Emergency Response Team Research Articles

Knowledge and application of patient’s rights by Emergency Response Team paramedics in the beginning of the SARS-CoV-2 pandemic

Knowledge and application of patient’s rights by Emergency Response Team paramedics in the beginning of the SARS-CoV-2 pandemic

Cutaneous Radiation Injuries: REAC/TS Clinical Experience.

The Radiation Emergency Assistance Center/Training Site (REAC/TS) is one of the US Department of Energy (DOE)/National Nuclear Security Administration (NNSA) Nuclear Emergency Response Team (NEST) assets and has been responding to radiological incidents since 1976. REAC/TS is in the Oak Ridge Institute for Science and Education (ORISE). A critical part of the REAC/TS mission is to provide emergency response, advice, and consultation on injuries and illnesses caused from ionizing radiation. Fortunately, radiation injuries are not frequent, but when they occur, they are more likely to be cutaneous radiation injuries (CRI) or internal contamination. In this paper, we will review selected cases from the REAC/TS experience in order to illustrate cutaneous patterns of injury and treatment options.

Emergency Response Team (ERT) As an Emergency Management for Campus Environment

The emergency preparedness and response plan (EPRP) are a critical system for effectively handling emergencies from various hazards, including the campus of higher education institutions (HEI). The emergencies carry significant risks for employees within their workplace settings and play an integral role in risk management. This paper introduces an Emergency Response Team (ERT) as an emergency management communication for EPRP within the safety management system campus sustainability. It also assesses the ERT's capacity to manage emergencies and involvement in emergencies through the procedure and documentation to optimise emergency preparedness and response. As an organisation, the HEI is encouraged to establish an emergency response team (ERT) and a procedure as essential components of their safety management systems. The paper employs analytical reviews of the related articles to assess the ERT's functions and capacity within the EPRP for the campus sustainability of the HEI. The content analysis is used to analyse the literature review of the article. The findings revealed that an Emergency Response Team (ERT) for campus sustainability plays a crucial role in ensuring the environmental well-being and resilience of a university or college campus. This specialised team addresses and mitigates sustainability-related emergencies, such as natural disasters, environmental hazards, or infrastructure failures. Their primary goal is to safeguard the campus's sustainable infrastructure, promote eco-friendly practices, and coordinate disaster preparedness and response efforts to minimise environmental damage, support the well-being of the campus community, and maintain a commitment to long-term sustainability goals.

Accident event detection from Facebook posts written in Bengali and Banglish languages

SummaryAccident events refer to abrupt or unpredictable incidents, which often cause a temporary or permanent bruise. Sometimes, the damage is so severe that it permanently ruins an individual's whole life and family. Detection of these unwanted accident events is the prerequisite for preventing and lowering the rate of casualty. Most people are habituated to posting their seeings, thoughts, and beliefs on social media and often post about accident incidents. This work detects accident incidents from real‐time Facebook data and the text‐mentioned probable time and location. Previous research works in this domain have been conducted in English, mainly with Twitter data. In this work, Bengali and Banglish Facebook posts have been used to aid the emergency response team in rapidly rescuing injured personnel. For this purpose, real‐time Facebook data have been crawled and pre‐processed. After that, several layers of feature extraction including individual keyword feature and paired keyword feature have been conducted and then sentiment analysis of the posts have taken place. Individual keyword feature is further divided into common event keyword and accident‐specific event keyword. Finally, the Support Vector Machine (SVM) classifier is used to classify accident and non‐accident events. Two more classifiers, Naive Bayes (NB) and Decision Tree (DT), are used for comparison. For NB, the Bernoulli, Gaussian, and Multinomial NB are applied. The SVM method achieves slightly better accuracy in the Bengali dataset than the Banglish dataset. The SVM, Bernoulli NB, Multinomial NB, Gaussian NB, and DT classifier achieved accuracy of 80%, 81%, 74%, 80%, and 79.5% for the Bengali dataset and 78%, 77.5%, 73%, 78%, and 78.5% for the Banglish dataset, respectively.

Strengthening Automotive Cybersecurity: A Comparative Analysis of ISO/SAE 21434-Compliant Automatic Collision Notification (ACN) Systems

The increasing usage of autonomous and automatic systems within the automotive industry is steering us towards a more interconnected world. This enhanced interconnectivity fosters a more streamlined driving experience, reduces costs, and provides timely driver assistance. The electric/electronic (EE) architectures of modern vehicles are inherently complex due to the multitude of components they encompass. Contemporary architectures reveal that these components converge at an electronic control unit (ECU) called the central gateway, which could potentially represent a single point of failure. While this central unit is typically adequately safeguarded, the same cannot be said for the connected components, which often remain vulnerable to cyber threats. The ISO/SAE 21434 standard paved the way for automotive cybersecurity and could be used in parallel with other standards such as ISO 26262 and ISO PAS 21488. Automatic collision notification (ACN) is one of the most typical systems in a vehicle, and limited effort has been dedicated to identifying the most suitable architecture for this feature. This paper addresses the existing security and privacy gap of this feature by conducting a comparative analysis of security threats in two distinct ACN architectures. Notably, despite ACN architectures exhibiting inherent similarities, the primary distinction between the two architectures lies in their strategies for crash estimation and detection, followed by subsequent communication with emergency response teams. A rigorous security assessment was conducted using the ISO/SAE 21434 standard, employing the TARA and STRIDE methodologies through the Ansys medini analyze software. This analysis identified an average of 310 threats per architecture, including a significant number of high-level threats (11.8% and 15%, respectively), highlighting the importance of a comprehensive evaluation.

“The Top Cop”: Understanding Correctional Officer Recruits’ Motivations Towards Correctional Emergency Response Team Membership

ABSTRACT Correctional officer recruits (CORs) must complete the correctional training program (CTP) mandated by Correctional Service Canada (CSC), in preparation for the plethora of occupational responsibilities they will be tasked with in their occupational role of correctional officer (CO). During training, recruits continue to conceive ideas about their career trajectories. Previous research exploring CO or COR motivations has focused largely on occupational entry and their underlying intrinsic and extrinsic motivations. Little empirical evidence examines the general occupational directions or desires of CORs exiting CTP, particularly their interest in future Correctional Emergency Response Team (CERT) membership. The current study relies on data from interviews with 36 CORs who expressed interest in CERT membership before employment at a federal penitentiary. Findings suggest that these CORs are drawn to CERT membership due to previous occupational interests, media representations of CERT/ERT, but also experience challenges in acquiring membership related to CERT culture, social relationships, and gender. We conclude the article with considerations for recruitment and retention of COs as it relates to CERT membership for Canadian federal correctional services.

The curious case of the lion from Berlin in summer’ 23: how Internet media shapes risk perception from wildlife-human conflict

Introduction. This paper explores the reactions of citizens to a perceived security risk at the human-wildlife interface mediated by social and traditional media sources. We take the case study of a reported ‘lioness’ appearing in the outskirts of Berlin as a risk to human and domestic animal life, sparking media frenzies.
 Methods. The subjects’ reactions to and perceptions of risk can be analysed through a mixed-methods (quantitative and qualitative) approach to information obtained via the respective media channels in covering the phenomenon as a newsworthy event of this research identifies three distinct peaks in public interest and response.
 Results. Following a Foucauldian tradition of problematisation, and a scholarship of critical media studies, we demonstrate that the ordering of animals in relation to society allows for a normalisation of certain threats from human-wildlife conflict while placing others in a state of exception which needs immediate action. We do not take the social conditions of predator-prey relations as a given, but seek to ‘de-normalise’ them and question the level of risk constructed, which plays out across public and media spheres and may carry over into human-wildlife conflicts. Our case study shows how social media posts can lead to the emergence of a perceived risk to society, which is reacted to dramatically, and whose emergency situation becomes a newsworthy event that confirms and seems to justify the level of security measures taken. The engagement of citizens online and with the emergency response teams can be viewed as overreacting to the situations based on having a real sense of danger of a ‘lioness’ penetrating their interactions with larger wildlife.
 Conclusions: That is, until it is determined that no immediate risk exists, and the actions taken are critiqued as a hysterical misinformed approach of ‘city dwelling’ officials lacking knowledge of wildlife in one’s region. We then speculate about what ethical and political repercussions this may create for multispecies co-existence with predators and pests in Germany.

Caffeine administration to treat oversedation after general anesthesia: A retrospective analysis

Study objectiveOur institution has adopted an informal practice of administering postoperative caffeine to expedite anesthesia recovery for patients with excessive sedation. This study aimed to determine whether caffeine administration was associated with improved sedation recovery and reduced risk of respiratory complications. DesignSingle-center, retrospective, observational study. SettingQuaternary medical center. PatientsWe included adult patients who were admitted to a postanesthesia recovery care unit (PACU) after general anesthesia and had evidence of postoperative sedation (Richmond Agitation Sedation Score [RASS] < 0). Patients were seen from May 5, 2018, through December 31, 2020. InterventionsPatients were categorized according to caffeine administration (0 vs 250 mg). MeasurementsSedation was measured with RASS. To account for potential confounding, binary and ordinal logistic regression with inverse probability of treatment weighting (IPTW) were used to compare RASS and episodes of severe respiratory complications within 48 h after PACU discharge. Main resultsWe identified 47,222 adult surgical patients with evidence of sedation in the PACU, and of these, 1892 (4.0%) were intravenously administered caffeine. Patients who received caffeine had more sedation in the PACU. In the IPTW-adjusted analysis, caffeine administration was associated with improved sedation scores after PACU discharge (ordinal logistic regression odds ratio [OR], 1.13 [95% CI, 1.00–1.28]; P = .04 for the first RASS score after PACU discharge) but increased risk of respiratory complications (OR, 2.99 [95% CI, 1.44–6.24]; P = .003) and emergency response team activation (OR, 7.18 [95% CI, 2.85–18.10]; P < .001). ConclusionsIn this observational study, caffeine administration during anesthesia recovery was associated with improved sedation scores. However, it was also associated with an increased risk of respiratory complications, possibly reflecting selection bias (ie, administering caffeine to higher-risk patients). Patients with signs of excessive sedation during anesthesia recovery may benefit from enhanced postoperative respiratory monitoring.

(161) C-L 911! Pilot Implementation of a Behavioral Emergency Response Team Reduces Work-Related Injuries from Patient-to-Staff Violence

(161) C-L 911! Pilot Implementation of a Behavioral Emergency Response Team Reduces Work-Related Injuries from Patient-to-Staff Violence

6 Years of a Behavioral Emergency Response Team: Challenges, Lessons Learned & Team Development

6 Years of a Behavioral Emergency Response Team: Challenges, Lessons Learned & Team Development

A Multi-Criteria Decision Intelligence Framework to Predict Fire Danger Ratings in Underground Engineering Structures

A wide variety of natural catastrophes are induced by coal mining, with fire hazard being one of the most significant threats to underground engineering structures. In recent years, there has been an alarming rise in mine fire accidents due to the abundance of coal deposits around the world. Underground fires and explosions have continuously been the primary reason for a significant proportion of deaths and the destruction of infrastructure over the last few decades. Underground mining fires deplete natural coal resources, have an adverse impact on the environment by releasing hazardous chemicals and greenhouse gases into the atmosphere, and cause subsidence due to coal depletion during the combustion process. This study aims to predict fire danger rating of underground mining production processes by using the application of state-of-the-art unsupervised and supervised machine learning techniques. The developed k-nearest-neighbors-based isometric feature mapping and fuzzy c-means clustering algorithm has shown its dependability and superiority with a higher accuracy and has been advantageous to the monitoring and prevention of fire danger in underground mining production processes. The proposed multi-criteria decision intelligence framework permits early fire detection, providing the emergency response team extra time to respond the critical situations in order to prevent the fire from spreading, hence promoting sustainable, green, climate-smart, environmentally friendly and safe mining engineering operations.

Does the causality between environmental sustainability, non-renewable energy consumption, geopolitical risks, and trade liberalization matter for Pakistan? Evidence from VECM analysis

Geopolitical threats have increased dramatically globally in recent years, adversely affecting the environment tremendously. On the other hand, there is a growing gap between the use of non-renewable energy, trade liberalization, and environmental sustainability. Due to this, the current work simulates the links between geopolitical threats, non-renewable energy use, trade liberalization, and environmental sustainability using a vector error correction model (VECM) and Granger causality test. The analysis includes data spanning from 1980 to 2021. Research outcomes indicated that geopolitical risks (GPR), Non-renewable energy consumption (NRE), Natural Resource (NR) and industrialization (IND) have a negative and statistically significant influence i.e., 0.234, 0.052, 0.028, and 0.070 units respectively on environmental sustainability (ES) while natural resource (NR) have also negative but insignificant impact on environmental sustainability. Alongside, trade liberalization (TR) and urbanization (UB) posed a positive and statistically significant influence i.e., 0.040 and 0.437 units respectively on ES. Further, causality analysis validates the feedback effect among GPR, NRE, TR, and ES. GPR, NRE, and TR granger cause environmental sustainability. The government can prepare for potential environmental disasters such as floods, droughts, and earthquakes by investing in early warning systems, emergency response teams, and disaster relief supplies. This can help mitigate the impact of geopolitical risks that can result in natural disasters. Pakistan should prioritize investing large resources in diplomatic endeavours to improve regional dynamics and ties with neighboring nations. Pakistan should place a high emphasis on developing methods targeted at reducing its non-renewable energy use to mitigate the negative effects. This might entail offering financial incentives, implementing efficient feed-in tariff schemes, and developing a thorough strategy for boosting the capacity of renewable energy sources.

Contemporary Resource Management: Adaptive, Innovative, Participatory, and Interactive Strategies for Dealing With Unexpected Crises

Unexpected challenges and crises can arise at any time and affect various aspects of life. Such crises require quick, appropriate and innovative responses from the parties involved. This research aims to identify and analyze the adaptive, innovative, participatory, and interactive strategies used in dealing with unexpected crises. This research uses qualitative research methods. The data collection technique was carried out by literature study obtained through Google Schoolar. The data obtained were then analyzed through three stages, namely data reduction, data presentation, and conclusion drawing. The results showed that there are several adaptive, innovative, participatory and interactive strategies that can be used to deal with unexpected crises, including forming an emergency response team consisting of various elements of the community, conducting effective communication and coordination with the community, using information technology to disseminate information and coordinate crisis management activities, developing an early warning system to anticipate the occurrence of a crisis and increasing the capacity of the community to deal with crises

REMADA: An Emergency Decision-Making Software for Radiation Dose Estimation of Mitigation Tasks in a Reactor Building During Severe Nuclear Accidents

In the event of a postulated severe accident, fission products may leak into the reactor building through the containment wall, exerting a radiological impact on the emergency response team as they are tasked with performing mitigative missions. It is thus important to estimate the potential radiological consequences of the mission before taking action so that an optimized plan can be devised to avoid putting the team in harm’s way unintentionally. Some of the most well-known accident simulation codes were attempted to do the estimation, but were found to be too time consuming to get the results, making them not suitable for emergency use. The problem evidently arises from the fact that there are too many (about 200) compartments in a typical reactor building. In this study, the software REMADA is developed to simulate fission product dispersion in a reactor building (with about 200 compartments) within a reasonable timeframe, and to estimate the radiation doses to those who are carrying out mitigative missions in the reactor building. The results show that the software is not only fast, but also informative, to provide support for well-informed emergency decision making.

Implementation of Emergency Response System in Elementary School as an Effort to Increase Safety Culture from an Early Age

Children are included in a vulnerable group that must be protected, both from the threat of natural disasters, non-natural disasters or social disasters. School is a place for children to spend a lot of time. Disaster events can occur anywhere and at any time, including at school and during school hours, so schools must have an adequate emergency response system to ensure the safety of all its citizens. The purpose of this study is to identify problems that exist in schools related to the implementation of the disaster response system and formulate indicators for the initiation of initial activities for implementing the emergency response system in elementary school. The research design uses a qualitative descriptive research. The results of identifying problems in Elementary School Y show that school has not implemented an emergency response and disaster mitigation system, but teachers' knowledge regarding multi-hazard mitigation is also still low. The conclusions obtained are that schools can apply initial activity initiation indicators for the implementation of an emergency response system including: preparation of an emergency response team complete with duties and roles, preparation of SOPs for emergency response at school, training and simulation of disaster mitigation, preparation of evacuation maps, installation of evacuation directions, determination gathering points, emergency response signs, installation of emergency response facilities at least Light Fire Extinguishers/APAR and instructions for their use, as well as developing a network of cooperation with related parties.

Dual-Activation Emergency Situation Notification System: A Feature Driven Development Approach

Emergencies can unpredictably arise, posing severe threats to individuals' lives. Swift and effective communication plays a crucial role in promptly relaying vital information to relevant response agencies and loved ones, aiming to minimize or eliminate the impact of such disasters. Existing systems often require manual triggering of distress signals through button presses or image captures. However, these methods can be ineffective, particularly when victims are under the surveillance of wrongdoers, rendering them unable to discreetly use their devices. To address this issue, this study introduces the Dual-Activation Emergency Situation Notification System (DA-ESNS) model, which ensures that potential wrongdoers remain unaware of the user's attempt to seek help by employing an efficient communication and alerting system during emergencies. Through a review of previous models, the DA-ESNS model was developed to address identified gaps. The Feature Driven Development software development process model was selected due to its agile and incremental nature, enabling focused development and integration of the notification feature. ReactJS and NodeJS were utilized for frontend and backend development, respectively. The integration of Twilio API and Geolocation API facilitated SMS notifications and precise location sharing with emergency response teams and predefined contacts. The DA-ESNS model automatically relays distress signals by persistently listening for predefined keywords or manually triggered by clicking on corresponding emergency cards, notifying both the emergency response team and the victim's family members. The model was implemented across various mobile platforms, providing a centralized and interactive interface. By offering quick notifications and offline accessibility, the DA-ESNS model streamlines the emergency alert process, significantly improving the effectiveness of emergency response teams in reducing the impact of crises through rapid reaction times. As a result, the DA-ESNS model emerges as a valuable and effective tool in emergency management.

High value healthcare analysis of “triggers” in deteriorating patients

Objective: To review “triggers” for deteriorating patients who required intervention by a medical emergency response team (MET). In addition, to assess whether these “triggers” differed by medical or surgical governance of these patients. A secondary objective was to report laboratory investigations performed via the MET, with particular interest in tests duplicating haemoglobin (Hb) values and their degree of concordance within the context of low-cost, high value inpatient care.Methods: This quality improvement initiative involved a prospective observational cohort of inpatients, who were attended to by the MET at Royal Perth Hospital in Perth, Western Australia over a 2-year period between 2020 and 2022.Results: The mean number of MET calls for inpatients under surgical governance was slightly higher than for those patients under medical governance (1.34 vs. 1.25 calls respectively p = .03). Hypotension triggered a MET call in 184 (40.9%) surgical patients compared to 154 (28%) under medical governance (p &lt; .001). Comparing haemoglobin values obtained from FBP and VBG, Lin’s concordance correlation coefficient (CCC) was found to be 0.986, 95%CI: 0.983, 0.989. The Bland-Altman limits of agreement suggest that the haemoglobin value on a VBG ranges from 9.55 g/L higher than the FBP to 4.7 g/L lower than the FBP.Conclusions: Significant differences in the frequency of triggers for patients under medical vs surgical governance highlight the need for proactive planning around hypotension management of patients under surgical governance. In addition, understanding the nuances between haemoglobin values obtained from FBP and VBG can help with value-based health care and efficiencies in patient care, since measuring haemoglobin values is one of the key components in hypotension management.

CYBER SECURITY AND DATA PRIVACY LAW IN PAKISTAN: PROTECTING INFORMATION AND PRIVACY IN THE DIGITAL AGE

The importance of cybersecurity and data privacy cannot be overstated in today's digital age. As Pakistan continues to advance its digital infrastructure and reliance on technology, the need for robust cyber security and data privacy measures has become increasingly urgent. The country has seen a surge in cyber attacks and data breaches in recent years, highlighting the need for a comprehensive legal framework to protect peoples' and organizations' sensitive information. This research paper endeavors to furnish a thorough and up-to-date examination of the existing state of cybersecurity measures and data privacy concerns in Pakistan, with a focus on the challenges and limitations that need to be addressed in order to enhance the country's cyber resilience and protect its citizens' personal information. It will examine the existing legal framework, including the Pakistan Computer Emergency Response Team (Pak-CERT) Act, 2017, the PECA Act, 2016, the Data Protection Act, 2018, and the Cybercrime Act, 2019. The paper will also analyze the various regulations and guidelines related to cybersecurity and data privacy, such as the National Cybersecurity Policy, 2018, and the Data Protection Regulations, 2018. CERT rules 2023 gives a legislative framework to deal with cyber-attacks and vulnerabilities that come up from time to time at the national, industry, and organizational levels. It sets up a working structure for technical support, operational equipment, and capacity building services. The paper will also identify and discuss the challenges and limitations of the current legal framework, including inadequate legal provisions, lack of awareness and enforcement, limited found capacity of law enforcement agencies, and insufficient coordination between government agencies. Furthermore, the paper will provide recommendations for improving the legal framework, such as strengthening legal provisions, increasing awareness and enforcement, building strength for law enforcement agencies, and enhancing coordination between government agencies. The study will employ a qualitative research approach, using a combination of literature review, legal analysis, and expert opinions. The data collection methods will include a review of relevant laws, regulations, and guidelines, as well as interviews with experts in the field of cybersecurity and data privacy. The research paper's conclusions will further the current discussion on cyber security and data privacy in Pakistan., and provide valuable insights for policymakers, regulators, and stakeholders. The paper will also serve as a resource for individuals, businesses, and organizations seeking to understand the lawful framework for cyber security and data privacy in Pakistan. Ultimately, the paper aims to provide a comprehensive knowledge of the present state of cybersecurity and data privacy law in Pakistan and to offer recommendations for improvement, with the goal of enhancing the country's cyber security and data privacy posture.

Disaster response readiness assessment of public hospitals in Addis Ababa City, Addis Ababa, Ethiopia.

Introduction: Due to its diverse geography, climate, and political instability, Ethiopia is one of the countries most affected by disasters. However, there is a lack of evidence-based assessments of disaster preparedness, especially in Addis Ababa, where most tertiary-level referral hospitals are located. This study aims to evaluate disaster readiness in public hospitals in Addis Ababa using WHO standards, focusing on hospital characteristics, disaster plans, infrastructure, and human resources availability. Ultimately, the findings are expected to provide actionable recommendations for improving disaster preparedness in public hospitals in the city. Methods: A cross-sectional study design was utilized using quantitative and qualitative methods to assess disaster response readiness among public hospitals in Addis Ababa, the capital city of Ethiopia. Results: This study assessed ten public referral hospitals in Addis Ababa. In the last two years, all but one of the ten public referral hospitals in Addis Ababa have experienced a disaster. Road traffic accidents are responsible for half of all disasters. While 50% of the hospitals have trauma-specific plans, there are no disaster-specific guidelines for the remaining hospital. Moreover, all facilities and ambulances lack communication networks to receive assistance during disasters. A total of 88.8% of emergency and disaster facility level representatives (n=18) stated that their emergency care areas need improvement to be able to manage patients during disasters more effectively. While seven hospitals (70%) have separate disaster medication and equipment storage, only three (43%) are regularly restocked. Furthermore, nearly half of the respondents (44%) reported that their hospital does not have a functional disaster management team, and 61% are unprepared to handle a disaster. Lastly, 33% of the respondents mentioned the Ministry of Health and hospital leaders' commitment as an enabling factor to improve future disaster response readiness. Conclusion: Public referral hospitals in Addis Ababa have significant gaps in disaster management preparedness and response. A comprehensive disaster response plan, including staff training, regular restocking of medication and equipment, and functional communication networks, should be implemented in every public referral hospital. It is imperative that all stakeholders work together, including local government authorities, emergency response teams, and community members, to ensure hospitals are well-equipped to deal with disasters.

Analysis of cardiopulmonary resuscitation outcomes among critically ill patients at a university hospital, Kafr-El-Sheikh Governorate

Background Cardiopulmonary resuscitation (CPR) is a vital intervention in managing critically ill patients experiencing cardiac arrest (CA). Understanding the factors influencing CPR outcomes is crucial for optimizing resuscitation strategies and improving patients’ survival rates. Aim To analyze the outcome of CPR among critically ill patients. Research questions To fulfill the aim of this study, four research questions were formulated. Design A descriptive exploratory research design was used. Setting Three ICUs affiliated to a university hospital in Kafr-El-Sheikh, Egypt. Sample A purposive sample that included 69 CA patients for 7 months, and a convenience sample of 97 members of the emergency response team working at the above-mentioned setting. Tools Three tools were formulated. Results The highest age category (31.9%) of CA patients was of 61–70 years. Over 7 months, the frequency of CA among critically ill patients was 7.61%. Regarding ICUs’ preparedness, institutional factors affecting emergency readiness had an unsatisfactory practice level (mean±SD=17.04±2.10), and crash cart preparedness was at mean±SD=30.42±4.32. The study showed unsatisfactory practice levels related to International Liaison Committee on Resuscitation 2020 guidelines for total advanced cardiac life support (ACLS) performance with a mean score and SD of 87.81±18.19. Patient outcomes showed a 10.1% overall survival rate at ICU discharge, 82.6% experiencing return of spontaneous circulation, and 89.9% experiencing brain death. Clinical high-risk scores against National Early Warning Score 2 were 98.2 and 88.2% on the first and last days, respectively. Poor cerebral performance category outcome scores were found at 96.5 and 88% on the first and last days, respectively. However, there were insignificant statistical correlations (P&gt;0.05) between different patients’ outcomes and total adult ACLS role during CA based on International Liaison Committee on Resuscitation guidelines 2020. Conclusion CA among critically ill patients creates a significant burden for healthcare facilities and continues to be associated with a high mortality rate. The institutional factors affecting CPR outcomes among CA patients concerning preparedness level have a significant influence on survival. Conversely, the majority of resuscitated patients experienced return of spontaneous circulation, indicating successful initial efforts with severe neurological disability. Recommendations Hospital preparedness for CA situations has to be severely considered through implementing and regularly reviewing institutional policies and ensuring the availability and functionality of necessary resources. Update regular continuous educational programs toward enhancing the performance of emergency response team focusing on ACLS guidelines. Replication of this study on a larger probability sample from different geographical locations in Egypt is recommended.