Cardiac arrest & resuscitation
Improving emergency medical services (EMS) response times for out-of-hospital cardiac arrest in urban areas using drone-like vertical take-off and landing air ambulances: An international, simulation-based cohort study
Authors' conclusion
VTOL air ambulances dedicated to OHCA response may improve EMS response intervals, with substantial improvements in ALS response metrics.
Study context
- Population
- Adult Out-of-hospital Cardiac Arrest (OHCAs) in Greater Paris (France) and Metro Vancouver (Canada), Jan. 2017-Dec. 2018
- Participants
- 6,217 OHCAs
- Exposure
- Simulated 1-2 advanced life support (ALS)-capable vertical take-off and landing (VTOL) air ambulances vs historical EMS response
- Outcome
- Call-to-ALS arrival interval and call-to-first EMS arrival interval
Methodological detailsinternational, 2 urban centres (France, Canada), Greater Paris n = 3,760; Metro Vancouver n = 2,457
- International
- 2 urban centres (France, Canada)
- Greater Paris n = 3,760; Metro Vancouver n = 2,457
Main finding
As reported in the abstract
Median call-to-ALS and call-to-first EMS arrival intervals
| Group | Call-to-ALS, Greater Paris | Call-to-ALS, Metro Vancouver | Call-to-first EMS, Greater Paris | Call-to-first EMS, Metro Vancouver | Call-to-ALS, both regions | Call-to-first EMS, both regions |
|---|---|---|---|---|---|---|
| Historical | 21 min [IQR 16-29] | 12 min [IQR 9-17] | 11 min [IQR 8-14] | 7 min [IQR 5-8] | ||
| VTOL | 7-9 min | 6-8 min |
Call-to-ALS, Greater Paris
Historical21 min [IQR 16-29]
VTOL— not stated in the abstract
Call-to-ALS, Metro Vancouver
Historical12 min [IQR 9-17]
VTOL— not stated in the abstract
Call-to-first EMS, Greater Paris
Historical11 min [IQR 8-14]
VTOL— not stated in the abstract
Call-to-first EMS, Metro Vancouver
Historical7 min [IQR 5-8]
VTOL— not stated in the abstract
Call-to-ALS, both regions
Historical— not stated in the abstract
VTOL7-9 min
Call-to-first EMS, both regions
Historical— not stated in the abstract
VTOL6-8 min
- VTOL vs Historical: P < 0.001 — all comparisons, both regions
Observational data: associations, not effects.
Original publication
Improving EMS response times for out-of-hospital cardiac arrest in urban areas using drone-like vertical take-off and landing air ambulances: An international, simulation-based cohort study. Resuscitation. Published 7 October 2023. doi:10. 1016/ j. resuscitation. 2023. 109995
Composed by AI from the published abstract and checked against it. How Briefs are made →