Successes are higher in Cardiac Arrest and Heart Attack
(Evansville, Indiana) — Throughout the United States, persons fall victim to heart attacks and sudden cardiac arrests every day. The Emergency Medical Services system is there to care for and help provide better outcomes for those individuals who suffer these events. In Evansville, the fire department first responders and American Medical Response have focused on improving the outcomes of our patients. Two of the most time critical, life threatening conditions are heart attacks and cardiac arrest.
In May, American Medical Response and the Evansville Fire Department received word that the community’s cardiac arrest outcomes during 2014 exceeded the national aggregate by a significant amount. The numbers, reported by the CARES (The Cardiac Arrest Registry to Enhance Survival) program, a national cardiac arrest measurement group supported by the Centers for Disease Control (CDC) and Emory University, showed a drastic difference in outcomes for Evansville and Vanderburgh County when compared to national averages. Bystander CPR is the first link in the chain of survival. The  quality CPR and basic life support care provided by the Evansville Fire Department and surrounding Vanderburgh County fire departments coupled with the Emergency Medical Dispatch instructions for callers to 911 and the paramedic care provided by AMR has resulted in a higher success rate.
Below is a summary of these important numbers:
- Bystander CPR: National – 40.4%, Evansville – 43.8%
- Automatic External Defibrillators (AED) applied prior to EMS arrival: National – 27.1%, Evansville – 52.6%
- First Responder Defibrillation: National – 6.1%, Evansville – 13.0%
- ROSC (Return of a pulse by EMS): National – 32.2%, Evansville – 35.4%
- Survival to discharge from Hospital: National – 10.8%, Evansville – 14.6%
- Utstein Survival (presumed cardiac nature): National: 32.5%, Evansville – 47.6%
In addition to exceptional care provided for cardiac arrest, AMR was recognized in May as a Gold level provider in the American Heart Association’s Mission Lifeline program. The program focuses on the application of 12-lead electrocardiograms in the prehospital setting and the relay of that information to the receiving hospital for the purpose of decreasing time to critical interventions in the cardiac catheterization lab. AMR was one of only three Indiana EMS providers recognized this year by the AHA.