Prehospital defibrillation in Geelong

Jackson, Trevor; Cameron, Peter

doi:10.1111/j.1442-2026.1993.tb00096.x

Cited by 7 publications

(4 citation statements)

References 19 publications

(28 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In Australia, the outcome from prehospital cardiac arrest has been reported for the New South Wales intensive care ambulance system and for the cities of Perth, Ipswich and Geelong 3–6 .…”

Section: Discussionmentioning

confidence: 99%

“…In 1993, Jackson and Cameron reported the experience of prehospital defibrillation in Geelong, Victoria 6 . This review of 79 patients included 71 who were in VF on ambulance arrival with a median response time (call to defibrillation) of nine minutes.…”

Section: Discussionmentioning

confidence: 99%

“…Patient survival is dependent upon prompt treatment. Although outcomes have been extensively studied in North America and Europe there have been relatively tew reports from Australia 2–7 . This study was undertaken to establish the incidence and outcome of prehospital cardiac arrest in Melbourne, Australia.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Outcome from prehospital cardiac arrest in Melbourne, Australia

Bernard

1998

Emergency Medicine

View full text Add to dashboard Cite

Although the incidence and outcome of prehospital cardiac arrest have been reported for many cities, relatively few have originated from Australia. This study reviewed ambulance and hospital records of all patients who were in cardiac arrest when first attended by ambulance officers in metropolitan Melbourne between 1 February and 31 July 1995. Of 361 patients with a presumed primary cardiac cause of arrest, 113 (31%) were initially in ventricular fibrillation. The average ambulance response time was 9.4 minutes. Bystander cardiopulmonary resuscitation was performed on 22% of patients. Ten patients (3%) were discharged alive from hospital of whom eight (2%) were to independent living at home. All survivors were in ventricular fibrillation when first seen. It is concluded that survival from prehospital cardiac arrest in Melbourne is low. Strategies to improve outcome are suggested.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Outcome from prehospital cardiac arrest in Melbourne, Australia

Bernard

1998

Emergency Medicine

View full text Add to dashboard Cite

show abstract

“…While the AV 90th percentile response time increased from 14 minutes in 2001-2002 to 16.5 minutes in 2007-2008 (48,49). This increase in response times over this period is also substantiated by scientific literature (2,(50)(51)(52). However, it has been shown in several studies that EMS systems that already have a rapid response time to OHCA, and that implementation of a first responder program leads to minimal, if any, gains in terms of patient outcomes (42).…”

Section: Response Timesmentioning

confidence: 64%

Out of Hospital Cardiac Arrest Management by First Responders: Retrospective Review of a Fire Fighter First Responder Program

Winship

Boyle

Williams

2014

Australasian Journal of Paramedicine

View full text Add to dashboard Cite

IntroductionOver 9,500 people die annually in Australia from sudden cardiac arrest, with strong evidence suggesting early high quality CPR and early counter shock being paramount for improving survival from cardiac arrest. It has also been shown that first responder programs have been able to reduce response times and increase survival rates for out-of-hospital cardiac arrest. The objective of this study was to examine data from the first seven years of an Australian out-of-hospital cardiac arrest first responder program where fire fighters provided basic life support.MethodsThis study was a retrospective cohort study of all cardiac arrests attended by the Metropolitan Fire and Emergency Services Board (MFESB) as part of the Emergency Medical Response program over a seven-year period in Melbourne, Victoria, Australia.ResultsThe MFESB attended 4,450 cardiac arrests. The majority of patients presented in asystole 669 (63.7%) with just 243 (23.1%) presenting in a shockable rhythm. The majority of patients in cardiac arrest were males (64.2%) and the mean age of the patients was 67.5 years. The MFESB median response time during the study period was 5.7 minutes (IQR 2.25 minutes), range of 0.15 minutes to 31.7 minutes, which remained stable over the seven years. Patients spent a median time of 4.6 minutes (0.02 seconds to 36.5 minutes) in the care of fire fighters prior to the arrival of EMS. The rhythm on handover to paramedics was asystole in 787 (75.1%) cases with no shockable rhythms. One in three (31.3%) patients received bystander CPR, with a significant rise in the rate of bystander CPR occurring over the last two years.ConclusionThis study demonstrated acceptable response times to cardiac arrests and a low bystander CPR rate prior to arrival of the MFESB. The incidence of a shockable rhythm on arrival of the MFESB was low with the main rhythm being asystole. The main rhythm on handover to paramedics was asystole with non-shockable rhythms. Further research is required to determine the effect on patient outcomes.

show abstract