Response times in rural areas for emergency medical services, fire and rescue services and voluntary first responders during out-of-hospital cardiac arrests

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Svensson, Anders,1977-Linnéuniversitetet,Linnaeus University,Region Kronoberg, Sweden,Institutionen för hälso- och vårdvetenskap (HV),CICE (author)

Response times in rural areas for emergency medical services, fire and rescue services and voluntary first responders during out-of-hospital cardiac arrests

Article/chapterEnglish2024

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Elsevier,2024

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LIBRIS-ID:oai:lup.lub.lu.se:7d9e76df-f483-4d1b-b3f2-42c03a3aeffe
https://lup.lub.lu.se/record/7d9e76df-f483-4d1b-b3f2-42c03a3aeffeURI
https://doi.org/10.1016/j.resplu.2023.100548DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-126711URI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype
Subject category:ref swepub-contenttype

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Aim: To increase survival in out-of-hospital cardiac arrests (OHCA), great efforts are made to improve the number of voluntary first responders (VFR). However, evidence of the potential utility of such efforts is sparse, especially in rural areas. Therefore, the aim was to describe and compare response times for emergency medical services (EMS), fire and rescue services (FRS), and VFR during OHCA in relation to population density. Methods: This observational and comparative study was based on data including positions and time stamps for VFR and response times for EMS and FRS in a region in southern Sweden. Results: In total, 285 OHCAs between 1 July 2020 and 31 December 2021 were analysed. VFR had the shortest median response time in comparison to EMS and FRS in all studied population densities. The overall median (Q1–Q3) time gain for VFR was 03:07 (01:39–05:41) minutes. A small proportion (19.2%) of alerted VFR accepted the assignments. This is most problematic in rural and sub-rural areas, where there were low numbers of alerted VFR. Also, FRS had shorter response time than EMS in all studied population densities except in urban areas. Conclusion: The differences found in median response times between rural and urban areas are worrisome from an equality perspective. More focus should be placed on recruiting VFR, especially in rural areas since VFR can potentially contribute to saving more lives. Also, since FRS has a shorter response time than EMS in rural, sub-rural, and sub-urban areas, FRS should be dispatched more frequently.

Subject headings and genre

SAMHÄLLSVETENSKAP Annan samhällsvetenskap Tvärvetenskapliga studier inom samhällsvetenskap hsv//swe
SOCIAL SCIENCES Other Social Sciences Social Sciences Interdisciplinary hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
Emergency medical services
Fire and rescue services
Out-of-hospital cardiac arrest
Response times
Voluntary first responders
Vårdvetenskap

Added entries (persons, corporate bodies, meetings, titles ...)

Nilsson, Bengt,1982-Linnéuniversitetet,Linnaeus University,Institutionen för skog och träteknik (SOT),Agunnaryd Voluntary Fire Brigade, Sweden(Swepub:lnu)bnisot (author)
Lantz, EmelieLinnaeus University,Lund University,Lunds universitet,Avdelningen för Brandteknik,Institutionen för bygg- och miljöteknologi,Institutioner vid LTH,Lunds Tekniska Högskola,Division of Fire Safety Engineering,Department of Building and Environmental Technology,Departments at LTH,Faculty of Engineering, LTH,Lund University, Sweden;The Swedish Fire Research Foundation, Sweden;West Blekinge Fire and Rescue Service, Sweden,Brandforsk(Swepub:lu)em5031la (author)
Bremer, Anders,Docent,1957-Linnéuniversitetet,Linnaeus University,Institutionen för hälso- och vårdvetenskap (HV),CICE(Swepub:lnu)gbran (author)
Årestedt, Kristofer,1968-Linnéuniversitetet,Linnaeus University,Region Kalmar County,Institutionen för hälso- och vårdvetenskap (HV),CICE(Swepub:lnu)vfrkr (author)
Israelsson, JohanLinnéuniversitetet,Linnaeus University,Kalmar County Hospital,Sjöfartshögskolan (SJÖ),Institutionen för hälso- och vårdvetenskap (HV),Region Kalmar County, Sweden,CICE(Swepub:lnu)sisjo (author)
Linnaeus UniversityRegion Kronoberg, Sweden (creator_code:org_t)

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In:Resuscitation Plus: Elsevier172666-5204

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