Evidence map›Paper›PMID 37670267›Full record

ArticleBMC emergency medicine2023

Police as first reponders improve out-of-hospital cardiac arrest survival.

Clint Jean Louis, Marta Cildoz, Alfredo Echarri, Carlos Beaumont, Fermin Mallor, Robert Greif, Miguel Baigorri, Diego Reyero

Open access · goldAbstract read
In one paragraph

Article in BMC emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. 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

8 authors at 5 institutions in 4 countries.

Clint Jean LouisEmergency Advanced Ambulance Physician, Prehospital Emergency Services, Navarra Health Services, Avenida Pamplona No.2. 4ª, Barañain, Navarra España, 31010, Spain. jlclint@gmail.com.ORCID http://orcid.org/0000-0001-6246-2778
Marta CildozDepartment of Statistics and Operational Research, Public University of Navarra, Pamplona, Navarra, Spain.ORCID http://orcid.org/0000-0003-2974-4751
Alfredo EcharriEmergency Advanced Ambulance Physician, Prehospital Emergency Services, Navarra Health Services, Avenida Pamplona No.2. 4ª, Barañain, Navarra España, 31010, Spain.ORCID http://orcid.org/0000-0003-3969-3169
Carlos BeaumontEmergency Physician, Emergency Department, University Hospital of Navarra, Pamplona, Navarra, Spain.ORCID http://orcid.org/0000-0002-6242-7486
Fermin MallorDepartment of Statistics and Operational Research, Public University of Navarra, Pamplona, Navarra, Spain.ORCID http://orcid.org/0000-0001-9800-1498
Robert GreifEuropean Resuscitation Council (ERC) Research NET, Brussels, Belgium.ORCID http://orcid.org/0000-0003-0160-2073
Miguel BaigorriDepartment of Statistics and Operational Research, Public University of Navarra, Pamplona, Navarra, Spain.ORCID http://orcid.org/0000-0003-3791-5733
Diego ReyeroEmergency Advanced Ambulance Physician, Prehospital Emergency Services, Navarra Health Services, Avenida Pamplona No.2. 4ª, Barañain, Navarra España, 31010, Spain.ORCID http://orcid.org/0000-0003-0981-2913
Universidad Publica de Navarra · ESComplejo Hospitalario de Navarra · ESEuropean Resuscitation Council · BESigmund Freud Privatuniversität Wien · ATUniversidad de Navarra · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPolice forces are abundant circulating and might arrive before the emergency services to Out-of-Hospital-Cardiac-Arrest victims. If properly trained, they can provide basic life support and early defibrillation within minutes, probably increasing the survival of the victims. We evaluated the impact of local police as first responders on the survival rates of out-of-hospital cardiac arrest victims in Navarra, Spain, over 7 years.

methodsA retrospective analysis of an ongoing Out-of-Hospital Cardiac registry to compare the characteristics and survival of Out-of-Hospital-Cardiac-Arrest victims attended to in first place by local police, other first responders, and emergency ambulance services between 2014 and 2020.

resultsOf 628 cases, 73.7% were men (aged 68.9 ± 15.8), and 26.3% were women (aged 65,0 ± 14,7 years, p < 0.01). Overall survival of patients attended to by police in the first place was 17.8%, other first responders 17.4% and emergency services 13.5% with no significant differences (p > 0.1). Time to initiating cardiopulmonary resuscitation is significant for survival. When police arrived first and started CPR before the emergency services, they arrived at a mean of 5.4 ± 3 min earlier (SD = 3.10). This early police intervention showed an increase in the probability of survival by 10.1%.

conclusionsThe privileged location and the sole amount of personnel of local police forces trained in life support and their fast delivery of defibrillators as first responders can improve the survival of out-of-hospital cardiac arrest victims.

Indexed as

Emergency Medical ServicesEmergency RespondersOut-of-Hospital Cardiac ArrestFemaleHumansMalePoliceRetrospective StudiesDefibrillationEmergency medical servicesFirst responderOut-of-hospital cardiac arrestPolicePrehospitalSurvival

Identifiers

PMID37670267
PMCPMC10481462
OpenAlexW4386449091

What OpenQuestion holds

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LicenceCC BY
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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.