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1.
Impact of dual dispatch system implementation on response times and survival outcomes in out-of-hospital cardiac arrest in rural areas
Matej Strnad, Pia Jerot, Vesna Borovnik Lesjak, 2022, original scientific article

Abstract: Objectives: Dual dispatch early defibrillation in out-of-hospital cardiac arrest (OHCA) victims provided by firefighters in addition to Emergency medical services (EMS) has proven to increase rate of return of spontaneous circulation (ROSC) and thus survival in the metropolitan or suburban areas whereas the data in rural areas are scarce. Methods: This was a retrospective observational cohort study of EMS resuscitated OHCA victims in regions with dual dispatch of volunteer firefighters as first responders (intervention group). Historical group was based on all OHCAs occurring in these regions before the implementation of first responders (EMS response only). Multivariate logistic regression with following variables: intervention, age, gender, witnessed status, bystander cardiopulmonary resuscitation (CPR), first rhythm and etiology were used to control for confounding factors affecting ROSC. Results: A total of 312 OHCAs were included in the study (historical group, n = 115 and intervention group, n = 197). Median time to arrival of first help shortened significantly for all patients, patients with ROSC and patients with Cerebral Performance Category 1/2 (CPC 1/2) in intervention vs historical group (8 vs 12 min, p < 0.001; 7.5 vs 11 min, p = 0.002; 7 vs 10 min, p = 0.011; respectively). The proportion of patients with ROSC, 30-day survival and CPC 1/2 at hospital discharge remained unchanged in intervention vs historical group (21% vs 23%, p = 0.808; 7% vs 6%, p = 0.914; 6% vs 3%, p = 0.442; respectively). The logistic regression model of adjustment confirms the absence of improvement in the ROSC rate after the implementation of first responders. Conclusions: Introduction of a dual dispatch of local first responders in addition to EMS in cases of OHCA significantly shortened response times. However, reduced response times were not associated with better survival outcomes.
Keywords: automated external defibrillator, out-of-hospital cardiac arrest, first responder, survival rate, sudden cardiac death, cardiopulmonary resuscitation, firefighters
Published in DKUM: 12.07.2024; Views: 105; Downloads: 14
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2.
Introduction of the concept of "Rescue Sheet" in road traffic
Vanna Boroša, 2019, master's thesis

Abstract: In this master's thesis, an analysis was made of the way fire departments operate in rescuing injured passengers from vehicles in an event of a car accident. In order to make it easier to understand the core of master's thesis, the paper defines terms such as the "golden hour", which is essential for the survival of injured passengers in a car accident. The analysis also includes information on the construction designs of the car and how the construction of the car could make it difficult for the firefighting units to operate. Some examples of interventions done by fire brigades and the problems encountered in everyday work on modern cars are also provided. In the concluding part of the thesis we have presented how fire departments can become more efficient, safer, faster, and economical in their daily work while rescuing passengers from vehicles. We have explained in more detail the notion of a “rescue sheet” and how it can be better implemented in the future. At the end of the paper, we have suggested the optimal ways of rescue sheet usage and have outlined the advantages and disadvantages of these uses.
Keywords: Traffic accident, Firefighters, Traffic safety, Golden hour, Rescue sheet
Published in DKUM: 23.09.2019; Views: 1005; Downloads: 92
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