Abstract 172: Improved Outcomes of Cardiac Arrest in a State-Wide Integrated Resuscitation Program: Results From the Minnesota Resuscitation Consortium
Background: Despite many advances in resuscitation science the outcomes of out-of-hospital cardiac arrest (OHCA) remain poor. In 2010 the Minnesota Resuscitation Consortium (MRC) was established as an effort to connect the emergency response systems and deliver the best practice standards to the resuscitation community in the state of Minnesota (MN). We present the outcomes of OHCA in MN after the first two years of the program operations
Methods: The emergency medical services (EMS) and hospitals that participate in the MRC serve > 70% of the total population of the state of MN. In the present analysis, the two year 2010-12 MRC data were compared with the national Cardiac Arrest Registry to Enhance Survival (CARES), registry data, which represents > 40 communities in 25 states for the same period. In the MRC efforts were focused on high quality CPR, mechanical adjuncts for circulation, unification of BLS and ACLS protocols and aggressive post resuscitation care including early access to therapeutic hypothermia and timely delivery of revascularization options when indicated.
Results: A total of 2275 OHCA occurred from 2010-12 in areas of MN covered by the MRC. Compared to the national control group, MN OHCA cases were more likely to be witnessed, more likely to be ventricular tachycardia or fibrillation, but less likely to receive bystander CPR (Table). Survival to hospital discharge with good or moderate cerebral performance was more likely in MN than the national average (Table). In MN survival reached 40% in OHCA that was witnessed by a bystander and had a shockable rhythm (Utstein survival) and reached 47% if the bystander also initiated CPR.
Conclusions: State-wide integration of resuscitation efforts under an organization such as the MRC is associated with superior outcomes in OHCA.
- © 2013 by American Heart Association, Inc.