Impact of the COVID-19 pandemic on emergency medical service response to out-of-hospital cardiac arrests in Taiwan: a retrospective observational study

Autor: Jiun-Hao Yu, Shao-Hua Yu, Wei-Kung Chen, Fen-Wei Huang, Hong-Mo Shih, Chien-Yu Liu, Chih-Yu Chen, Ming-Tzu Yang
Rok vydání: 2021
Předmět:
Male
Emergency Medical Services
Resuscitation
medicine.medical_treatment
resuscitation
cardiac arrest
030204 cardiovascular system & hematology
infectious diseases
Critical Care and Intensive Care Medicine
0302 clinical medicine
Pandemic
Medicine
Registries
Young adult
Original Research
Aged
80 and over
Out of hospital
General Medicine
Middle Aged
prehospital care
Practice Guidelines as Topic
Emergency Medicine
Female
Adult
medicine.medical_specialty
Infectious Disease Transmission
Patient-to-Professional
Coronavirus disease 2019 (COVID-19)
Defibrillation
Taiwan
Time-to-Treatment
Young Adult
03 medical and health sciences
Humans
Pandemics
Aged
Retrospective Studies
SARS
SARS-CoV-2
business.industry
COVID-19
030208 emergency & critical care medicine
Retrospective cohort study
Cardiopulmonary Resuscitation
despatch
Advanced life support
Emergency Medical Technicians
Emergency medicine
business
Out-of-Hospital Cardiac Arrest
Zdroj: Emergency Medicine Journal : EMJ
ISSN: 1472-0213
1472-0205
DOI: 10.1136/emermed-2020-210409
Popis: BackgroundEmergency medical service (EMS) personnel have high COVID-19 risk during resuscitation. The resuscitation protocol for patients with out-of-hospital cardiac arrest (OHCA) was modified in response to the COVID-19 pandemic. However, how the adjustments in the EMS system affected patients with OHCA remains unclear.MethodsWe analysed data from the Taichung OHCA registry system. We compared OHCA outcomes and rescue records for 622 cases during the COVID-19 outbreak period (1 February to 30 April 2020) with those recorded for 570 cases during the same period in 2019.ResultsThe two periods did not differ significantly with respect to patient age, patient sex, the presence of witnesses or OHCA location. Bystander cardiopulmonary resuscitation and defibrillation with automated external defibrillators were more common in 2020 (52.81% vs 65.76%, pConclusionEMS response time for patients with OHCA was prolonged during the COVID-19 pandemic. Early advanced life support by EMS personnel remains crucial for patients with OHCA.
Databáze: OpenAIRE
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