+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Out-of-hospital cardiac arrests occurring in southern Ontario health care clinics: bystander cardiopulmonary resuscitation and automated external defibrillator use



Out-of-hospital cardiac arrests occurring in southern Ontario health care clinics: bystander cardiopulmonary resuscitation and automated external defibrillator use



Canadian Family Physician Medecin de Famille Canadien 56(6): E213



To determine the proportion of public-location out-of-hospital cardiac arrests (OHCAs) that occur in health care clinics and to describe bystander cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) use during these episodes. Our study was a retrospective cohort study of 679 nontraumatic OHCAs recorded in the Resuscitation Outcomes Consortium Epistry-Cardiac Arrest database. Out-of-hospital medical clinics and other public locations in Toronto, Ont, and the surrounding municipal regions of Hamilton, Durham, York, Peel, Simcoe, and Muskoka. A total of 679 consecutive patients suffering nontraumatic OHCAs of presumed cardiac cause in public locations. The proportion of public-location cardiac arrests occurring in medical clinics and the occurrence of bystander CPR and bystander use of AEDs. Twenty-two of the 679 public-location cardiac arrests occurred in health care clinics (3.2%, 95% confidence interval 1.9% to 4.6%). Bystander CPR occurred more often in health care clinics (73% of episodes in clinics compared with 46% in other public places, P = .02), but there was no statistically significant difference in AED use between groups. Twenty-seven percent of those suffering cardiac arrests in health care clinics did not receive any bystander CPR, and more than 90% did not have AEDs applied. Although the response to cardiac arrest in out-of-hospital medical clinics is superior to the response to those arrests that occur in other public settings, it remains suboptimal. Increasing CPR training among staff and improving access to AEDs in medical clinics might improve the response to OHCA in medical clinics and ultimately improve outcomes for patients.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 054805698

Download citation: RISBibTeXText

PMID: 20547503


Related references

Cardiopulmonary resuscitation alone vs. cardiopulmonary resuscitation plus automated external defibrillator use by non-healthcare professionals: a meta-analysis on 1583 cases of out-of-hospital cardiac arrest. Resuscitation 76(2): 226-232, 2008

Evaluating the quality of prehospital cardiopulmonary resuscitation by reviewing automated external defibrillator records and survival for out-of-hospital witnessed arrests. Resuscitation 64(2): 163-169, 2005

Community-Wide Dissemination of Bystander Cardiopulmonary Resuscitation and Automated External Defibrillator Use Using a 45-Minute Chest Compression-Only Cardiopulmonary Resuscitation Training. Journal of the American Heart Association 8(1): E009436, 2019

Interruption of cardiopulmonary resuscitation with the use of the automated external defibrillator in out-of-hospital cardiac arrest. Annals of Emergency Medicine 42(4): 449-457, 2003

A comparison of active compression-decompression cardiopulmonary resuscitation with standard cardiopulmonary resuscitation for cardiac arrests occurring in the hospital. New England Journal of Medicine 329(26): 1918-1921, 1993

A patient with commotio cordis successfully resuscitated by bystander cardiopulmonary resuscitation and automated external defibrillator. Hong Kong Medical Journal 16(5): 403-405, 2010

Cardiopulmonary resuscitation in a teaching hospital. A survey of cardiac arrests occurring outside intensive care units and emergency rooms. Anaesthesia 36(5): 526-530, 1981

The effects of type and origin of bystander cardiopulmonary resuscitation (CPR) on one-month favourable neurological outcome of bystander-witnessed out-of-hospital cardiac arrests (OHCAs) after the implementation of Japanese Guidelines 2006. Resuscitation 83: E40-E41, 2012

Impact of Bystander Automated External Defibrillator Use on Survival and Functional Outcomes in Shockable Observed Public Cardiac Arrests. Circulation 137(20): 2104-2113, 2018

DEFI 2005: a randomized controlled trial of the effect of automated external defibrillator cardiopulmonary resuscitation protocol on outcome from out-of-hospital cardiac arrest. Circulation 121(14): 1614-1622, 2010

The effect of bystander cardiopulmonary resuscitation on the survival of out-of-hospital cardiac arrests: a systematic review and meta-analysis. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 26(1): 86, 2018

Characteristics of bystander cardiopulmonary resuscitation for paediatric out-of-hospital cardiac arrests: A national observational study from 2012 to 2014. Resuscitation 111: 26-33, 2017

Lay Bystanders' Perspectives on What Facilitates Cardiopulmonary Resuscitation and Use of Automated External Defibrillators in Real Cardiac Arrests. Journal of the American Heart Association 6(3):, 2017

Location of out-of-hospital cardiac arrests in Takatsuki City: where should automated external defibrillator be placed. Circulation Journal 70(7): 827-831, 2006

Bystander automated external defibrillator application in non-shockable out-of-hospital cardiac arrest. Resuscitation 137: 168-174, 2019