We read with great interest the article by Ki Hong Kim et al. [
[1]
]., showing that, in a national retrospective cohort of 79,832 patients suffering from
out-of-hospital cardiac arrest (OHCA), emergency mobile services (EMS) short scene
time intervals (STI) were associated with good neurological outcomes. Despite the
quality of this study, and regarding the major importance of the subject, we would
like to discuss some points that we believe could help understand some missing links
in improvement of outcomes in OHCA.Keywords
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References
- Scene time interval and good neurological recovery in out-of-hospital cardiac arrest.Am J Emerg Med. May 2017; 35 ([cited 2017 Oct 26]; Available from:) ([Internet]): 1682-1690
- Effect of reducing ambulance response times on deaths from out of hospital cardiac arrest: cohort study.BMJ. Jun 9 2001; 322: 1385-1388
- Measuring the EMS patient access time interval and the impact of responding to high-rise buildings.Prehospital Emerg Care Off J Natl Assoc EMS Physicians Natl Assoc State EMS Dir. Mar 2005; 9: 14-18
- The impact of first responder turnout and curb-to-care intervals on survival from out-of-hospital cardiac arrest.Resuscitation. 2017; 113 ([cited 2017 Feb 9]; Available from:) ([Internet]): 51-55
- Out-of-hospital cardiac arrest in high-rise buildings: delays to patient care and effect on survival.Can Med Assoc J. Apr 5 2016; 188: 413-419
- Delays in the EMS response to and the evacuation of patients in high-rise buildings in Singapore.Prehospital Emerg Care Off J Natl Assoc EMS Physicians Natl Assoc State EMS Dir. Dec 2000; 4: 327-332
- Worldometers.([Internet]. [cited 2017 Oct 29]. Available from:)
Article Info
Publication History
Published online: November 06, 2017
Accepted:
November 4,
2017
Received:
October 31,
2017
Identification
Copyright
© 2017 Elsevier Inc. All rights reserved.