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Impact of COVID-19 on out-of-hospital cardiac arrest care processes
Betty Pennington1, Steve Bell2, Adam Wright1
1Research Paramedic; North West Ambulance Service NHS Trust.
Insights
The COVID-19 pandemic
Area of Science:
- Emergency medicine
- Public health
- Cardiology
Background:
- Out-of-hospital cardiac arrest (OHCA) survival depends on early interventions.
- The COVID-19 pandemic's impact on OHCA pre-hospital care is not well understood.
- Timely emergency medical services (EMS) are crucial for OHCA outcomes.
Purpose of the Study:
- To critically appraise a systematic review and meta-analysis.
- To assess the COVID-19 pandemic's effect on pre-hospital OHCA care.
- To understand changes in bystander cardiopulmonary resuscitation and defibrillator use during the pandemic.
Main Methods:
- Critical appraisal of a systematic review and meta-analysis.
- Analysis of studies examining pre-hospital OHCA care during the COVID-19 pandemic.
- Synthesis of evidence on the impact of pandemic-related factors on OHCA outcomes.
Main Results:
- The systematic review and meta-analysis provide insights into pandemic-related changes.
- Evidence suggests potential disruptions to standard OHCA care protocols.
- The review highlights the need for further research on pandemic effects on OHCA survival.
Conclusions:
- The COVID-19 pandemic may have influenced pre-hospital care for OHCA.
- Understanding these impacts is vital for future emergency response planning.
- Further investigation is needed to confirm and quantify the pandemic's effects on OHCA survival rates.
Abstract:
Early bystander cardiopulmonary resuscitation, use of defibrillators (including automated external defibrillators) and timely treatment by emergency medical services are known to increase the chances of survival for a patient experiencing an out-of-hospital cardiac arrest (OHCA); however, the impact of the COVID-19 pandemic on this is unclear from examining previous literature. This commentary critically appraises a recent systematic review and meta-analysis which assesses the effect of the COVID-19 pandemic on pre-hospital care for OHCA.
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