Publications by authors named "Mads Tofte Gregers"

Background: Patients with out-of-hospital cardiac arrest (OHCA) in rural areas experience longer emergency response times and have lower survival rates compared with patients in urban areas. Volunteer responders might improve care and outcomes for patients with OHCA specifically in rural areas. Therefore, we investigated volunteer responder interventions based on the degree of urbanization.

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  • A study examined the characteristics and outcomes of public out-of-hospital cardiac arrests (OHCAs) occurring in residential neighborhoods in Vienna and Copenhagen from 2016 to 2021.
  • Findings revealed that a significant portion of OHCAs happened in residential areas, but interventions such as CPR, defibrillation, and the use of AEDs were less effective compared to non-residential areas.
  • The study concluded that the likelihood of survival following a cardiac arrest in residential neighborhoods is lower, emphasizing the need for improved emergency response and intervention strategies in these locations.
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Introduction: Smartphone technology is increasingly used to engage lay people as volunteer responders in resuscitation attempts. Attention has recently been drawn to how resuscitation attempts may impact bystanders. Attempting resuscitation in out-of-hospital cardiac arrests (OHCA) may be an overwhelming experience and, in some cases, difficult to cope with.

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  • The study analyzed the impact of smartphone-activated volunteer responders on bystander defibrillation during out-of-hospital cardiac arrests (OHCA) in both homes and public places in Sweden and Denmark.
  • Out of 1,271 cases, a higher percentage of patients received bystander defibrillation when a volunteer responder arrived before Emergency Medical Services (EMS), with notable increases in private homes.
  • Although bystander defibrillation rates improved with the arrival of volunteer responders, the study found no significant difference in 30-day survival rates between those cases and those where EMS arrived first.
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  • A study was conducted to assess the levels of CPR and AED training in the Danish population and among volunteer responders, using an electronic survey sent out in November 2018.
  • The results showed a significant difference in training levels, with 81% of the general population and 99% of volunteer responders reporting CPR training, and 54% vs. 89.5% for AED training.
  • The findings suggest that while training is widespread, there’s a need for new strategies to ensure that unemployed and self-employed individuals have equal access to CPR/AED training opportunities.
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Background: Activating citizen responders may increase survival after out-of-hospital cardiac arrest (OHCA) but could induce significant psychological impact on the citizen responders. We examined psychological impact among citizen responders within the first days following resuscitation attempt.

Methods And Results: A mobile phone application to activate citizen responders to perform cardiopulmonary resuscitation (CPR) was implemented in the Capital Region of Denmark.

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Background Citizen responder programs are implemented worldwide to dispatch volunteer citizens to participate in out-of-hospital cardiac arrest resuscitation. However, the risk of injuries in relation to activation is largely unknown. We aimed to assess the risk of physical injury for dispatched citizen responders.

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Purpose Of Review: To discuss different approaches to citizen responder activation and possible future solutions for improved citizen engagement in out-of-hospital cardiac arrest (OHCA) resuscitation.

Recent Findings: Activating volunteer citizens to OHCA has the potential to improve OHCA survival by increasing bystander cardiopulmonary resuscitation (CPR) and early defibrillation. Accordingly, citizen responder systems have become widespread in numerous countries despite very limited evidence of their effect on survival or cost-effectiveness.

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Aim: To examine incidence and outcome following out-of-hospital cardiac (OHCA) arrest in a high-risk area characterised by high density of potential bystanders and easy access to nearby automated external defibrillators (AEDs).

Methods: This retrospective observational study investigated pre-hospital and in-hospital treatment, as well as survival amongst persons with OHCA at Copenhagen International Airport between May 25, 2015 and May 25, 2019. OHCA data from pre- and in-hospital medical records were obtained and compared with public bystander witnessed OHCAs in Denmark.

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