Cardiac arrest & resuscitation
Emergency Medical Services handoff of patients in cardiac arrest in the Emergency Department: A retrospective video review study of duration and details of handoff
Authors' conclusion
Using video review, we demonstrated the variable communication during handoff.
Study context
- Population
- Adults in cardiac arrest handed off from EMS to ED staff, video-recorded, August 2020 to December 2022handoffs reviewed
- Participants
- 95 adults
- Exposure
- Handoffs with <9 vs ≥9 data points communicated
- Outcome
- Duration and frequency of EMS–ED handoff communication (17 data points) and time from handoff initiation to first ED rhythm determination and defibrillation
Methodological detailssingle-centre, Two investigators assessed 17 data points, time intervals, EMS initiation of handoff and type of EMS agency
- Single-centre
- Two investigators assessed 17 data points, time intervals, EMS initiation of handoff and type of EMS agency
Main finding
As reported in the abstract
EMS–ED handoff in cardiac arrest
- Time from arrival to handoff initiation (median, IQR 0-10)
- 2 seconds
- EMS initiated handoff
- 65 (69.2%)
- Median number of data points communicated
- 9
- Median handoff duration (IQR 50-100)
- 66 seconds
- Age, location of arrest, estimated down time and medications administered communicated
- > 80%
- Initial rhythm communicated
- 79%
- Bystander CPR and witnessed arrest communicated
- < 50%
- Median time from handoff initiation to first ED rhythm determination (IQR 106-256)
- 188 seconds
- Median time from handoff initiation to defibrillation (IQR 247-725)
- 392 seconds
- Times to rhythm determination and defibrillation not statistically different between <9 vs ≥9 data points
- p > 0.40
Observational data: associations, not effects.
Original publication
Emergency Medical Services handoff of patients in cardiac arrest in the Emergency Department: A retrospective video review study of duration and details of handoff. Resuscitation. Published 16 May 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →