (10.17605/OSF.IO/NX4T8).Our search yielded 1071 titles, and four were added from other sources; 44 studies were reviewed at the fulltext stage and 31 were included. The included studies were published from 2002 to 2022 and represent 17 countries. Studies meeting inclusion criteria consisted of level I (n=4, 11%), II (n=13, 37%), and III (N=6, 17%) methodologies, as well as 12 other studies (34%) with qualitative or other designs. Most of the included studies reported systems that employ nurses in the MCC (n=29, 83%). Twelve (34%) studies reported on the inclusion of paramedics in the MCC, and five (14%) reported physician involvement. The roles of these clinicians chiefly consisted of triage (n=25, 71%), advice (n=20, 57%), referral to non-emergency care (n=14, 40%), and peer-to-peer consulting (n=2, 4%). Alternative dispositions (as opposed to emergency ambulance transport) for low acuity callers included self-care, as well as referral to a general practitioner, pharmacist, or other outreach programs. There is a wide range of literature reporting on clinical roles integrated within MCCs. Our findings revealed that MCC nurses, physicians, and paramedics assist substantively with triage, advice, and referrals to better match resources to patient needs, with or without the requirement for ambulance dispatch.

show abstract

Out of hospital cardiac arrests in the Gulf Region: a scoping review

Cited by 2 publications

References 49 publications

Out of Hospital Cardiac Arrest: Saudi Red Crescent Experience Throughout COVID-19 Era

Out of Hospital Cardiac Arrest: Saudi Red Crescent Experience Throughout COVID-19 Era

Clinical Roles in the Medical Communications Centre: A Rapid Scoping Review

Contact Info

Product

Resources

About