UCD Centre for Emergency Medical Science, School of Medicine, Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland.
UCD Centre for Emergency Medical Science, School of Medicine, Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland.
Resuscitation. 2017 Dec;121:141-146. doi: 10.1016/j.resuscitation.2017.10.025. Epub 2017 Oct 31.
The work context of the general practitioner (GP) potentially lends itself to the provision of early community based, cardiac arrest care. GPs have traditionally encountered out of hospital cardiac arrest (OHCA) as a component of routine patient care but have not been formally linked with the statutory ambulance service. Computer aided dispatch technology now allows real time GP text message alert to nearby cardiac arrest events.
To examine the feasibility, uptake and outcome of a novel scheme to alert GPs to nearby OHCA events in their communities.
GPs are recruited to voluntarily participate in a cardiac arrest text alert initiative called the 'MERIT 3' project. GPs indicate the hours during which they wish to receive OHCA text alerts, and also specify a geo-location from which they will receive alerts to OHCA events occurring within a specified radius. Data on alerts, responses, OHCA incidents and outcomes are gathered prospectively, using ambulance control and GP data and with corroborative data from the national OHCA registry.
423 general practices throughout Ireland were invited to participate. In the initial 12 months, 100 GPs from 85 individual practices have enrolled, 74 GPs have received alerts and 26 GPs have responded to incidents. Only 222/781 (28.4%) text alerts issued by ambulance control have proven to be recognised as cardiac arrests with resuscitation attempts. GPs have attended 51/776 (6.6%) OHCA incidents to which they have been alerted, with resuscitation undertaken in 34 cases with three survivors.
Text alert activation of GPs to nearby OHCA events has proven feasible, with significant activity during the establishment period, but a low survival rate which is similar to the overall national OHCA survival rate. A high proportion of alerts do not involve resuscitation opportunities.
全科医生（GP）的工作环境使其有可能在社区内提供早期的心脏骤停急救服务。GP 传统上是在常规患者护理中遇到院外心脏骤停（OHCA），但并未与法定的救护车服务正式联系在一起。计算机辅助调度技术现在允许对附近的心脏骤停事件实时向 GP 发送短信警报。
检验一种新方案在提醒社区内附近 OHCA 事件方面的可行性、参与度和结果。
招募 GP 自愿参与一项名为“MERIT 3”的心脏骤停短信警报倡议。GP 表明他们希望接收 OHCA 短信警报的时间，并指定他们将从哪个地理位置接收发生在指定半径内的 OHCA 事件的警报。使用救护车控制和 GP 数据以及来自全国 OHCA 登记处的佐证数据，前瞻性地收集有关警报、响应、OHCA 事件和结果的数据。
邀请了爱尔兰各地的 423 家全科诊所参与。在最初的 12 个月中，来自 85 个个体诊所的 100 名 GP 注册，74 名 GP 收到了警报，26 名 GP 对事件做出了响应。救护车控制发出的 222/781（28.4%）条短信警报被证明是可识别的有复苏尝试的心脏骤停事件。GP 对收到警报的 51/776（6.6%）OHCA 事件做出了响应，在 34 例中进行了复苏，其中 3 例存活。
向附近 OHCA 事件发送 GP 短信警报的激活已被证明是可行的，在建立阶段有显著的活动，但存活率较低，与全国 OHCA 总体存活率相似。高比例的警报不涉及复苏机会。
