TY  - JOUR
PY  - 2015//
TI  - Trends in traumatic out-of-hospital cardiac arrest in Perth, Western Australia from 1997 to 2014
JO  - Resuscitation
A1  - Beck, Ben
A1  - Tohira, Hideo
A1  - Bray, Janet E.
A1  - Straney, Lahn
A1  - Brown, Elizabeth
A1  - Inoue, Madoka
A1  - Williams, Teresa
A1  - McKenzie, Nicole
A1  - Celenza, Antonio
A1  - Bailey, Paul
A1  - Finn, Judith
SP  - 79
EP  - 84
VL  - 98
IS  - 
N2  - AIM: This study aims to describe and compare traumatic and medical out-of-hospital cardiac arrest (OHCA) occurring in Perth, Western Australia, between 1997 and 2014. <br><br>METHODS: The St John Ambulance Western Australia (SJA-WA) OHCA Database was used to identify all adult (≥16 years) cases. We calculated annual crude and age-sex standardised incidence rates (ASIRs) for traumatic and medical OHCA and investigated trends over time. <br><br>RESULTS: Over the study period, SJA-WA attended 1,354 traumatic OHCA and 16,076 medical OHCA cases. The mean annual crude incidence rate of traumatic OHCA in adults attended by SJA-WA was 6.0 per 100,000 (73.9 per 100,000 for medical cases), with the majority resulting from motor vehicle collisions (56.7%). We noted no change to either incidence or mechanism of injury over the study period (p>0.05). Compared to medical OHCA, traumatic OHCA cases were less likely to receive bystander cardiopulmonary resuscitation (CPR) (20.4% vs. 24.5%, p=0.001) or have resuscitation commenced by paramedics (38.9% vs. 44.8%, p<0.001). However, rates of bystander CPR and resuscitation commenced by paramedics increased significantly over time in traumatic OHCA (p<0.001). In cases where resuscitation was commenced by paramedics there was no difference in the proportion who died at the scene (37.2% traumatic vs. 34.3% medical, p=0.17), however, fewer traumatic OHCAs survived to hospital discharge (1.7% vs. 8.7%, p<0.001). <br><br>CONCLUSIONS: Despite temporal increases in rates of bystander CPR and paramedic resuscitation, traumatic OHCA survival remains poor with only nine patients surviving from traumatic OHCA over the 18-year period.<p />  <p>Language: en</p>
LA  - en
SN  - 0300-9572
UR  - http://dx.doi.org/10.1016/j.resuscitation.2015.10.015
ID  - ref1
ER  -