Emergency medical services (EMS) provide emergency care not only in the urban but also in the remote areas which could be up to 40 minutes from the EMS station. Thus, a cardiac arrest victim in those remote areas has a low likelihood to survive the cardiopulmonary resuscitation. Therefore, we have organized first responders (who are mostly volunteer fire-fighters) in the remote areas and taught them how to perform basic life support (BLS) with use of an automated external defibrillator (AED). In the case of a cardiac arrest the medical dispatcher activates simultaneously the EMS and the first responders, who perform the BLS with the use of an AED before the arrival of EMS. The aim of the study is to analyze and compare the survival of the cardiac arrest victims in remote areas in the time period when the first responders were not organized yet compared to the time period when the first responders were activated to perform BLS.
Study Type
OBSERVATIONAL
Enrollment
150
BLS performance with use of an AED before arrival of EMS
Return of spontaneous circulation (ROSC)
The number of patients who gained the ROSC.
Time frame: 5 years
Survival to hospital discharge
The number of patients who survived to hospital discharge.
Time frame: 5 years
Neurological outcome
The number of patients with good neurological outcome assessed with cerebral performance score (CPC 1-2).
Time frame: 5 years
Survival till hospital admission
The number of patients who survived to hospital admission.
Time frame: 5 years
30 day survival
The number of patients who survived first 30 days after cardiac arrest.
Time frame: 5 years
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