Hot Off the Press: Prehospital Advanced Cardiac Life Support for Out-of-hospital Cardiac Arrest

Justin Morgenstern; Corey Heitz; William K Milne

doi:10.1111/acem.13334

Hot Off the Press: Prehospital Advanced Cardiac Life Support for Out-of-hospital Cardiac Arrest

Acad Emerg Med. 2018 Apr;25(4):453-455. doi: 10.1111/acem.13334. Epub 2017 Nov 11.

Authors

Justin Morgenstern¹, Corey Heitz², William K Milne³

Affiliations

¹ Markham Stouffville Hospital, Markham, Ontario, Canada.
² Lewis Gale Medical Center, Salem, VA.
³ University of Western Ontario, Goderich, Ontario, Canada.

PMID: 29044938
DOI: 10.1111/acem.13334

Abstract

This retrospective cohort study examined the rate of survival to hospital discharge among adult patients with out-of-hospital cardiac arrest, comparing patients who received care only from basic cardiac life support (BCLS)-trained emergency medical service (EMS) crews to patients who had an advanced cardiac life support (ACLS)-trained EMS crew on scene at some point during the resuscitation. There was no difference in the primary outcome of rate of survival to hospital discharge (10.9% with ACLS care and 10.6% with BCLS care, p = 0.67).

MeSH terms

Adult
Advanced Cardiac Life Support / methods
Advanced Cardiac Life Support / mortality
Aged
Cardiopulmonary Resuscitation / methods
Cardiopulmonary Resuscitation / mortality*
Emergency Medical Services / organization & administration*
Female
Humans
Male
Middle Aged
Out-of-Hospital Cardiac Arrest / mortality*
Out-of-Hospital Cardiac Arrest / therapy*
Patient Discharge
Retrospective Studies
Survival Analysis