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Published on: January 5, 2018
Citizen response to cardiopulmonary emergencies
W H Montgomery1, D D Brown, M F Hazinski
1Straub Clinic and Hospital, Inc., Honolulu.
Annals of Emergency Medicine
|February 1, 1993
Summary
For adult cardiac arrest, call emergency medical services (EMS) first before starting CPR. For pediatric respiratory arrest, provide one minute of CPR before calling EMS to improve survival rates.
Area of Science:
- Emergency Medicine
- Cardiology
- Pediatric Resuscitation
Background:
- Prompt defibrillation is critical for adult sudden cardiac death survival.
- Lay rescuer CPR often delays emergency medical services (EMS) activation and defibrillation.
Purpose of the Study:
- To recommend optimal emergency response strategies for sudden cardiac arrest and respiratory arrest.
- To emphasize the importance of timely EMS activation for improved patient outcomes.
Main Methods:
- Review of established resuscitation guidelines and survival data.
- Analysis of typical lay rescuer response patterns in emergency situations.
Main Results:
- Adults with sudden cardiac arrest benefit most from immediate EMS activation ('phone first').
- Children experiencing respiratory arrest benefit from initial rescue support before EMS activation ('phone fast').
Conclusions:
- The 'phone first' strategy is recommended for adult cardiac arrest to minimize defibrillation delay.
- The 'phone fast' strategy is recommended for pediatric respiratory arrest, acknowledging evolving EMS infrastructure.
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