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Ultrasonographic Assessment During Cardiopulmonary Resuscitation
Published on: October 24, 2020
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Research on the Rescue Time of the Taiwan Marathon Emergency Medical Service System Between 2013 and 2021
Tsu-I Hsia1, Chih-Yuan Wei1, Li-Yun Fann2,3,4
1Graduate Institute of Life Sciences, National Defense Medical Center, Taipei.
Sports Health
|June 5, 2023
Summary
Rapid onsite medical response is crucial for marathon emergencies. This study found a 1.56-minute average contact time for out-of-hospital cardiac arrest (OHCA) cases, with a 100% success rate for recovery of spontaneous circulation (ROSC).
Area of Science:
- Emergency Medicine
- Sports Medicine
- Epidemiology
Background:
- Limited data exists on emergency response times and outcomes for the Taipei Marathon.
- Previous studies on marathon injuries globally lack specific data on out-of-hospital cardiac arrest (OHCA) and recovery of spontaneous circulation (ROSC) in this event.
Purpose of the Study:
- To investigate onsite rescue times for injury cases during the Taipei Marathon.
- To determine the incidence of OHCA and the success rate of ROSC in Taipei Marathon participants.
- To analyze emergency medical service capacity and configuration for the event.
Main Methods:
- A retrospective descriptive epidemiological study analyzing data from the Taipei Marathon (2013-2021).
- Data included notification records, emergency care personnel contact times, OHCA incidence, ROSC rates, OHCA locations, and EMS resources.
- Descriptive statistics were used to analyze numerical and time-flow data.
Main Results:
- The average first contact time for OHCA cases was 1.56 minutes.
- The overall incidence of OHCA was 4 per 100,000 participants over 9 years, with a 100% ROSC success rate.
- OHCA events predominantly occurred in the latter stages of the race (Q4: 66.67%, Q3: 22.22%).
Conclusions:
- Prompt medical arrival and a complete chain of survival are vital for improving survival rates in marathon events.
- Optimizing emergency medical service response and resource allocation can enhance outcomes for critical incidents like OHCA.
- Further research is needed to identify additional strategies for faster and more effective emergency rescue services during marathons.
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