A new study finds that recent guidelines outlined by the American Heart Association (AHA) for treatments used by emergency and critical care medical practitioners on cardiac arrest patients has lead to substantial improvements in survival rates. The findings show that, when fully implemented, the treatment protocol increased the odds of survival nearly four-fold for victims of cardiac arrest.
The study, led by Drs. Paul Hinchey, Brent Myers of the Wake County EMS System in Raleigh, N.C, is the first comprehensive evaluation of 2005 American Heart Association guidelines on the use of compression, ventilation and induced hypothermia after community-wide implementation. The results are based on the outcomes of adults treated for cardiac arrest by emergency responders in an urban/suburban emergency medical services system with existing advanced life support.
The authors highlight the benefits of a healthcare community being able to implement a comprehensive care plan for victims of cardiac arrest “from the living room of the victim’s home to the intensive care unit (ICU).”
The essential elements of this plan were a focus on simple, continuous cardiac compressions, controlled ventilations, early utilization of induced hypothermia and transport of resuscitated patients to specialized post-resuscitation hospitals.
There is ample evidence to support the use of continuous compressions and induced hypothermia. However, unlike previous studies that demonstrate the effectiveness of individual interventions on a study population, this study demonstrates the substantial impact that comprehensive implementation of a multi-disciplinary treatment protocol can have on a community.
“Our findings not only demonstrate beneficial outcomes for victims of cardiac arrest, but also suggest the possibility that such treatment plans can be implemented for other medical conditions,” say the authors.
The presentation is entitled “Out-of-Hospital Cardiac Arrest Survival after the Sequential Implementation of 2005 AHA Guidelines for Compressions, Ventilations, and Induced Hypothermia.” This paper will be presented at the 2008 SAEM Annual Meeting, May 29-June 1, 2008,Washington, D.C. on Friday, May 30, 2008, in the oral paper presentations from 2:00 – 3:30 pm in the Virginia A & B rooms of the Marriott Wardman Park hotel. Abstracts of the papers presented are published in Vol. 15, No. 5, Supplement 1, May 2008 of the official journal of the SAEM, Academic Emergency Medicine.
Press Room – 2008 SAEM Annual Meeting, May 29-June 1, 2008,Washington, D.C. Location: Park Tower Suite #8229
Tel: (202) 328-2000 (ask for the SAEM Registration Desk) Fax: (202) 234-00150 (mark for attn of Maryanne Greketis or Sandra Rummel)
Contact Sean Wagner (swagner@wiley.com) to arrange for an interview prior to or during the SAEM Annual Meeting. Drs. Hinchey and Myers can be reached through the Wake County EMS System by contacting Jeff Hammerstein at pio@wakeems.com.
About The Society for Academic Emergency Medicine (www.saem.org)
The Society for Academic Emergency Medicine (SAEM) is a national non-profit organization of over 6,000 academic emergency physicians, emergency medicine residents and medical students. SAEM's mission is to improve patient care by advancing research and education in emergency medicine. SAEM's vision is to promote ready access to quality emergency care for all patients, to advance emergency medicine as an academic and clinical discipline, and to maintain the highest professional standards as clinicians, teachers, and researchers. The SAEM Annual Meeting attracts approximately 2,000 medical students, residents and academic emergency physicians. It provides the largest forum for the presentation of original research in the specialty of Emergency Medicine.
About Academic Emergency Medicine (www.aemj.org)
AEM is a peer-reviewed journal whose goal is to advance the science, education, and clinical practice of emergency medicine, to serve as a voice for the academic emergency medicine community, and to enhance the goals and objectives of the Society for Academic Emergency Medicine (SAEM). Members and non-members worldwide depend on this journal for translational medicine relevant to emergency medicine, in addition to clinical news, case studies and more.
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