"Time that save lives" while waiting for ambulance in rural environments

Nord-Ljungquist, HelenaLuleå tekniska universitet,Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Luleå University of Technology, Sweden,Ctr Interprofess Collaborat Emergency Care CICE,Omvårdnad och medicinsk teknik,Centre of Interprofessional Collaboration within Emergency Care (CICE), Linnaeus University, Växjö, Sweden (författare)

Validerad;2021;Nivå 2;2021-11-22 (beamah)
AimFirefighters perform first aid before the ambulance arrives in areas with a long response time in Sweden; this is called ‘While Waiting for the Ambulance’ (WWFA). The aim was to describe WWFA assignments in rural environments, focusing on frequency, event time, actions and survival >30 days after cardiopulmonary resuscitation (CPR) was performed.MethodsRetrospective descriptive and comparative design.ResultsFirefighters in the northern part of Sweden were involved in 518 WWFA assignments between 2012 and 2016. From alarm call until ambulance dispatch, median time was 2:20 min; for firefighters, nearly four minutes. Median dispatch time at out-of-hospital cardiac arrests (OHCA) (n = 52) was 1:40 min for ambulance and three minutes for firefighters. Maximal dispatch time was nearly 10 min for ambulance and 44 min for firefighters. Firefighters arrived first at the scene, after 17 min’ median, for 95 % of assignments, while the ambulance took nearly twice the amount of time. In OHCA situations, time for firefighters was over 19 min versus ambulance at nearly twice the time. CPR was terminated by ambulance staff at 83% (n = 43) of 52 when firefighters performed prolonged CPR. Return to spontaneous circulation after OHCA was 17%, and 9% were alive after >30 days.ConclusionThe efficiency of incident time and utilisation rate for WWFA assignments can be increased for the benefit of affected persons, especially in OHCA.

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
Ambulance
Ambulance staff
Emergency call
Emergency medical dispatcher (EMD)
Emergency medical services (EMS)
Firefighters
First aid
First responder
Out of hospital cardiac arrest (OHCA)
Resuscitation
Omvårdnad
Nursing
Nursing

Bohm, KatarinaKarolinska Institutet (författare)
Fridlund, BengtLinnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Ctr Interprofess Collaborat Emergency Care CICE,Centre of Interprofessional Collaboration within Emergency Care (CICE), Linnaeus University, Växjö, Sweden(Swepub:lnu)bfiivosa (författare)
Elmqvist, Carina,1964-Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Centre of Interprofessional Collaboration within Emergency Care (CICE), Linnaeus University, Växjö, Sweden; Head of Research in County Council Kronoberg and Research Manager for the Centre of Interprofessional Collaboration within Emergency Care (CICE) at the Department of Health and Caring Science, Linnaeus University, Sweden,Ctr Interprofess Collaborat Emergency Care CICE(Swepub:lnu)celivosa (författare)
Engström, ÅsaLuleå tekniska universitet,Omvårdnad och medicinsk teknik(Swepub:ltu)asaeng (författare)
LinnéuniversitetetInstitutionen för hälso- och vårdvetenskap (HV) (creator_code:org_t)

Av författaren/redakt...: Nord-Ljungquist, ...; Bohm, Katarina; Fridlund, Bengt; Elmqvist, Carina ...; Engström, Åsa

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Omvårdnad

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kardiologi

Av lärosätet: Linnéuniversitetet; Luleå tekniska universitet; Karolinska Institutet

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