Police as first reponders improve out-of-hospital cardiac arrest survival

dc.contributor.authorJean Louis, Clint
dc.contributor.authorCildoz Esquíroz, Marta
dc.contributor.authorEcharri Sucunza, Alfredo
dc.contributor.authorBeaumont, Carlos
dc.contributor.authorMallor Giménez, Fermín
dc.contributor.authorGreif, Robert
dc.contributor.authorBaigorri Iguzquiaguirre, Miguel
dc.contributor.authorReyero Díez, Diego
dc.contributor.departmentCiencias de la Saludes_ES
dc.contributor.departmentOsasun Zientziakeu
dc.contributor.departmentEstadística, Informática y Matemáticases_ES
dc.contributor.departmentEstatistika, Informatika eta Matematikaeu
dc.contributor.funderUniversidad Pública de Navarra / Nafarroako Unibertsitate Publikoaes
dc.date.accessioned2023-11-06T08:59:03Z
dc.date.available2023-11-06T08:59:03Z
dc.date.issued2023
dc.date.updated2023-11-06T08:53:47Z
dc.description.abstractBackground: 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.en
dc.description.sponsorshipOpen Access funding provided by Universidad Pública de Navarra.en
dc.format.mimetypeapplication/pdfen
dc.identifier.citationJean Louis, C., Cildoz, M., Echarri, A., Beaumont, C., Mallor, F., Greif, R., Baigorri, M., & Reyero, D. (2023). Police as first reponders improve out-of-hospital cardiac arrest survival. BMC Emergency Medicine, 23(1), 102. https://doi.org/10.1186/s12873-023-00876-wen
dc.identifier.doi10.1186/s12873-023-00876-w
dc.identifier.issn1471-227X
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/46677
dc.language.isoengen
dc.publisherBMCen
dc.relation.ispartofBMC Emergency Medicine 2023) 23:102en
dc.relation.publisherversionhttps://doi.org/10.1186/s12873-023-00876-w
dc.rights© The Author(s) 2023. This article is licensed under a Creative Commons Attribution 4.0 International License.en
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectDefibrillationen
dc.subjectEmergency medical servicesen
dc.subjectFirst responderen
dc.subjectOut-of-hospital cardiac arresten
dc.subjectPoliceen
dc.subjectPrehospitalen
dc.subjectSurvivalen
dc.titlePolice as first reponders improve out-of-hospital cardiac arrest survivalen
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dspace.entity.typePublication
relation.isAuthorOfPublication9c4ef61f-f995-447e-a272-43ad403d0970
relation.isAuthorOfPublicatione664a8cd-106c-499e-9341-9f576cbece7b
relation.isAuthorOfPublication7c01f74d-0369-4f57-b8c2-c6c579b76b38
relation.isAuthorOfPublicationdbb57a09-595d-4219-899f-8167f1d48691
relation.isAuthorOfPublication.latestForDiscovery9c4ef61f-f995-447e-a272-43ad403d0970

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