Pakistan's Emergency Medical Services (EMS) system & out-of-hospital-cardiac-arrest (OHCA): A narrative review of an EMS system of a low middle income country in context of OHCA.

Autor:	Baig MNA; Department of Emergency Medicine, The Aga Khan University Hospital, Karachi, Pakistan.; Centre of Excellence for Trauma & Emergencies, The Aga Khan University, Karachi, Pakistan., Khan N; Department of Emergency Medicine, The Aga Khan University Hospital, Karachi, Pakistan., Naseer R; Emergency Services Department, Punjab, Pakistan., Akhter S; Emergency Services Department, Punjab, Pakistan., Shaikh AJ; Sindh Emergency Service Rescue 1122, Rehabilitation Department, Government of Sindh, Pakistan., Razzak JA; Centre of Excellence for Trauma & Emergencies, The Aga Khan University, Karachi, Pakistan.
Jazyk:	angličtina
Zdroj:	Resuscitation plus [Resusc Plus] 2024 Apr 04; Vol. 18, pp. 100627. Date of Electronic Publication: 2024 Apr 04 (Print Publication: 2024).
DOI:	10.1016/j.resplu.2024.100627
Abstrakt:	Pakistan's Emergency Medical Services (EMS) are a critical component of its healthcare system, providing pre-hospital emergency care across a nation with over 220 million people. This article explores the evolutionary journey of Pakistan's EMS, highlighting both the challenges it faces and the strides it has made, with a specific emphasis on patients experiencing out-of-hospital cardiac arrest (OHCA). To extract relevant information, we searched MEDLINE & Embase data bases using MeSH terms "Emergency Medical Services" OR "EMS" AND "Out-of-Hospital-Cardiac-Arrest" OR "OHCA" AND "Pakistan". In addition, we also retrieved information from the EMS leadership in Pakistan through e-mails. We delve into the significance of key performance indicators for OHCA, advocate for the establishment of OHCA registries to improve patient outcomes, address regional disparities in pre-hospital care, and acknowledge the gradual progress of the EMS system. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2024 The Author(s).)
Databáze:	MEDLINE
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