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    Mapping the potential of community first responders to increase cardiac arrest survival


    Barry, Tomás and Gonzalez, Ainhoa and Conroy, Niall and Watters, Paddy and Masterson, Siobhán and Rigby, Jan and Bury, Gerard (2018) Mapping the potential of community first responders to increase cardiac arrest survival. Open Heart, 5 (e00091). ISSN 2053-3624

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    Abstract

    Objective: Resuscitation from out-of-hospital cardiac arrest (OHCA) is largely determined by the availability of cardiopulmonary resuscitation (CPR) and defibrillation within 5–10 min of collapse. The potential contribution of organised groups of volunteers to delivery of CPR and defibrillation in their communities has been little studied. Ireland has extensive networks of such volunteers; this study develops and tests a model to examine the potential impact at national level of these networks on early delivery of care. Methods: A geographical information systems study considering all statutory ambulance resource locations and all centre point locations for community first responder (CFR) schemes that operate in Ireland were undertaken. ESRI ArcGIS Desktop 10.4 was used to map CFR and ambulance base locations. ArcGIS Online proximity analysis function was used to model 5–10 min drive time response areas under sample peak and off-peak conditions. Response areas were linked to Irish population census data so as to establish the proportion of the population that have the potential to receive a timely cardiac arrest emergency response. Results: This study found that CFRs are present in many communities throughout Ireland and have the potential to reach a million additional citizens before the ambulance service and within a timeframe where CPR and defibrillation are likely to be effective treatments. Conclusion: CFRs have significant potential to contribute to survival following OHCA in Ireland. Further research that examines the processes, experiences and outcomes of CFR involvement in OHCA resuscitation should be a scientific priority.

    Item Type: Article
    Additional Information: Cite as: Barry T, González A, Conroy N, et al Mapping the potential of community first responders to increase cardiac arrest survival Open Heart 2018;5:e000912. doi: 10.1136/openhrt-2018-000912. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
    Keywords: Mapping; community first responders; cardiac arrest survival;
    Academic Unit: Faculty of Science and Engineering > Research Institutes > National Centre for Geocomputation, NCG
    Item ID: 10582
    Identification Number: https://doi.org/10.1136/openhrt-2018-000912
    Depositing User: Jan Rigby
    Date Deposited: 25 Feb 2019 14:35
    Journal or Publication Title: Open Heart
    Publisher: BMJ Publishing Group
    Refereed: Yes
    URI:

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