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[Management of cardiac arrest in a German soccer stadium. Structural, process and outcome quality]

T Luiz1, M Kumpch, M Metzger

  • 1Institut für Anaesthesiologie und Notfallmedizin, Westpfalz-Klinikum GmbH, Hellmut-Hartert-Strasse 1, 67655 Kaiserslautern, Germany. tluiz@westpfalz-klinikum.de

Der Anaesthesist
|July 16, 2005
PubMed

Insights

Sudden cardiac arrest is common in soccer stadiums. A well-organized emergency response system significantly improves survival rates for cardiac arrest patients, exceeding public health system outcomes.

Area of Science:

  • Emergency Medicine
  • Sports Cardiology
  • Public Health

Background:

  • Limited data exists on emergency medical care quality during mass gatherings in Germany.
  • This report details experiences managing cardiac arrest events in a large soccer stadium.

Purpose of the Study:

  • To evaluate the effectiveness of emergency medical care for cardiac arrest in a mass gathering setting.
  • To analyze survival rates and outcomes following resuscitation efforts in a soccer stadium.

Main Methods:

  • A 2-tiered emergency medical system with 3 emergency physicians and 65 support staff was utilized at Fritz-Walter Stadium (capacity 46,600).
  • Resuscitation followed European Resuscitation Council and American Heart Association guidelines.
  • Data collected over 80 months on witnessed cardiac arrests.

Main Results:

  • 13 witnessed cardiac arrests (all male) occurred, with initial rhythm being ventricular fibrillation in all cases.
  • Basic life support averaged 2 minutes; defibrillation and advanced life support averaged 4 minutes.
  • 77% regained spontaneous circulation, and 62% survived neurologically intact.

Conclusions:

  • Cardiac arrest is a frequent occurrence in soccer stadiums.
  • A well-organized emergency response system leads to significantly higher survival rates compared to public health systems.
Abstract

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