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Related Experiment Video

Updated: Jan 15, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Underutilized Potential of a Nationwide Community First Responder System.

Persia Shahriari1, Victor E Kjærulf1, Sofie Kjærholm1

  • 1Copenhagen University Hospital-Emergency Medical Services Copenhagen, Ballerup, Denmark.

Journal of the American College of Cardiology
|January 14, 2026
PubMed
Summary

Community first responder (CFR) systems for out-of-hospital cardiac arrest (OHCA) were activated in less than 60% of eligible cases. Activation varied by patient demographics and location, highlighting potential for system improvement.

Keywords:
community first responder systememergency medical servicesout-of-hospital cardiac arrest

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Area of Science:

  • Emergency Medicine
  • Public Health
  • Cardiology

Background:

  • Community first responder (CFR) systems aim to decrease time to cardiopulmonary resuscitation (CPR) and defibrillation for out-of-hospital cardiac arrest (OHCA).
  • Manual activation by emergency medical service (EMS) call takers in Denmark's Capital Region may lead to underutilization of the CFR system.

Purpose of the Study:

  • To determine the proportion of OHCAs where the CFR system was activated.
  • To identify characteristics of OHCAs associated with CFR system activation.

Main Methods:

  • A register-based study in Denmark's Capital Region analyzed OHCAs from September 2017 to December 2023.
  • Binomial regression models assessed factors influencing CFR system activation, including patient age, sex, EMS response time, time of day, and OHCA location.
  • Variability in activation rates among call takers was also analyzed.

Main Results:

  • The CFR system was activated in 57.5% of eligible OHCAs.
  • Higher activation likelihood was associated with patients aged 51-80, OHCAs in private homes, longer EMS response times, and nighttime occurrences in homes.
  • Female patients in specific age groups and considerable variability among call takers were noted.

Conclusions:

  • Less than 60% of eligible OHCAs triggered CFR system activation.
  • Activation rates differed based on patient characteristics and location, with significant variability among EMS call takers.
  • Findings underscore the need for optimizing CFR system activation protocols.