The objective of this study was to investigate how rapidly the Emergency Medical System provides life support to patients suffering out-of-hospital cardiac arrest in Milan, Italy. The study population included 1426 consecutive participants with out-of-hospital cardiac arrest between January 2007 and October 2008. The mean age was 72.7 years. The incidence of ventricular tachycardia/ventricular fibrillation as the presenting rhythm was 12.7%. Eighty percent of out-of-hospital cardiac arrests occurred at home and bystander cardiopulmonary resuscitation (CPR) was in progress in 11.1% of all cases. The mean time interval from collapse-to-first shock was 18.67±5.37 min. The mean Emergency Medical System unit response time interval was 7.07±3.14 min; time elapsed from arrival-to-first CPR was 7.75±4.32 min. In conclusions, the dispatch to arrival and dispatch to CPR intervals are comparable with those reported in other large urban areas, but the time from arrival-to-first CPR was longer than recommended by current guidelines.
Emergency Medical System response to out-of hospital cardiac arrest in Milan, Italy / N. Morici, G. De Luca, E. Lucenteforte, L. Chatenoud, G. Fontana, C. La Vecchia, G. Sesana. - In: EUROPEAN JOURNAL OF EMERGENCY MEDICINE. - ISSN 0969-9546. - 17:4(2010 Aug), pp. 234-236. [10.1097/MEJ.0b013e328330b3ef]
Emergency Medical System response to out-of hospital cardiac arrest in Milan, Italy
E. Lucenteforte;L. Chatenoud;C. La VecchiaPenultimo
;
2010
Abstract
The objective of this study was to investigate how rapidly the Emergency Medical System provides life support to patients suffering out-of-hospital cardiac arrest in Milan, Italy. The study population included 1426 consecutive participants with out-of-hospital cardiac arrest between January 2007 and October 2008. The mean age was 72.7 years. The incidence of ventricular tachycardia/ventricular fibrillation as the presenting rhythm was 12.7%. Eighty percent of out-of-hospital cardiac arrests occurred at home and bystander cardiopulmonary resuscitation (CPR) was in progress in 11.1% of all cases. The mean time interval from collapse-to-first shock was 18.67±5.37 min. The mean Emergency Medical System unit response time interval was 7.07±3.14 min; time elapsed from arrival-to-first CPR was 7.75±4.32 min. In conclusions, the dispatch to arrival and dispatch to CPR intervals are comparable with those reported in other large urban areas, but the time from arrival-to-first CPR was longer than recommended by current guidelines.Pubblicazioni consigliate
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