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Paramedic programs and out-of-hospital cardiac arrest

II. Impact on community mortality

Bibliographic Data

ID11037677
AuthorsM Eisenberg, Lawrence Bergner, Alfred P Hallstrom, A Hallstrom
Year1979
Volume69
Issue1
Pages39-42
Publication date1979-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.69.1.39
PMID420354
OpenAlexW2021416131
LanguageEN
Citations received9
References cited4

Out-of-hospital cardiac arrest was studied in suburban King County, Washington in an attempt to determine the impact of paramedic services on community cardiac mortality. A portion of the study area received paramedic services and the remainder received basic emergency medical technician (EMT) services. A surveillance system identified all prehospital cardiac arrest incidents. The etiology and outcome were determined. Deaths due to primary heart disease (ICDA) codes 410-414) were compared to community cardiac mortality figures for the same period of time and in the paramedic and EMT areas. Between April 1, 1976 and August 31, 1977, 1,449 deaths due to primary heart disease occurred (annual rate of 19.2/10,000 in the EMT area and 13.4/10,000 in the paramedic area). For the same period, 487 patients with out-of-hospital cardiac arrest received emergency resuscitation. The annual incidence of out-of-hospital cardiac arrest was similar in the EMT and paramedic areas (5.6 and 6.0/10,000 respectively). Proportionately more lives of persons with cardiac arrest were saved in the paramedic area than in the MET area. During this 17 month period, the reduction in community cardiac mortality was 8.4 per cent in the paramedic area and 1.3 per cent in the EMT area. These findings suggest that paramedic services have a small but measurable effect on community cardiac mortality

Advanced cardiac life support · Asystole · Cardiac resuscitation · Cardiopulmonary resuscitation · Community hospital · Incidence (geometry) · Medical emergency · Resuscitation · Technician · Cardiac Arrest and Resuscitation · Emergency and Acute Care Studies · Emergency Medical Services · Emergency Medicine · Internal Medicine · Medicine · Nursing · Trauma and Emergency Care Studies

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    Pamela A Sytkowski, Ralph B D??Acostino et al.•Medical Care•1984

  • An Analytic Method for the Evaluation of Rural Emergency Medical Service Development

    Pamela A Sytkowski, Michael W Pozen et al.•Medical Care•1981

  • The Costs of a Suburban Paramedic Program in Reducing Deaths Due to Cardiac Arrest

    Nicole Urban, Lawrence Bergner et al.•Medical Care•1981

  • The Potential Use of Automatic Defibrillators in the Home for Management of Cardiac Arrest

    Alfred Hallstrom, Alfred P Hallstrom et al.•Medical Care•1984

  • Out-of-hospital cardiac arrest

    Mickey S Eisenberg, Lawrence Bergner et al.•American Journal of Public Health•1980

  • Geographical patterns of cardiac arrests

    Open Access•Jonathan D Mayer•Social Science & Medicine Part D…•1981

  • Paramedic response time and survival from cardiac arrest

    Open Access•Jonathan D Mayer•Social Science & Medicine Part D…•1979

  • Pre-hospital coronary care

    Michael W Pozen•American Journal of Public Health•1979

  • The Formation of the Emergency Medical Services System

    Manish N Shah•American Journal of Public Health•2006

  • Socioeconomic differentials in selected causes of death

    Constantine A Yeracaris, J H Kim•American Journal of Public Health•1978

Unique citing works9
Citations per year0,19
Citation span1979 - 2006 (28)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 5

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