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The impact of a high-quality basic life support police-based first responder system on outcome after out-of-hospital cardiac arrest

Author

Listed:
  • Mario Krammel
  • Elisabeth Lobmeyr
  • Patrick Sulzgruber
  • Markus Winnisch
  • David Weidenauer
  • Michael Poppe
  • Philip Datler
  • Sebastian Zeiner
  • Markus Keferboeck
  • Jakob Eichelter
  • Thomas Hamp
  • Thomas Uray
  • Sebastian Schnaubelt
  • Alexander Nuernberger

Abstract

Background: Laypersons’ efforts to initiate basic life support (BLS) in witnessed Out-of-Hospital Cardiac Arrest (OHCA) remain comparably low within western society. Therefore, in order to shorten no-flow times in cardiac arrest, several police-based first responder systems equipped with automated external defibrillators (Pol-AED) were established in urban areas, which subsequently allow early BLS and AED administration by police officers. However, data on the quality of BLS and AED use in such a system and its impact on patient outcome remain scarce and inconclusive. Methods: A total of 85 Pol-AED cases were randomly assigned to a gender, age and first rhythm matched non-Pol-AED control group (n = 170) in a 1:2 ratio. Data on quality of BLS were extracted via trans-thoracic impedance tracings of used AED devices. Results: Comparing Pol-AED cases and the control group, we observed a similar compression rate per minute (p = 0.677) and compression ratio (p = 0.651), mirroring an overall high quality of BLS administered by police officers. Time to the first shock was significantly shorter in Pol-AED cases (6 minutes [IQR: 2–10] vs. 12 minutes [IQR: 8–17]; p

Suggested Citation

  • Mario Krammel & Elisabeth Lobmeyr & Patrick Sulzgruber & Markus Winnisch & David Weidenauer & Michael Poppe & Philip Datler & Sebastian Zeiner & Markus Keferboeck & Jakob Eichelter & Thomas Hamp & Tho, 2020. "The impact of a high-quality basic life support police-based first responder system on outcome after out-of-hospital cardiac arrest," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-9, June.
    • Handle: RePEc:plo:pone00:0233966
    DOI: 10.1371/journal.pone.0233966
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    Cited by:

    1. Niki Matinrad & Melanie Reuter-Oppermann, 2022. "A review on initiatives for the management of daily medical emergencies prior to the arrival of emergency medical services," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 30(1), pages 251-302, March.

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