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. 2021 Mar:5:100075.
doi: 10.1016/j.resplu.2020.100075. Epub 2021 Jan 2.

Management of first responder programmes for out-of-hospital cardiac arrest during the COVID-19 pandemic in Europe

Linn Andelius  1 , Iris Oving  2 , Fredrik Folke  1   3 , Corina de Graaf  2 , Remy Stieglis  2 , Julie Samsoee Kjoelbye  1 , Carolina Malta Hansen  1   3 , Rudolph W Koster  2 , Hanno L Tan  2   4 , Marieke T Blom  2 ; ESCAPE-NET investigators
Affiliations

Management of first responder programmes for out-of-hospital cardiac arrest during the COVID-19 pandemic in Europe

Linn Andelius et al. Resusc Plus. 2021 Mar.

Abstract

Aim: First responder (FR) programmes dispatch professional FRs (police and/or firefighters) or citizen responders to perform cardiopulmonary resuscitation (CPR) and use automated external defibrillators (AED) in out-of-hospital cardiac arrest (OHCA). We aimed to describe management of FR-programmes across Europe in response to the Coronavirus Disease 2019 (COVID-19) pandemic.

Methods: In June 2020, we conducted a cross-sectional survey sent to OHCA registry representatives in 18 European countries with active FR-programmes. The survey was administered by e-mail and included questions regarding management of both citizen responder and FR-programmes. A follow-up question was conducted in October 2020 assessing management during a potential "second wave" of COVID-19.

Results: All representatives responded (response rate = 100%). Fourteen regions dispatched citizen responders and 17 regions dispatched professional FRs (9 regions dispatched both). Responses were post-hoc divided into three categories: FR activation continued unchanged, FR activation continued with restrictions, or FR activation temporarily paused. For citizen responders, regions either temporarily paused activation (n = 7, 50.0%) or continued activation with restrictions (n = 7, 50.0%). The most common restriction was to omit rescue breaths and perform compression-only CPR. For professional FRs, nine regions continued activation with restrictions (52.9%) and five regions (29.4%) continued activation unchanged, but with personal protective equipment available for the professional FRs. In three regions (17.6%), activation of professional FRs temporarily paused.

Conclusion: Most regions changed management of FR-programmes in response to the COVID-19 pandemic. Studies are needed to investigate the consequences of pausing or restricting FR-programmes for bystander CPR and AED use, and how this may impact patient outcome.

Keywords: AED; CPR; Citizen responder; Corona; OHCA.

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Figures

Fig. 1
Fig. 1
Management of First Responder Programmes Across European Regions during the COVID-19 Pandemic. Map over regions in Europe. Only regions included in the present study are coloured.
See this image and copyright information in PMC

References

    1. Oving I., Masterson S., Tjelmeland I.B.M., Jonsson M., Semeraro F., Ringh M., Truhlar A., Cimpoesu D., Folke F., Beesems S.G., Koster R.W., Tan H.L., Blom M.T. First-response treatment after out-of-hospital cardiac arrest: a survey of current practices across 29 countries in Europe. Scand J Trauma Resusc Emerg Med. 2019;27:112. - PMC - PubMed
    1. Hansen C.M., Kragholm K., Granger C.B., Pearson D.A., Tyson C., Monk L., Corbett C., Nelson R.D., Dupre M.E., Fosbol E.L., Strauss B., Fordyce C.B., McNally B., Jollis J.G. The role of bystanders, first responders, and emergency medical service providers in timely defibrillation and related outcomes after out-of-hospital cardiac arrest: Results from a statewide registry. Resuscitation. 2015;96:303–309. - PubMed
    1. Zijlstra J.A., Stieglis R., Riedijk F. Smeekes M, van der Worp WE and Koster RW. Local lay rescuers with AEDs, alerted by text messages, contribute to early defibrillation in a Dutch out-of-hospital cardiac arrest dispatch system. Resuscitation. 2014;85:1444–1449. - PubMed
    1. Ringh M., Rosenqvist M., Hollenberg J., Jonsson M., Fredman D., Nordberg P., Jarnbert-Pettersson H., Hasselqvist-Ax I., Riva G., Svensson L. Mobile-phone dispatch of laypersons for CPR in out-of-hospital cardiac arrest. N Engl J Med. 2015;372:2316–2325. - PubMed
    1. Andelius L., Malta Hansen C., Lippert F.K., Karlsson L., Torp-Pedersen C., Kjær Ersbøll A., Køber L., Collatz Christensen H., Blomberg S.N., Gislason G.H., Folke F. Smartphone Activation of Citizen Responders to Facilitate Defibrillation in Out-of-Hospital Cardiac Arrest. J Am Coll Cardiol. 2020;76:43–53. - PubMed

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