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Abstract
Introduction: Survival from out of hospital cardiac arrest (OHCA) remains poor. A number of Emergency Medical Services (EMS) dispatch pre-hospital critical care teams (CCTs) to OHCA, but evidence to support this practice is lacking.
Highlights
Sudden death due to out-of-hospital cardiac arrest (OHCA) is a major health problem, with an estimated 275,000 cardiac arrests in Europe each year.[1]
1851 cases of OHCA were included in the analysis, of which 1686 received advanced life support (ALS) paramedic treatment and 165 were attended by both ALS paramedics and a critical care team (CCT)
Unadjusted rates of survival to hospital discharge were significantly higher in the CCT group, compared to the ALS paramedic group (15.8% and 6.5%, respectively, p < 0.001)
Summary
Sudden death due to out-of-hospital cardiac arrest (OHCA) is a major health problem, with an estimated 275,000 cardiac arrests in Europe each year.[1]. In addition to ALS providers, many EMS have established targeted dispatch of physicians and/or specialised critical care paramedics to OHCA; a concept referred to as pre-hospital critical care.[11,12]
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