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

ResuscitationPublished 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
GroupCall-to-ALS, Greater ParisCall-to-ALS, Metro VancouverCall-to-first EMS, Greater ParisCall-to-first EMS, Metro VancouverCall-to-ALS, both regionsCall-to-first EMS, both regions
Historical21 min [IQR 16-29]12 min [IQR 9-17]11 min [IQR 8-14]7 min [IQR 5-8]
VTOL7-9 min6-8 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 →

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