Journal article
Survey of resuscitation practices at emergency medical service agencies in the U.S
Resuscitation plus, Vol.16, 100483
12/2023
DOI: 10.1016/j.resplu.2023.100483
PMCID: PMC10580039
PMID: 37854286
Abstract
Survival for out-of-hospital cardiac arrest (OHCA) varies across emergency medical service (EMS) agencies. Yet, little is known about resuscitation response and quality improvement activities at EMS agencies. We describe herein a novel survey to EMS agencies in a U.S. registry for OHCA.
Using data from the Cardiac Arrest Registry to Enhance Survival (CARES), we identified 577 EMS agencies with ≥10 OHCA cases annually between 2015 and 2019 that remained active in CARES. We administered a survey to EMS directors regarding agency characteristics, cardiac arrest response, relationships with first responders and dispatchers, quality improvement activities and perceived barriers in the community.
Of eligible EMS agencies, 470 (81.5%) completed the survey. The high completion rate was likely due to frequent personalized emails and phone calls, liaising with CARES state coordinators to encourage survey response, and multiple periodic drawings of an automated external defibrillator during the survey period for participating EMS agencies. The survey examined rates of resuscitation training modalities; use of resuscitation equipment and devices in the field; frequency of simulation; non-EMS stakeholder response to OHCA (dispatchers, fire, police); quality improvement; and community factors affecting bystander response to OHCA.
In this study design paper on the RED-CASO survey, we provide summary data on EMS agency characteristics in the U.S. Upon linkage to CARES patient-level data, this survey will provide critical insights into ‘best practices’ at EMS agencies with the highest OHCA survival rates as well as provide insights into current disparities in outcomes.
Details
- Title: Subtitle
- Survey of resuscitation practices at emergency medical service agencies in the U.S
- Creators
- Paul S. Chan - Heart InstituteBryan McNally - Emory UniversityRabab Al-Araji - Emory UniversityKevin Kennedy - Heart InstituteMarci Kennedy - Heart InstituteMarina Del Rios - University of IowaJessica Sperling - Social Science Research CouncilComilla Sasson - University of Colorado BoulderKhadijah Breathett - Indiana UniversityKimberly C. Dukes - University of IowaSaket Girotra - The University of Texas Southwestern Medical CenterCARES Surveillance Group
- Resource Type
- Journal article
- Publication Details
- Resuscitation plus, Vol.16, 100483
- DOI
- 10.1016/j.resplu.2023.100483
- PMID
- 37854286
- PMCID
- PMC10580039
- NLM abbreviation
- Resusc Plus
- ISSN
- 2666-5204
- eISSN
- 2666-5204
- Publisher
- Elsevier B.V
- Language
- English
- Date published
- 12/2023
- Academic Unit
- Emergency Medicine; Cardiovascular Medicine; General Internal Medicine; Community and Behavioral Health; Internal Medicine
- Record Identifier
- 9984476427002771
Metrics
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