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New EMS system in Arizona dramatically improves survival from cardiac arrest
Date:7/25/2014

ona Department of Health Services, the University of Arizona, over 30 hospitals and more than 100 fire departments and EMS agencies. The SHARE Program is part of a network of statewide cardiac resuscitation programs dedicated to improving cardiac arrest survival and working together as the HeartRescue Project.

"We worked closely with the hospitals around the state to implement these Guidelines and then formally recognized the hospitals as Cardiac Receiving Centers (CRCs) ," said Ben Bobrow, MD, Medical Director of the Bureau of Emergency Medicine Services and Trauma System for the Arizona Department of Health Services in Phoenix, Ariz. "We then developed protocols for our EMS agencies to transport post-cardiac arrest patients to those centers. Our overarching goal was to have more cardiac arrest victims leave the hospital in good shape and be able to return to their families and careers. As we suspected, 'regionalizing' the care for these critically-ill patients markedly increased their likelihood of survival and good neurologic outcome."

Dr. Bobrow, who is also a professor of emergency medicine at the University of Arizona College of Medicine-Phoenix and an emergency physician at Maricopa Medical Center, said the study shows that just transporting these patients to the nearest emergency department does not maximize the likelihood of a positive outcome. According to Dr. Bobrow, "Our data show that if the state approaches this as a regionalized system of emergency care delivery, significantly more people survive cardiac arrest and return to their families."

Dr. Spaite commented that dozens of cardiac arrest victims survived as a direct result of this effort in Arizona, and implementing similar regionalized post-cardiac arrest systems of care around the country "could potentially save thousands of lives each year from one of the leading causes of death."

The state began recognizing Cardiac Receiving Centers in 2007, and the f
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Contact: Julie Lloyd
jlloyd@acep.org
202-370-9292
American College of Emergency Physicians
Source:Eurekalert

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