Timely bystander CPR improves outcomes despite longer EMS times

American Journal of Emergency Medicine

Volumn 35, Issue 8, 2017, Pages 1049-1055

  Park, Gwan Jin ^a   Song, Kyoung Jun ^a   Shin, Sang Do ^a   Lee, Kyung Won ^d   Ahn, Ki Ok ^b   Lee, Eui Jung ^a   Hong, Ki Jeong ^c   Ro, Young Sun ^b  

^a Seoul National University College of Medicine   (South Korea)

^b Seoul National University Biomedical Research Institute   (South Korea)

^c Seoul National University Boramae Hospital   (South Korea)

^d Inje University   (South Korea)

Author keywords

Bystander cardiopulmonary resuscitation; Cardiac arrest; Emergency medical services; Outcomes

Indexed keywords

ADULT; AGED; ARTICLE; CLINICAL OUTCOME; COLLAPSE; CROSS-SECTIONAL STUDY; EMERGENCY HEALTH SERVICE; FEMALE; HOSPITAL DISCHARGE; HUMAN; MAJOR CLINICAL STUDY; MALE; OBSERVATIONAL STUDY; OUT OF HOSPITAL CARDIAC ARREST; PRIORITY JOURNAL; REGISTER; RESPONSE TIME; RESUSCITATION; SURVIVAL; COMMUNITY PARTICIPATION; HEALTH SURVEY; MIDDLE AGED; MORTALITY; ODDS RATIO; OUT-OF-HOSPITAL CARDIAC ARREST; PROCEDURES; RETROSPECTIVE STUDY; STATISTICS AND NUMERICAL DATA; SURVIVAL ANALYSIS; TIME TO TREATMENT; TREATMENT OUTCOME; YOUNG ADULT;

ADULT; AGED; CARDIOPULMONARY RESUSCITATION; COMMUNITY PARTICIPATION; EMERGENCY MEDICAL SERVICES; FEMALE; HUMANS; MALE; MIDDLE AGED; ODDS RATIO; OUT-OF-HOSPITAL CARDIAC ARREST; POPULATION SURVEILLANCE; RETROSPECTIVE STUDIES; SURVIVAL ANALYSIS; TIME-TO-TREATMENT; TREATMENT OUTCOME; YOUNG ADULT;

EID: 85013498531     PISSN: 07356757     EISSN: 15328171     Source Type: Journal    
DOI: 10.1016/j.ajem.2017.02.033     Document Type: Article

References (36)

1. Larsen, M.P., Eisenberg, M.S., Cummins, R.O., et al. Predicting survival from out-of-hospital cardiac arrest: a graphic model. Ann. Emerg. Med. 22:11 (1993), 1652–1658.
2. Nagao, K., Chest compression-only cardiocerebral resuscitation. Curr. Opin. Crit. Care 15:3 (2009), 189–197.
3. Hasselqvist-Ax, I., Riva, G., Herlitz, J., et al. Early cardiopulmonary resuscitation in out-of-hospital cardiac arrest. N. Engl. J. Med. 372:24 (2015), 2307–2315.
4. Kleinman, M.E., Brennan, E.E., Goldberger, Z.D., et al. Part 5: adult basic life support and cardiopulmonary resuscitation quality: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 132:18 Suppl. 2 (2015), S414–S435.
5. Cummins, R.O., Eisenberg, M.S., Hallstrom, A.P., et al. Survival of out-of-hospital cardiac arrest with early initiation of cardiopulmonary resuscitation. Am. J. Emerg. Med. 3:2 (1985), 114–119.
6. Margey, R., Browne, L., Murphy, E., et al. The Dublin cardiac arrest registry: temporal improvement in survival from out-of-hospital cardiac arrest reflects improved pre-hospital emergency care. Europace 13:8 (2011), 1157–1165.
7. Hansen, C.M., Kragholm, K., Granger, C.B., et al. The role of bystanders, first responders, and emergency medical service providers in timely defibrillation and related outcomes after out-of-hospital cardiac arrest: results from a statewide registry. Resuscitation 96 (2015), 303–309.
8. Eisenberg, M.S., Bergner, L., Hallstrom, A., Cardiac resuscitation in the community. Importance of rapid provision and implications for program planning. JAMA 241:18 (1979), 1905–1907.
9. Gold, L.S., Fahrenbruch, C.E., Rea, T.D., et al. The relationship between time to arrival of emergency medical services (EMS) and survival from out-of-hospital ventricular fibrillation cardiac arrest. Resuscitation 81:5 (2010), 622–625.
10. Silverman, R.A., Galea, S., Blaney, S., et al. The “vertical response time”: barriers to ambulance response in an urban area. Acad. Emerg. Med. 14:9 (2007), 772–778.
11. Ahn, K.O., Shin, S.D., Cha, W.C., et al. A model for the association of the call volume and the unavailable-for-response interval on the delayed ambulance response for out-of-hospital cardiac arrest using a geographic information system. Prehosp. Emerg. Care 14:4 (2010), 469–476.
12. Ahn, K.O., Shin, S.D., Suh, G.J., et al. Epidemiology and outcomes from non-traumatic out-of-hospital cardiac arrest in Korea: a nationwide observational study. Resuscitation 81:8 (2010), 974–981.
13. Ong, M.E., Shin, S.D., Tanaka, H., et al. Rationale, methodology, and implementation of a dispatcher-assisted cardiopulmonary resuscitation trial in the Asia-Pacific (Pan-Asian resuscitation outcomes study phase 2). Prehosp. Emerg. Care. 19:1 (2015), 87–95.
14. Wissenberg, M., Lippert, F.K., Folke, F., et al. Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest. JAMA 310:13 (2013), 1377–1384.
15. Lewis, M., Stubbs, B.A., Eisenberg, M.S., Dispatcher-assisted cardiopulmonary resuscitation: time to identify cardiac arrest and deliver chest compression instructions. Circulation 128:14 (2013), 1522–1530.
16. Song, K.J., Shin, S.D., Park, C.B., et al. Dispatcher-assisted bystander cardiopulmonary resuscitation in a metropolitan city: a before-after population-based study. Resuscitation 85:1 (2014), 34–41.
17. Ringh, M., Rosenqvist, M., Hollenberg, J., et al. Mobile-phone dispatch of laypersons for CPR in out-of-hospital cardiac arrest. N. Engl. J. Med. 372:24 (2015), 2316–2325.
18. Sasson, C., Rogers, M.A., Dahl, J., et al. Predictors of survival from out-of-hospital cardiac arrest: a systematic review and meta-analysis. Circ. Cardiovasc. Qual. 3:1 (2010), 63–81.
19. Malta Hansen, C., Kragholm, K., Pearson, D.A., et al. Association of bystander and first-responder intervention with survival after out-of-hospital cardiac arrest in North Carolina, 2010–2013. JAMA 314:3 (2015), 255–264.
20. Jacobs, I., Nadkarni, V., Bahr, J., et al. Cardiac arrest and cardiopulmonary resuscitation outcome reports: update and simplification of the Utstein templates for resuscitation registries. A statement for healthcare professionals from a task force of the international liaison committee on resuscitation (American Heart Association, European Resuscitation Council, Australian Resuscitation Council, New Zealand Resuscitation Council, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa). Resuscitation 63:3 (2004), 233–249.
21. Pons, P.T., Haukoos, J.S., Bludworth, W., et al. Paramedic response time: does it affect patient survival?. Acad. Emerg. Med. 12:7 (2005), 594–600.
22. Peleg, K., Pliskin, J.S., A geographic information system simulation model of EMS: reducing ambulance response time. Am. J. Emerg. Med. 22:3 (2004), 164–170.
23. Lam, S.S., Zhang, J., Zhang, Z.C., et al. Dynamic ambulance reallocation for the reduction of ambulance response times using system status management. Am. J. Emerg. Med. 33:2 (2015), 159–166.
24. Bhanji, F., Donoghue, A.J., Wolff, M.S., et al. Part 14: education: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 132:18 Suppl 2 (2015), S561–S573.
25. Painter, I., Chavez, D.E., Ike, B.R., et al. Changes to DA-CPR instructions: can we reduce time to first compression and improve quality of bystander CPR?. Resuscitation 85:9 (2014), 1169–1173.
26. Lee, S.Y., Ro, Y.S., Shin, S.D., et al. Interaction effects between highly-educated neighborhoods and dispatcher-provided instructions on provision of bystander cardiopulmonary resuscitation. Resuscitation 99 (2016), 84–91.
27. Harjanto, S., Na, M.X., Hao, Y., et al. A before-after interventional trial of dispatcher-assisted cardio-pulmonary resuscitation for out-of-hospital cardiac arrests in Singapore. Resuscitation 102 (2016), 85–93.
28. Fujie, K., Nakata, Y., Yasuda, S., et al. Do dispatcher instructions facilitate bystander-initiated cardiopulmonary resuscitation and improve outcomes in patients with out-of-hospital cardiac arrest? A comparison of family and non-family bystanders. Resuscitation 85:3 (2014), 315–319.
29. Meaney, P.A., Bobrow, B.J., Mancini, M.E., et al. Cardiopulmonary resuscitation quality: improving cardiac resuscitation outcomes both inside and outside the hospital: a consensus statement from the American Heart Association. Circulation 128:4 (2013), 417–435.
30. Bobrow, B.J., Vadeboncoeur, T.F., Stolz, U., et al. The influence of scenario-based training and real-time audiovisual feedback on out-of-hospital cardiopulmonary resuscitation quality and survival from out-of-hospital cardiac arrest. Ann. Emerg. Med. 62:1 (2013), 47–56.e1.
31. Yeung, J., Meeks, R., Edelson, D., et al. The use of CPR feedback/prompt devices during training and CPR performance: a systematic review. Resuscitation 80:7 (2009), 743–751.
32. Ong, E.H., Improving the quality of CPR in the community. Singap. Med. J. 52:8 (2011), 586–591.
33. Swor, R., Khan, I., Domeier, R., et al. CPR training and CPR performance: do CPR-trained bystanders perform CPR?. Acad. Emerg. Med. 13:6 (2006), 596–601.
34. Coons, S.J., Guy, M.C., Performing bystander CPR for sudden cardiac arrest: behavioral intentions among the general adult population in Arizona. Resuscitation 80:3 (2009), 334–340.
35. Nishi, T., Takei, Y., Kamikura, T., et al. Improper bystander-performed basic life support in cardiac arrests managed with public automated external defibrillators. Am. J. Emerg. Med. 33:1 (2015), 43–49.
36. Rajan, S., Wissenberg, M., Folke, F., Hansen, S.M., Gerds, T.A., Kragholm, K., et al. Association of bystander cardiopulmonary resuscitation and survival according to ambulance response times after out-of-hospital cardiac arrest. Circulation 134:25 (2016), 2095–2104.