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A comparison between sudden cardiac arrest on military bases and non-military settings. | LitMetric

AI Article Synopsis

  • Out-of-hospital cardiac arrests are a major health issue, and quick responses like CPR and using an AED greatly improve survival rates.
  • Researchers analyzed data from a national registry (NEMSIS) focusing on incidents from Jan 2020 to Sept 2022, specifically looking at cardiac arrests that were witnessed and noting where they occurred.
  • Findings showed that military bases had a notably higher rate of prior CPR and AED use compared to civilian settings, likely due to better training and availability of resources, suggesting a need for more research in military contexts.

Article Abstract

Introduction: Out-of-hospital cardiac arrests contribute to significant morbidity and mortality in both non-military/civilian and military populations. Early CPR and AED use have been linked with improved outcomes. There is public health interest in identifying communities with high rates of both with the hopes of creating generalizable tactics for improving cardiac arrest survival.

Methods: We examined a national registry of EMS activations in the United States (NEMSIS). Inclusion criteria were witnessed cardiac arrests from January 2020 to September 2022 where EMS providers documented the location of the arrest, whether CPR was provided prior to their arrival (yes/no), and whether an AED was applied prior to their arrival (yes/no). Cardiac arrests were then classified as occurring on a military base or in a non-military setting.

Results: A total of 60 witnessed cardiac arrests on military bases and 202,605 witnessed cardiac arrests in non-military settings met inclusion criteria. Importantly, the prevalence of CPR and AED use prior to EMS arrival was significantly higher on military bases compared to non-military settings.

Conclusions: Reasons for the trends we observed may be a greater availability of CPR-trained individuals and AEDs on military bases, as well as a widespread willingness to provide aid to victims of cardiac arrest. Further research should examine cardiac arrests on military bases.

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Source
http://dx.doi.org/10.1016/j.ajem.2022.12.014DOI Listing

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