Dual dispatch early defibrillation in out-of-hospital cardiac arrest: the SALSA-pilot

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MARC

Hollenberg, JacobKarolinska Institutet (author)

Dual dispatch early defibrillation in out-of-hospital cardiac arrest: the SALSA-pilot

Article/chapterEnglish2009

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Oxford University Press,2009

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LIBRIS-ID:oai:gup.ub.gu.se/108438
https://gup.ub.gu.se/publication/108438URI
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-173971URI
https://doi.org/10.1093/eurheartj/ehp177DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:119084539URI
https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-8103URI
https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-2761URI

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Language:English

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SwePubSwePub

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

Notes

AIMS: Out-of-hospital cardiac arrest (OHCA) is a major public health problem. The objective of this study is to explore the effects of a dual dispatch early defibrillation programme. METHODS AND RESULTS: In this pilot study, automated external defibrillators (AEDs) were provided to all 43 fire stations in Stockholm during 2005. Fire-fighters were dispatched in parallel with traditional emergency medical responders (EMS) to all suspected cases of OHCA. Additionally, 65 larger public venues were equipped with AEDs. All 863 OHCA from December 2005 to December 2006 were included during the intervention, whereas all 657 OHCA from 2004 served as historical controls. Among dual dispatches, fire-fighters assisted with cardiopulmonary resuscitation (CPR) in 94% of the cases and arrived first on scene in 36%. The median time from call to arrival of first responder decreased from 7.5 min during the control period to 7.1 min during the intervention (P = 0.004). The proportion of patients in shockable rhythm remained unchanged. The proportion of patients alive 1 month after OHCA rose from 4.4 to 6.8% [adjusted odds ratio (OR): 1.6; 95% confidence interval (CI): 0.9-2.9]. One-month survival in witnessed cases rose from 5.7 to 9.7% (adjusted OR: 2.0; 95% CI: 1.1-3.7). Survival after OHCA in the rest of Sweden (Stockholm excluded) declined from 8.3 to 6.6% during the corresponding time period (unadjusted OR: 0.8; 95% CI: 0.6-1.0). Only three OHCA occurred at public venues equipped with AEDs. CONCLUSION: An introduction of a dual dispatch early defibrillation programme in Stockholm has shortened response times and is likely to have improved survival in patients with OHCA, especially in the group of witnessed cardiac arrests. The increase in survival is believed to be associated with improved CPR and shortened time intervals.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy hsv//eng
Aged
Cardiopulmonary Resuscitation/*methods/mortality
Defibrillators/statistics & numerical data
*Emergency Medical Services/methods
Female
Heart Arrest/mortality/*therapy
Humans
Male
Pilot Projects
Survival Rate
Sweden/epidemiology
Time Factors

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

Riva, GabrielDepartment of Cardiology, Karolinska Institute, South Hospital, SE-118 83 Stockholm, Sweden(Swepub:liu)n/a (author)
Bohm, KatarinaKarolinska Institutet(Swepub:liu)n/a (author)
Nordberg, PerKarolinska Institutet(Swepub:liu)n/a (author)
Larsen, RobertDepartment of Cardiology, Karolinska Institute, South Hospital, SE-118 83 Stockholm, Sweden(Swepub:liu)robla03 (author)
Herlitz, Johan,1949Högskolan i Borås,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Department of Cardiology, University of Göteborg, Sahlgrenska Hospital, Göteborg, Sweden,[external],Institutionen för Vårdvetenskap(Swepub:hb)jhz (author)
Pettersson, HansKarolinska Institutet(Swepub:liu)n/a (author)
Rosenqvist, MårtenKarolinska Institutet(Swepub:liu)n/a (author)
Svensson, LeifKarolinska Institutet(Swepub:liu)n/a (author)
Karolinska InstitutetDepartment of Cardiology, Karolinska Institute, South Hospital, SE-118 83 Stockholm, Sweden (creator_code:org_t)

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In:European Heart Journal: Oxford University Press30:14, s. 1781-90195-668X1522-9645

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Cardiac and Card ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Health Care Serv ...

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By the university: University of Gothenburg; Linköping University; Karolinska Institutet; University of Borås

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