Scholarlink

Background <p>Emergency Medical Services personnel encounter patients in extremis that continue to deteriorate to the point of cardiac arrest. EMS personnel in one urban county in Southwest Michigan encounter approximately 250 cardiac arrests a year, some of which are witnessed by EMS personnel. Crashing patient protocols have been developed in other areas in the country with results showing fewer EMS witnessed cardiac arrests. This retrospective before and after analysis aims to compare witnessed cardiac arrest data from 2021 to 2022 following the implementation of our local crashing patient protocol.</p> Main text <p>We compared Cardiac Arrest Registry to Enhance Survival (CARES) data regarding cardiac arrests witnessed by 911 personnel from year of implementation (2022) and prior year (2021). We performed a chi square analysis to compare these data and set the alpha level at 0.05 to determine statistical significance. For the year 2021, the data revealed that 12.95% of cardiac arrest calls were witnessed by EMS responders, compared with 6.77% of cardiac arrest calls in 2022. This decrease in the proportion of cardiac arrests witnessed by EMS from 2021 to 2022 yielded a p-value of 0.0181, suggesting a statistically significant difference between the two years.</p> Conclusion <p>Our study revealed a significant decrease in the proportion of EMS witnessed cardiac arrests from 2021 to 2022. The Crashing Patient Protocol was initiated in our EMS System in 2022, suggesting there may be an association with this protocol implementation and a decrease in the number of EMS witnessed cardiac arrests.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Implementation of crashing patient protocol and its association with EMS provider witnessed cardiac arrest incidence: a retrospective cohort study

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年12月29日

查看全文
  • Timothy Schiller,
  • Stephanie Van Alsten,
  • Joshua Mastenbrook,
  • Michael Bentley,
  • William Fales

摘要

Background

Emergency Medical Services personnel encounter patients in extremis that continue to deteriorate to the point of cardiac arrest. EMS personnel in one urban county in Southwest Michigan encounter approximately 250 cardiac arrests a year, some of which are witnessed by EMS personnel. Crashing patient protocols have been developed in other areas in the country with results showing fewer EMS witnessed cardiac arrests. This retrospective before and after analysis aims to compare witnessed cardiac arrest data from 2021 to 2022 following the implementation of our local crashing patient protocol.

Main text

We compared Cardiac Arrest Registry to Enhance Survival (CARES) data regarding cardiac arrests witnessed by 911 personnel from year of implementation (2022) and prior year (2021). We performed a chi square analysis to compare these data and set the alpha level at 0.05 to determine statistical significance. For the year 2021, the data revealed that 12.95% of cardiac arrest calls were witnessed by EMS responders, compared with 6.77% of cardiac arrest calls in 2022. This decrease in the proportion of cardiac arrests witnessed by EMS from 2021 to 2022 yielded a p-value of 0.0181, suggesting a statistically significant difference between the two years.

Conclusion

Our study revealed a significant decrease in the proportion of EMS witnessed cardiac arrests from 2021 to 2022. The Crashing Patient Protocol was initiated in our EMS System in 2022, suggesting there may be an association with this protocol implementation and a decrease in the number of EMS witnessed cardiac arrests.