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Echarri Sucunza, Alfredo

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https://academica-e.unavarra.es/handle/2454/48919

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Echarri Sucunza

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Alfredo

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Ciencias de la Salud

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0000-0003-3969-3169

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812713

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2020 - 20233
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    PublicationOpen Access
    Police as first reponders improve out-of-hospital cardiac arrest survival
    (BMC, 2023) Jean Louis, Clint; Cildoz Esquíroz, Marta; Echarri Sucunza, Alfredo; Beaumont, Carlos; Mallor Giménez, Fermín; Greif Robert; Baigorri Iguzquiaguirre, Miguel; Reyero Díez, Diego; Ciencias de la Salud; Osasun Zientziak; Estadística, Informática y Matemáticas; Estatistika, Informatika eta Matematika; Universidad Pública de Navarra / Nafarroako Unibertsitate Publikoa
    Background: Police forces are abundant circulating and might arrive before the emergency services to Out-of-Hospital-Cardiac-Arrest victims. If properly trained, they can provide basic life support and early defibrillation within minutes, probably increasing the survival of the victims. We evaluated the impact of local police as first responders on the survival rates of out-of-hospital cardiac arrest victims in Navarra, Spain, over 7 years. Methods: A retrospective analysis of an ongoing Out-of-Hospital Cardiac registry to compare the characteristics and survival of Out-of-Hospital-Cardiac-Arrest victims attended to in first place by local police, other first responders, and emergency ambulance services between 2014 and 2020. Results: Of 628 cases, 73.7% were men (aged 68.9 ± 15.8), and 26.3% were women (aged 65,0 ± 14,7 years, p < 0.01). Overall survival of patients attended to by police in the first place was 17.8%, other first responders 17.4% and emergency services 13.5% with no significant differences (p > 0.1). Time to initiating cardiopulmonary resuscitation is significant for survival. When police arrived first and started CPR before the emergency services, they arrived at a mean of 5.4 ± 3 min earlier (SD = 3.10). This early police intervention showed an increase in the probability of survival by 10.1%. Conclusions: The privileged location and the sole amount of personnel of local police forces trained in life support and their fast delivery of defibrillators as first responders can improve the survival of out-of-hospital cardiac arrest victims.
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    PublicationOpen Access
    Epidemiology of severe trauma in Navarra for 10 years: out-of-hospital/ in-hospital deaths and survivors
    (BMC, 2023) Arbizu Fernández, Eider; Echarri Sucunza, Alfredo; Galbete Jiménez, Arkaitz; Fortun Moral, Mariano José; Belzunegui Otano, Tomás; Ciencias de la Salud; Osasun Zientziak; Estadística, Informática y Matemáticas; Estatistika, Informatika eta Matematika; Universidad Pública de Navarra / Nafarroako Unibertsitate Publikoa
    Background Major trauma is a leading cause of death. Due to the difficulties to keep a registry of these cases, few studies include all subjects, because they exclude out-of-hospital deaths. The purpose of this work was to compare the epidemiological profiles of out-of-hospital deaths, in-hospital deaths, and survivors over a 10-year period (2010– 2019) of patients who had been treated by Navarre´s Health Service (Spain). Methods Retrospective longitudinal cohort study using data of patients injured by an external physical force of any intentionality and with a New Injury Severity Score above 15. Hangings, drownings, burns, and chokings were excluded. Intergroup differences of demographic and clinical variables were analysed using the Kruskal Wallis test, chi-squared test, or Fisher´s exact test. Results Data from 2,610 patients were analysed; 624 died out-of-hospital, 439 in-hospital, and 1,547 survived. Trauma incidences remained moderately stable over the 10-year period analysed, with a slight decrease in out-of-hospital deaths and a slight increase in in-hospital deaths. Patients of the out-of-hospital deaths group were younger (50.9 years) in comparison to in-hospital deaths and survivors. Death victims were predominantly male in all study groups. Intergroup differences regarding prior comorbidities and predominant type of injury were observed. Conclusions There are significant differences among the three study groups. More than half of the deaths occur out-of-hospital and the causative mechanisms differ in each of them. Thus, when designing strategies, preventive measures were considered for each group on a case-by-case basis.
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    PublicationOpen Access
    El ozono no consigue la desinfección de los vehículos de emergencias de virus similares al SARS-CoV-2
    (SEMES, 2020) Biurrun Cía, Jorge; García Martínez, Begoña; Pérez Montero, Andrea; Kochan, Grazyna; Escors Murugarren, David; Crespo Martínez, José; Lasa Uzcudun, Íñigo; Echarri Sucunza, Alfredo; Ciencias de la Salud; Osasun Zientziak
    Ante la pandemia generada por el coronavirus SARS-CoV-2, la desinfección de los vehículos de emergencias supone una cuestión crucial. No en vano, son medio de transporte de pacientes contagiados y podrían ser vector de contagio para otros pacientes. Administraciones, servicios de emergencias y empresas privadas de transporte sanitario están aplicando diversas medidas para la desinfección de los vehículos. Actualmente, el uso de cañones productores de ozono es uno de los métodos más utilizados. El ozono es un gas oxidante con demostrada actividad desinfectante en medio acuoso que se utiliza para la desinfección de aguas y alimentos1-3. Sin embargo, su eficacia como desinfectante de superficies por nebulización no ha sido suficientemente probada y el Ministerio de Sanidad no lo registra como viricida para la desinfección de superficies4.