AIMS: Out-of-hospital cardiac arrest (OHCA) is a major public health problem. The objective of this study is to explore the effects of a dual dispatch early defibrillation programme. METHODS AND RESULTS: In this pilot study, automated external defibrillators (AEDs) were provided to all 43 fire stations in Stockholm during 2005. Fire-fighters were dispatched in parallel with traditional emergency medical responders (EMS) to all suspected cases of OHCA. Additionally, 65 larger public venues were equipped with AEDs. All 863 OHCA from December 2005 to December 2006 were included during the intervention, whereas all 657 OHCA from 2004 served as historical controls. Among dual dispatches, fire-fighters assisted with cardiopulmonary resuscitation (CPR) in 94% of the cases and arrived first on scene in 36%. The median time from call to arrival of first responder decreased from 7.5 min during the control period to 7.1 min during the intervention (P = 0.004). The proportion of patients in shockable rhythm remained unchanged. The proportion of patients alive 1 month after OHCA rose from 4.4 to 6.8% [adjusted odds ratio (OR): 1.6; 95% confidence interval (CI): 0.9-2.9]. One-month survival in witnessed cases rose from 5.7 to 9.7% (adjusted OR: 2.0; 95% CI: 1.1-3.7). Survival after OHCA in the rest of Sweden (Stockholm excluded) declined from 8.3 to 6.6% during the corresponding time period (unadjusted OR: 0.8; 95% CI: 0.6-1.0). Only three OHCA occurred at public venues equipped with AEDs. CONCLUSION: An introduction of a dual dispatch early defibrillation programme in Stockholm has shortened response times and is likely to have improved survival in patients with OHCA, especially in the group of witnessed cardiac arrests. The increase in survival is believed to be associated with improved CPR and shortened time intervals.
AIMS: Out-of-hospital cardiac arrest (OHCA) is a major public health problem. The objective of this study is to explore the effects of a dual dispatch early defibrillation programme. METHODS AND RESULTS: In this pilot study, automated external defibrillators (AEDs) were provided to all 43 fire stations in Stockholm during 2005. Fire-fighters were dispatched in parallel with traditional emergency medical responders (EMS) to all suspected cases of OHCA. Additionally, 65 larger public venues were equipped with AEDs. All 863 OHCA from December 2005 to December 2006 were included during the intervention, whereas all 657 OHCA from 2004 served as historical controls. Among dual dispatches, fire-fighters assisted with cardiopulmonary resuscitation (CPR) in 94% of the cases and arrived first on scene in 36%. The median time from call to arrival of first responder decreased from 7.5 min during the control period to 7.1 min during the intervention (P = 0.004). The proportion of patients in shockable rhythm remained unchanged. The proportion of patients alive 1 month after OHCA rose from 4.4 to 6.8% [adjusted odds ratio (OR): 1.6; 95% confidence interval (CI): 0.9-2.9]. One-month survival in witnessed cases rose from 5.7 to 9.7% (adjusted OR: 2.0; 95% CI: 1.1-3.7). Survival after OHCA in the rest of Sweden (Stockholm excluded) declined from 8.3 to 6.6% during the corresponding time period (unadjusted OR: 0.8; 95% CI: 0.6-1.0). Only three OHCA occurred at public venues equipped with AEDs. CONCLUSION: An introduction of a dual dispatch early defibrillation programme in Stockholm has shortened response times and is likely to have improved survival in patients with OHCA, especially in the group of witnessed cardiac arrests. The increase in survival is believed to be associated with improved CPR and shortened time intervals.
Authors: Rama A Salhi; Stuart Hammond; Jessica L Lehrich; Michael O'leary; Neil Kamdar; Christine Brent; Carlos F Mendes de Leon; Peter Mendel; Christopher Nelson; Bill Forbush; Robert Neumar; Brahmajee K Nallamothu; Mahshid Abir Journal: Resuscitation Date: 2022-03-04 Impact factor: 6.251
Authors: Steen M Hansen; Carolina Malta Hansen; Christopher B Fordyce; Matthew E Dupre; Lisa Monk; Clark Tyson; Christian Torp-Pedersen; Bryan McNally; Kimberly Vellano; James Jollis; Christopher B Granger Journal: J Am Heart Assoc Date: 2018-11-06 Impact factor: 5.501
Authors: Iris Oving; Siobhan Masterson; Ingvild B M Tjelmeland; Martin Jonsson; Federico Semeraro; Mattias Ringh; Anatolij Truhlar; Diana Cimpoesu; Fredrik Folke; Stefanie G Beesems; Rudolph W Koster; Hanno L Tan; Marieke T Blom Journal: Scand J Trauma Resusc Emerg Med Date: 2019-12-16 Impact factor: 2.953
Authors: Steen M Hansen; Stig Brøndum; Grethe Thomas; Susanne R Rasmussen; Birgitte Kvist; Anette Christensen; Charlotte Lyng; Jan Lindberg; Torsten L B Lauritsen; Freddy K Lippert; Christian Torp-Pedersen; Poul A Hansen Journal: PLoS One Date: 2015-10-28 Impact factor: 3.240
Authors: David Fredman; Jan Haas; Yifang Ban; Martin Jonsson; Leif Svensson; Therese Djarv; Jacob Hollenberg; Per Nordberg; Mattias Ringh; Andreas Claesson Journal: BMJ Open Date: 2017-06-02 Impact factor: 2.692
Authors: Ingela Hasselqvist-Ax; Per Nordberg; Leif Svensson; Jacob Hollenberg; Eva Joelsson-Alm Journal: BMJ Open Date: 2019-11-21 Impact factor: 2.692