Pilot Study of the Effect of a Protocol of 30 Minutes of Scene Care in Out-of-Hospital Cardiac Arrest in Rhode Island.
Rhode Island medical journal (2013) · 2019-05-01 · Observational study
Abstract
BACKGROUND: Improved outcomes in out-of-hospital cardiac arrest (OHCA) have been demonstrated with increased focus on high-quality CPR. In 2017, the RI Department of Health mandated 30 minutes of on-scene CPR for atraumatic cardiac arrest victims. The effects of this intervention are unknown. METHODS: An EMR query was performed to identify OHCA cases presenting to a Lifespan hospital during the months of March 2016 (pre-intervention) and March 2017 (post-intervention) with an estimated severity index of 1 or cardiac arrest. Primary Results: 63 cases of OHCA were identified. ROSC at ED presentation increased in the post-intervention period, though it was not statistically significant (12% vs 22%, CI = -0.01,0.25 vs. 0.09,0.35). Endotracheal intubation and ACLS medication use increased as well. CONCLUSIONS: This pilot study of a protocol emphasizing on-scene CPR in urban Rhode Island resulted in changes in pre-hospital OHCA management and there was a trend toward increased ROSC in the post-intervention period.
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Tags
Endotracheal intubation · Mortality & survival · Urban
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