• English
    • íslenska
  • English 
    • English
    • íslenska
  • Login
View Item 
  •   Home
  • Journal Articles, Peer Reviewed (Ritrýndar vísindagreinar)
  • English Journal Articles (Peer Reviewed)
  • View Item
  •   Home
  • Journal Articles, Peer Reviewed (Ritrýndar vísindagreinar)
  • English Journal Articles (Peer Reviewed)
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

Browse

All of HirslaCommunitiesAuthorsTitleSubjectsSubject (MeSH)Issue DateJournalThis CollectionAuthorsTitleSubjectsSubject (MeSH)Issue DateJournal

My Account

LoginRegister

Local Links

FAQ - (Icelandic)FAQ - (English)Hirsla LogosAbout LandspitaliLSH Home PageLibrary HomeIcelandic Journals

Statistics

Display statistics

Effect of replacing ambulance physicians with paramedics on outcome of resuscitation for prehospital cardiac arrest.

  • CSV
  • RefMan
  • EndNote
  • BibTex
  • RefWorks
Average rating
 
   votes
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item. When enough users have cast their vote on this item, the average rating will also be shown.
Star rating
 
Your vote was cast
Thank you for your feedback
Authors
Bjornsson, Hjalti Mar
Bjornsdottir, Gudrun G
Olafsdottir, Hronn
Mogensen, Brynjolfur Arni
Mogensen, Brynjolfur
Thorgeirsson, Gestur
Issue Date
2021-06

Metadata
Show full item record
Citation
Bjornsson HM, Bjornsdottir GG, Olafsdottir H, Mogensen BA, Mogensen B, Thorgeirsson G. Effect of replacing ambulance physicians with paramedics on outcome of resuscitation for prehospital cardiac arrest. Eur J Emerg Med. 2021 Jun 1;28(3):227-232. doi: 10.1097/MEJ.0000000000000786.
Abstract
Introduction: Limited evidence suggests that the presence of a prehospital physician improves survival from cardiac arrest. A retrospective study is undertaken to examine this question. In Reykjavik, Iceland, prehospital physicians on ambulances were replaced by emergency medical technicians (EMTs) in 2007. The aim of this study is to compare the outcome of prehospital resuscitation from cardiac arrest during periods of time with and without prehospital physician involvement. Methods: All cardiac arrests that underwent prehospital resuscitation by emergency medical systems between 2004 and 2014 were included. The primary outcome was survival to hospital discharge, and the secondary outcome was return of spontaneous circulation (ROSC). Subgroup analyses were performed according to the type of cardiac arrest. Results: A total of 471 cardiac arrests were included for analysis, 200 treated by prehospital physicians from 2004 to 2007 and 271 treated by EMTs from 2008 to 2014. The overall rate of survival to hospital discharge and ROSC was 23 and 50% during the study period. No significant difference was observed in the rate of survival to hospital discharge [25 vs 22%, difference 3% (95% confidence interval (CI): 11-5%)] or ROSC [53 vs 47%, difference -6% (95% CI: 15-3%)] between these two time periods. In the subgroup of patients with pulseless electrical activity, survival to hospital discharge did not differ between the two periods, but the rate of ROSC was higher in the 'physician period' [50 vs 30%, difference -20% (95% CI: -40 to -1%)]. Conclusions: The presence of a prehospital physician on the ambulance was not found to result in a significant improvement in survival or ROSC after cardiac arrest compared to care by EMTs. Patients with pulseless electrical activity experienced an increase in ROSC when a physician was present but without improvement in survival to hospital discharge.
Description
To access publisher's full text version of this article click on the hyperlink below
Additional Links
https://journals.lww.com/euro-emergencymed/Fulltext/2021/06000/Effect_of_replacing_ambulance_physicians_with.14.aspx
Rights
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
ae974a485f413a2113503eed53cd6c53
10.1097/MEJ.0000000000000786
Scopus Count
Collections
English Journal Articles (Peer Reviewed)

entitlement

Related articles

  • Survival rates in out-of-hospital cardiac arrest patients transported without prehospital return of spontaneous circulation: an observational cohort study.
  • Authors: Drennan IR, Lin S, Sidalak DE, Morrison LJ
  • Issue date: 2014 Nov
  • Survival and Rearrest in out-of-Hospital Cardiac Arrest Patients with Prehospital Return of Spontaneous Circulation: A Prospective Multi-Regional Observational Study.
  • Authors: Woo JH, Cho JS, Lee CA, Kim GW, Kim YJ, Moon HJ, Park YJ, Lee KM, Jeong WJ, Choi IK, Choi HJ, Choi HJ
  • Issue date: 2021 Jan-Feb
  • Clinical Outcomes in Cardiac Arrest Patients Following Prehospital Treatment with Therapeutic Hypothermia.
  • Authors: Cortez E, Panchal AR, Davis J, Zeeb P, Keseg DP
  • Issue date: 2015 Oct
  • Prehospital extracorporeal cardiopulmonary resuscitation for out-of-hospital cardiac arrest: A retrospective eligibility study.
  • Authors: Kilner T, Stanton BL, Mazur SM
  • Issue date: 2019 Dec
  • Prehospital Advanced Cardiac Life Support for Out-of-hospital Cardiac Arrest: A Cohort Study.
  • Authors: Cournoyer A, Notebaert É, Iseppon M, Cossette S, Londei-Leduc L, Lamarche Y, Morris J, Piette É, Daoust R, Chauny JM, Sokoloff C, Cavayas YA, Paquet J, Denault A
  • Issue date: 2017 Sep

DSpace software (copyright © 2002 - 2022)  DuraSpace
Quick Guide | Contact Us
Open Repository is a service operated by 
Atmire NV
 

Export search results

The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.