Percentage of Cardiac Arrest Patients Arriving to Hospital w/Pulse (Council Key Result Indicator #5)
Every year, more than 300,000 people experience an out-of-hospital cardiac arrest in the United States.1 To be clear, this measure evaluates those patients whose cardiac arrest was witnessed by a bystander and were found in a shockable rhythm.
The Fire Department works with the transporting ambulance service to record information on each cardiac arrest in Olathe. This includes patient outcome, in the CARES registry – the Cardiac Arrest Registry to Enhance Survival – a national network established by the CDC to improve data collection on cardiac arrests in the United States. Tracking this information helps discover ways to improve our response and compare our performance to local, state and national performance data. We are hopeful this tracking will help us identify ways to continue to improve a patient’s chance of surviving a cardiac arrest in Olathe.
The target was previously based on a benchmark for similarly sized jurisdictions. Since Olathe's performance was consistently better than this target, the target was increased to 40% in 2016, which is based on a 3-year average and the desire to continuously improve.
In Olathe, the percentage of cardiac arrest patients (with attempted resuscitation) arriving to the hospital with a pulse was 54.35% which is well above the 40% target for this measure.
The department’s success percentage has continued to increase steadily for the last several years. In fact, the target was raised based on our own previous performance as benchmarks, as peer communities and national trends tended to be lower. Continued investment in technology and training allow firefighter/paramedics to quickly respond to a patient’s cardiac needs.
In 2016, the Fire Department also continued efforts to promote CPR education in the community. This ensures people are trained to help in the Chain of Survival – a four-link intervention process which can help save lives of patients. The links are early access to emergency care via 911, early CPR (by-stander), early defibrillation (AED) and early advanced care by emergency responders. When each link in the chain works successfully the chance of surviving a cardiac arrest increases greatly.