Police as first reponders improve out-of-hospital cardiac arrest survival

BMC Emergency Medicine

Research

Marta Cildoz¹  Miguel Baigorri¹  Fermin Mallor¹  Diego Reyero²  Alfredo Echarri³  Clint Jean Louis⁴  Carlos Beaumont⁵  Robert Greif⁶ 

[1] Department of Statistics and Operational Research, Public University of Navarra, Pamplona, Navarra, Spain;Emergency Advanced Ambulance Physician, Prehospital Emergency Services, Navarra Health Services, Avenida Pamplona No.2. 4ª, 31010, Barañain, Navarra España, Spain;Emergency Advanced Ambulance Physician, Prehospital Emergency Services, Navarra Health Services, Avenida Pamplona No.2. 4ª, 31010, Barañain, Navarra España, Spain;Head of Emergency Transportation Services, Prehospital Emergency Services, Navarra Health Services, Pamplona, Navarra, Spain;Emergency Advanced Ambulance Physician, Prehospital Emergency Services, Navarra Health Services, Avenida Pamplona No.2. 4ª, 31010, Barañain, Navarra España, Spain;Regional Coordinator Cardiac-Arrest Code, Citizen Empowerment Program, Navarra Health Services, Pamplona, Navarra, Spain;European Resuscitation Council (ERC) Research NET, Brussels, Belgium;Emergency Physician, Emergency Department, University Hospital of Navarra, Pamplona, Navarra, Spain;European Resuscitation Council (ERC) Research NET, Brussels, Belgium;Department of Anaesthesiology and Pain Medicine, Bern University Hospital, University of Bern, Bern, Switzerland;School of Medicine, Sigmund Freud University Vienna, Vienna, Austria;

关键词: Out-of-hospital cardiac arrest;    Police;    Defibrillation;    First responder;    Emergency medical services;    Survival;    Prehospital;   

DOI  :  10.1186/s12873-023-00876-w

 received in 2023-02-17, accepted in 2023-08-25,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundPolice forces are abundant circulating and might arrive before the emergency services to Out-of-Hospital-Cardiac-Arrest victims. If properly trained, they can provide basic life support and early defibrillation within minutes, probably increasing the survival of the victims. We evaluated the impact of local police as first responders on the survival rates of out-of-hospital cardiac arrest victims in Navarra, Spain, over 7 years.MethodsA retrospective analysis of an ongoing Out-of-Hospital Cardiac registry to compare the characteristics and survival of Out-of-Hospital-Cardiac-Arrest victims attended to in first place by local police, other first responders, and emergency ambulance services between 2014 and 2020.ResultsOf 628 cases, 73.7% were men (aged 68.9 ± 15.8), and 26.3% were women (aged 65,0 ± 14,7 years, p < 0.01). Overall survival of patients attended to by police in the first place was 17.8%, other first responders 17.4% and emergency services 13.5% with no significant differences (p > 0.1). Time to initiating cardiopulmonary resuscitation is significant for survival. When police arrived first and started CPR before the emergency services, they arrived at a mean of 5.4 ± 3 min earlier (SD = 3.10). This early police intervention showed an increase in the probability of survival by 10.1%.ConclusionsThe privileged location and the sole amount of personnel of local police forces trained in life support and their fast delivery of defibrillators as first responders can improve the survival of out-of-hospital cardiac arrest victims.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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