ArticleResuscitation plus2021
General practice and cardiac arrest community first response in Ireland.
Article in Resuscitation plus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Out-of-Hospital Cardiac Arrest in Ireland 2012 to 2020: Bystander CPR, bystander defibrillation and survival in the Utstein comparator group.Resuscitation plus · 2025Article
- Addressing Challenges of Implementing Community First Responder Models based on National and International Experiences: A Systematic Scoping Review.Iranian journal of public health · 2024Article
- Health systems developments and predictors of bystander CPR in Ireland.Resuscitation plus · 2024Article
- Exploring national and international experiences with community first responder models: protocol for a scoping review.BMJ open · 2024Article
- Resuscitation for out-of-hospital cardiac arrest in Ireland 2012-2020: Modelling national temporal developments and survival predictors.Resuscitation plus · 2024Article
- Key Features in Designing an Integrated Recall System for Dispatch in Mass Casualty Incidents; a Systematic Review.Archives of academic emergency medicine · 2024Review
- Effectiveness of Cardiopulmonary Resuscitation at the Workplace.La Medicina del lavoro · 2023Observational
- Editorial - Impact of first responders in resuscitation.Resuscitation plus · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Ireland, the MERIT 3 scheme enables doctors to volunteer as cardiac arrest community first responders and receive text message alerts from emergency medical services (EMS) to facilitate early care.
aimTo establish the sustainability, systems and clinical outcomes of a novel, general practice based, cardiac arrest first response initiative over a four-year period.
methodsData on alerts, responses, incidents and outcomes were gathered prospectively using EMS control data, incident data reported by responders and corroborative data from the national Out-of-Hospital Cardiac Arrest Registry.
resultsOver the period 2016-2019, 196 doctors joined MERIT 3 and 163 (83.2%) were alerted on one or more occasions; 61.3% of those alerted responded to at least one alert. Volunteer doctors attended 300 patients of which 184 (61.3%) had suffered OHCA and had a resuscitation attempt. Responders arrived to OHCA before EMS on 75 occasions (40.8%), initiated chest compressions on seven occasions (3.8%), and brought the first defibrillator on 42 occasions (22.8%). Information on the first monitored rhythm was available for 149/184 (81.0%) patients and was shockable in 30/149 (20.1%); in 9/30 cases, shocks were administered by responders. The overall survival rate was 11.0% (national survival rate 7.3%). Doctors also provided advanced life support and were closely involved in decision making on ceasing resuscitation.
conclusionThe MERIT 3 initiative in Ireland has been sustained over a four-year period and has demonstrated the ability of volunteer doctors to provide early care for OHCA patients as well as more complex interventions including end-of-life care. Further development of this strategy is warranted.
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