Evidence map›Paper›PMID 33076942›Full record

ReviewScandinavian journal of trauma, resuscitation and emergency medicine2020

Description of Emergency Medical Services, treatment of cardiac arrest patients and cardiac arrest registries in Europe.

Ingvild B M Tjelmeland, Siobhan Masterson, Johan Herlitz, Jan Wnent, Leo Bossaert, Fernando Rosell-Ortiz, Kristin Alm-Kruse, Berthold Bein, Gisela Lilja, Jan-Thorsten Gräsner and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Scandinavian journal of trauma, resuscitation and emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
5.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 53 citations in OpenAlex.

  1. Article
  2. A European paramedic curriculum for geriatric emergency medicine developed via a modified Delphi technique.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026
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  17. Rendezvous between ambulances and prehospital physicians in the Capital Region of Denmark: a descriptive study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022
    Article
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  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 8 institutions in 7 countries.

Ingvild B M TjelmelandInstitute for Emergency Medicine, University-Hospital Schleswig-Holstein, Arnold-Heller-Str. 3, 24105, Kiel, Germany. ingvild@nakos.no.ORCID http://orcid.org/0000-0003-0362-1008
Siobhan MastersonThe National Ambulance Service Ireland and the National University of Ireland Galway (on behalf of the Out-of-Hospital Cardiac Arrest Register (OHCAR)), Galway, Ireland.
Johan HerlitzPreHospen - Centre for Prehospital Research, Faculty of Caring Science, Work-Life and Social Welfare, University of Borås, Borås, Sweden.
Jan WnentInstitute for Emergency Medicine, University-Hospital Schleswig-Holstein, Arnold-Heller-Str. 3, 24105, Kiel, Germany.
Leo BossaertEuropean Resuscitation Council, Niel, Belgium.
Fernando Rosell-OrtizEuropean Resuscitation Council, Niel, Belgium.
Kristin Alm-KruseFaculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Berthold BeinAnaesthesiology and Intensive Care Medicine, Asklepios Hospital St. Georg, Hamburg, Germany.
Gisela LiljaDepartment of Clinical Sciences Lund, Neurology, Lund University, Skåne University Hospital, Lund, Sweden.
Jan-Thorsten GräsnerInstitute for Emergency Medicine, University-Hospital Schleswig-Holstein, Arnold-Heller-Str. 3, 24105, Kiel, Germany.
GL2020 Epidemiology group and participating countries
European Resuscitation Council · BELund University · SEUniversity of Antwerp · BEUniversity of Namibia · NAOllscoil na Gaillimhe – University of Galway · IEOslo University Hospital · NOAsklepios Klinik St. Georg · DEGobierno de La Rioja · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVariation in the incidence, survival rate and factors associated with survival after cardiac arrest in Europe is reported. Some studies have tried to fill the knowledge gap regarding the epidemiology of out-of-hospital cardiac arrest in Europe but were unable to identify reasons for the reported differences. Therefore, the purpose of this study was to describe European Emergency Medical Systems, particularly from the perspective of country and ambulance service characteristics, cardiac arrest identification, dispatch, treatment, and monitoring.

methodsAn online questionnaire with 51 questions about ambulance and dispatch characteristics, on-scene management of cardiac arrest and the availability and dataset in cardiac arrest registries, was sent to all national coordinators who participated in the European Registry of Cardiac Arrest studies. In addition, individual invitations were sent to the remaining European countries.

resultsParticipants from 28 European countries responded to the questionnaire. Results were combined with official information on population density. Overall, the number of Emergency Medical Service missions, level of training of personnel, availability of Helicopter Emergency Medical Services and the involvement of first responders varied across and within countries. There were similarities in team training, availability of key resuscitation equipment and permission for ongoing performance of cardiopulmonary resuscitation during transported. The quality of reporting to cardiac arrest registries varied, as well as the data availability in the registries.

conclusionsThroughout Europe there are important differences in Emergency Medical Service systems and the response to out-of-hospital cardiac arrest. Explaining these differences is complicated due to significant variation in how variables are reported to and used in registries.

Indexed as

RegistriesCardiopulmonary ResuscitationEmergency Medical ServicesEmergency RespondersEuropeHumansIncidenceOut-of-Hospital Cardiac ArrestSurvival RateCardiac arrest registriesDispatchEmergency Medical Services (EMS)Epidemiology of cardiac arrestOut-of-hospital cardiac arrest

Identifiers

PMID33076942
PMCPMC7569761
OpenAlexW3092656724

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.