Document Detail


Cardiac arrests treated by ambulance paramedics and fire fighters.
MedLine Citation:
PMID:  12225277     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Emergency Medical Response (EMR) program is a Victorian Government initiative in which fire fighters trained in cardiopulmonary resuscitation and equipped with automatic external defibrillators are dispatched to suspected cardiac arrests simultaneously with ambulance paramedics across metropolitan Melbourne. During the first 12 months (February 2000 to February 2001) of the expanded EMR program, 2942 events involved simultaneous dispatch of ambulance paramedics and fire fighters. In 430 events, patients had suffered a cardiac arrest of presumed cardiac cause, and resuscitation was attempted by the emergency medical services. Fire fighters provided the initial defibrillation to 41 (26.5%) patients presenting in ventricular fibrillation. Survival to hospital discharge for bystander-witnessed ventricular fibrillation cardiac arrests was 21.8%. The mean emergency services (fire and ambulance) response time to cardiac arrest patients was 6.03 (SD, 1.65) minutes. The mean time to defibrillation for ventricular fibrillation patients was 8.75 (SD, 2.07) minutes.
Authors:
Karen L Smith; John J McNeil;
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Medical journal of Australia     Volume:  177     ISSN:  0025-729X     ISO Abbreviation:  Med. J. Aust.     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2002-09-12     Completed Date:  2002-11-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0400714     Medline TA:  Med J Aust     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  305-9     Citation Subset:  IM    
Affiliation:
Department of Epidemiology and Preventive Medicine, Monash Medical School, Monash University, Melbourne, Australia. karen.smith@med.monash.edu.au
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MeSH Terms
Descriptor/Qualifier:
Cardiopulmonary Resuscitation
Electric Countershock / instrumentation
Emergency Medical Services* / organization & administration
Heart Arrest / mortality,  therapy*
Humans
Outcome Assessment (Health Care)*
Survival Rate
Time and Motion Studies
Victoria
Comments/Corrections
Comment In:
Med J Aust. 2002 Sep 16;177(6):284-5   [PMID:  12225270 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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