Predicting survival from out-of-hospital cardiac arrest: A graphic model
Annals of Emergency MedicinePublished 1 November 1993
Mary Pat Larsen, Mickey S. Eisenberg, Richard O. Cummins, Alfred P. Hallstrom
Citations1,233
SJR quartileQ1
SJR score0.84
SNIP1.55
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
A graphic model that describes survival from sudden out-of-hospital cardiac arrest as a function of time intervals to critical prehospital interventions is developed and is useful in planning community EMS programs, comparing EMS systems, and showing how different arrival times within a system affect survival rate.
Abstract
The model is useful in planning community EMS programs, comparing EMS systems, and showing how different arrival times within a system affect survival rate.
Keywords
Medicine
TechnometricsApplied Regression Analysis and Other Multivariable Methods
8,351 Citations1989Esteban Walker, David G. Kleinbaum +2 more
CirculationImproving survival from sudden cardiac arrest: the "chain of survival" concept. A statement for health professionals from the Advanced Cardiac Life Support Subcommittee and the Emergency Cardiac Care Committee, American Heart Association.
1,518 Citations1991Richard O. Cummins, J.P. Ornato +2 more
New England Journal of MedicineUse of the Automatic External Defibrillator in the Management of Out-of-Hospital Cardiac Arrest
479 Citations1988Will Weaver, Deborah L. Hill +5 more
The widespread use of the automatic external defibrillator as an important part of the treatment of out-of-hospital cardiac arrest is supported, although the overall impact of the use of this device on community survival rates is still uncertain.
New England Journal of MedicinePrehospital Ventricular Defibrillation
477 Citations1974Richard R. Liberthson, Eugene L. Nagel +2 more
Initially rapid post-defibrillation heart rates and atrial fibrillation or sinus tachycardia were associated with good survival in contrast to slow rates and idioventricular or junctional rhythms.
New England Journal of MedicineTreatment of Out-of-Hospital Cardiac Arrests with Rapid Defibrillation by Emergency Medical Technicians
469 Citations1980Mickey S. Eisenberg, Michael K. Copass +5 more
The enhanced survival after cardiac arrest is encouraging, and further trials of defibrillation by emergency medical technicians are warranted.
The American Journal of Emergency MedicineSurvival of out-of-hospital cardiac arrest with early initiation of cardiopulmonary resuscitation
438 Citations1985Richard O. Cummins, Mickey S. Eisenberg +2 more
It is concluded that early initiation of CPR by bystanders significantly improves survival from out-of-hospital cardiac arrest, and it is suggested that it may do so by prolonging the duration of VF after collapse and by increasing cardiac susceptibility to defibrillation.
New England Journal of MedicinePrehospital Defibrillation Performed by Emergency Medical Technicians in Rural Communities
306 Citations1984Kenneth R. Stults, Donald D. Brown +2 more
Early defibrillation by minimally trained ambulance technicians is an effective approach to emergency cardiac care in rural communities.
Annals of Emergency MedicineOut-of-hospital cardiac arrest: Factors associated with survival
258 Citations1984Ronald Roth, Ronald D. Stewart +2 more
Data suggest that efforts to improve survival from out-of-hospital cardiac arrest in a community should be directed toward public education, reduction in response times of paramedic units, and lay CPR training.
Annals of Emergency MedicineConsiderations for improving survival from out-of-hospital cardiac arrest
244 Citations1986W. Douglas Weaver, Leonard A. Cobb +5 more
Survival from ventricular fibrillation can be improved by shortening the delay to initiation of CPR and to defibrillation, and new strategies that minimize delays appear to have the greatest promise for improving survival after cardiac arrest.
The LancetOUT-OF-HOSPITAL CARDIAC ARREST: IMPROVED SURVIVAL WITH PARAMEDIC SERVICES
149 Citations1980M Eisenberg
The decreased time from collapse to delivery of advanced emergency care accounted for the improved survival with paramedic services.
Annals of Emergency MedicineNew perspectives on rural EMT defibrillation
95 Citations1988Larry F. Vukov, Roger D. White +2 more
It is suggested that certain prerequisites, especially CPR prior to ambulance arrival and collapse to defibrillation times of less than ten minutes, are clearly essential to produce significant benefits from emergency medical technicians trained in defibrillation in rural communities.
JAMAManagement of Out-of-Hospital Cardiac Arrest
95 Citations1980Mickey S. Eisenberg
The evident factor accounting for the difference in survival rates was the time from collapse to receiving definitive care (advanced cardiac life support)--26 minutes in the EMT area compared to 7.8 minutes in adjacent suburban communities with paramedic services.
American Journal of Public HealthOut-of-hospital cardiac arrest: a review of major studies and a proposed uniform reporting system.
90 Citations1980Mickey S. Eisenberg, Lawrence Bergner +1 more
The scientific literature from January 1970 to June 1979 was reviewed for articles reporting outcomes from out-of-hospital cardiac arrest treated by paramedic programs and a simplified reporting format is proposed.
Journal of the American College of Emergency PhysiciansFactors in successful resuscitation by paramedics
59 Citations1977Norman J. Diamond, Jerome Schofferman +1 more
Evaluation of the trauma and nontraumatic blood loss victims indicated that, after the paramedic places an intravenous line, the paramedics role is less well defined.
The American Journal of Emergency MedicineSudden cardiac arrest in Israel: Factors associated with successful resuscitation
58 Citations1988Mickey S. Eisenberg, Eli Hadas +6 more
Out-of-hospital cardiac arrests were studied in Israel from 1984 to 1985 and factors associated with successful resuscitation included witnessed collapse, rhythm of ventricular fibrillation, short interval from collapse to cardiopulmonary resuscitation (CPR) and delivery of advanced cardiac life support.
Archives of Internal MedicineSudden Cardiac Death in the Community,
55 Citations1985Carl L. Tommaso
The characteristics of patients who suffered sudden cardiac death during the study are discussed, and a comprehensive review of the options presented to a community in terms of instituting or upgrading emergency medical services is reviewed.
Annals of Emergency MedicineEffect of first-responder automated defibrillation on time to therapeutic interventions during out-of-hospital cardiac arrest
46 Citations1993James W. Hoekstra, Jana R Banks +7 more
First-responder automated defibrillation/paramedic systems provide not only shorter times to initial countershock, as compared with basic EMT/paramsic systems, but by having delegated initial countersHock to first-responders, they also allow for significantly shorter times from paramedic arrival to IV access, endotracheal intubation, and initial adrenergic drug therapy interventions.
Acta Medica ScandinavicaResults of Attempted Cardiopulmonary Resuscitation of Patients Dying Suddenly outside the Hospital in Reykjavik and the Surrounding Area, 1976–1979
37 Citations1982H Gudjónsson, Einar Baldvinsson +4 more
Results of CPR of patients with cardiac arrest out of hospital in Reykjavik show increasing improvement over the years, and compare favourably with those obtained elsewhere where the organization of first aid and emergency transport is similar.
The American Journal of CardiologyOut-of-hospital management of cardiac arrest by basic emergency medical technicians
36 Citations1984B. Hadley Wilson, Harry W. Severance +6 more
Results of this study can be used as a basis for evaluating and comparing interventions directed toward stabilization of patients during the prehospital phase of cardiac arrest.