Cardiac Arrest
Conditions
Keywords
Cardiac arrest, Ambulance, Triage, Deterioration
Brief summary
A cardiac arrest is often preceeded by a varying period of physiological deterioration which if acted upon may prevent the cardiac arrest. We aim to review patients presenting to the ambulance service with cardiac arrest so see if they had contacted the ambulance service in the preceeding 48 hrs to understand if warning symptoms were missed or not acted upon appropriately.
Detailed description
The UK ambulance services are called to attend 60,000 out-of-hospital cardiac arrests (OHCA) each year. Hospital studies have shown that many patients who suffer an in-hospital cardiac arrest (IHCA) have been deteriorating for the preceeding 48 hrs and suggest that many IHCA are potentially avoidable if this deterioration is identified and actued on promptly. No similar study has been performed to see if patients suffering OHCA have also presented with warning signs in the preceeding 48 hrs that were overlooked.
Interventions
DIAGNOSTIC_TESTNEWS2 score
Patients seen by ambulance crews within the preceeding 48 hrs of their cardiac arrest will have a NEWS2 score performed to assess the level of physiological deterioration at the time of thei intial assessment.
Sponsors
South Central Ambulance Service NHS Foundation Trust
University Hospital Southampton NHS Foundation Trust
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
• All patients seen by SCAS ambulance crews and suffering a cardiac arrest within the following 48 hrs
Exclusion criteria
• None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Out-of-hospital cardiac arrest | 48 hours | Cardiac arrest following ambulance assessment |
Countries
United Kingdom
Outcome results
None listed