Cardiac arrest & resuscitation
Association of emergency physician critical care training on outcomes after non-traumatic out-of-hospital cardiac arrest (OHCA)
Main finding · Survival to dischargeResult — go to the resultOdds ratio 1.59 95% CI 1.05–2.40Authors' conclusion
Additional critical care training was associated with selected prehospital procedural measures and higher odds of hospital admission with ROSC and survival to discharge.
Study context
- Population
- Adults with non-traumatic OHCA treated by physician-staffed emergency medical services (EMS), Marburg-Biedenkopf EMS region, 2018–2024
- Participants
- 1,426 adults
- Exposure
- Specialists with additional critical care training vs Residents
- Outcome
- Survival to discharge
Methodological detailsmultivariable logistic regression
- Multivariable logistic regression
Main finding
As reported in the abstract
Odds ratio
1.59
95% CI 1.05–2.40
Specialists with additional critical care training vs Residents
OR 1.59 (95% CI 1.05–2.40)
- Survival to discharge increased across groups (residents, specialists without, specialists with additional critical care training)
- 12.2%, 14.4%, and 18.0%; p = 0.047
Observational data: associations, not effects.
Secondary outcomes
| Outcome | OR (95% CI) | |
|---|---|---|
| Hospital admission with ROSCSpecialists with additional critical care training vs Residents · adjusted | 1.42 (1.05–1.93) | |
| 0.512Odds ratio (log scale) |
Any return of spontaneous circulation (ROSC)
- Any ROSC did not differ significantly between groups (residents, specialists without, specialists with additional critical care training)
- 39.9%, 42.5%, and 45.7%; p = 0.211
Operational response times and time to first ROSC
- Comparable between groups
Vascular access and vasopressor administration
- Specialists with additional critical care training achieved faster vascular access and earlier vasopressor administration, with fewer access failures
Original publication
Association of emergency physician critical care training on outcomes after non-traumatic out-of-hospital cardiac arrest (OHCA). Resuscitation. Published 14 August 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →