PP22 Sandpiper wildcat project – saving lives after out-of-hospital cardiac arrest in rural grampian
| العنوان: | PP22 Sandpiper wildcat project – saving lives after out-of-hospital cardiac arrest in rural grampian |
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| المؤلفون: | Keith Jensen, Gareth Clegg, Colville Laird, Keri Fickling, David Bywater, Lorna A. Donaldson |
| المصدر: | Emergency Medicine Journal. 36:e9.1-e9 |
| بيانات النشر: | BMJ, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Sandpiper, biology, business.industry, Debriefing, Attendance, General Medicine, Critical Care and Intensive Care Medicine, medicine.disease, biology.organism_classification, Out of hospital cardiac arrest, Emergency Medicine, Ambulance service, Emergency medical services, Medicine, Medical emergency, Risk of death, Rural area, business |
| الوصف: | BackgroundRecent analysis shows a higher risk of death after Out of Hospital Cardiac Arrest (OHCA) for patients who lived in rural areas of UK in casemix adjusted comparison with urban areas. Sandpiper Wildcat is an action research project aiming to increase survival rates through the implementation of a novel network of trained responders in rural Grampian.MethodsAfter using historic data to identify 50 locations with poor response times but significant numbers of OHCA we established teams of trained volunteer responders equipped with automatic external defibrillators (AED 3, Zoll) and Vehicle Locator Systems. Responders were trained and made available for dispatch to OHCA by ambulance control. In addition to real time CPR quality feedback the AED 3 also records ECG, compression metrics and audio of the incident for analysis and debrief.ResultsAround 500 responders were successfully trained and deployed in 53 rural locations during the first 6 months. They were mobilised to 109 OHCA, arriving on scene an average of 7 min (−15 to 48 mins) before Scottish ambulance service resources. Analysis of metrics from defibrillator downloads showed high quality resuscitation. In addition there were many reports of significant ‘added value’ to patients, families and Scottish Ambulance Service staff as a result of Sandpiper Wildcat responders’ attendance. Responders replied overwhelmingly positively to debrief questions ‘did you feel of value at scene’ and ‘do you feel you made a difference’, all indicated that they would be willing to respond again.ConclusionsSandpiper Wildcat project has reduced the response time to OHCA in rural Grampian and increased the number of responders at each OHCA. Responders have delivered high quality BLS and provided assistance to SAS personnel. Further analysis will examine the spread and sustainability of this approach in rural UK and the longer term impact on clinical outcomes. |
| تدمد: | 1472-0213 1472-0205 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::9f76d0826746819655bf030679036872 https://doi.org/10.1136/emermed-2019-999.22 |
| رقم الأكسشن: | edsair.doi...........9f76d0826746819655bf030679036872 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14720213 14720205 |
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