International Emergency Nursing Vol. 59 November 2021
“Time that save lives” while waiting for ambulance in rural environments (Case study)
Dublin Core
Title
International Emergency Nursing Vol. 59 November 2021
“Time that save lives” while waiting for ambulance in rural environments (Case study)
“Time that save lives” while waiting for ambulance in rural environments (Case study)
Subject
Ambulance, Ambulance staff, Emergency call, Emergency medical dispatcher (EMD), Emergency medical services (EMS), Firefighters, First aid
First responder, Out of hospital cardiac arrest (OHCA), Resuscitation
First responder, Out of hospital cardiac arrest (OHCA), Resuscitation
Description
Aim: Firefighters perform first aid before the ambulance arrives in areas with a long response time in Sweden;
this is called ‘While Waiting for the Ambulance’ (WWFA). The aim was to describe WWFA assignments in rural
environments, focusing on frequency, event time, actions and survival >30 days after cardiopulmonary resuscitation (CPR) was performed.
Methods: Retrospective descriptive and comparative design.
Results: Firefighters in the northern part of Sweden were involved in 518 WWFA assignments between 2012 and 2016. From alarm call until ambulance dispatch, median time was 2:20 min; for firefighters, nearly four minutes. Median dispatch time at out-of-hospital cardiac arrests (OHCA) (n = 52) was 1:40 min for ambulance and three minutes for firefighters. Maximal dispatch time was nearly 10 min for ambulance and 44 min for firefighters.
Firefighters arrived first at the scene, after 17 min’ median, for 95 % of assignments, while the ambulance took nearly twice the amount of time. In OHCA situations, time for firefighters was over 19 min versus ambulance at nearly twice the time. CPR was terminated by ambulance staff at 83% (n = 43) of 52 when firefighters performed prolonged CPR. Return to spontaneous circulation after OHCA was 17%, and 9% were alive after >30 days.
Conclusion: The efficiency of incident time and utilisation rate for WWFA assignments can be increased for the
benefit of affected persons, especially in OHCA.
this is called ‘While Waiting for the Ambulance’ (WWFA). The aim was to describe WWFA assignments in rural
environments, focusing on frequency, event time, actions and survival >30 days after cardiopulmonary resuscitation (CPR) was performed.
Methods: Retrospective descriptive and comparative design.
Results: Firefighters in the northern part of Sweden were involved in 518 WWFA assignments between 2012 and 2016. From alarm call until ambulance dispatch, median time was 2:20 min; for firefighters, nearly four minutes. Median dispatch time at out-of-hospital cardiac arrests (OHCA) (n = 52) was 1:40 min for ambulance and three minutes for firefighters. Maximal dispatch time was nearly 10 min for ambulance and 44 min for firefighters.
Firefighters arrived first at the scene, after 17 min’ median, for 95 % of assignments, while the ambulance took nearly twice the amount of time. In OHCA situations, time for firefighters was over 19 min versus ambulance at nearly twice the time. CPR was terminated by ambulance staff at 83% (n = 43) of 52 when firefighters performed prolonged CPR. Return to spontaneous circulation after OHCA was 17%, and 9% were alive after >30 days.
Conclusion: The efficiency of incident time and utilisation rate for WWFA assignments can be increased for the
benefit of affected persons, especially in OHCA.
Creator
Helena Nord-Ljungquist, Katarina Bohm, Bengt Fridlund, Carina Elmqvist , Åsa Engstrom
Publisher
Elsevier Ltd.
Date
November 2021
Contributor
Sri Wahyuni
Rights
1755-599X
Format
PDF
Language
English
Type
Text
Coverage
International Emergency Nursing Vol. 59 November 2021
Files
Citation
Helena Nord-Ljungquist, Katarina Bohm, Bengt Fridlund, Carina Elmqvist , Åsa Engstrom , “International Emergency Nursing Vol. 59 November 2021
“Time that save lives” while waiting for ambulance in rural environments (Case study),” Repository Horizon University Indonesia, accessed April 26, 2025, https://repository.horizon.ac.id/items/show/1700.
“Time that save lives” while waiting for ambulance in rural environments (Case study),” Repository Horizon University Indonesia, accessed April 26, 2025, https://repository.horizon.ac.id/items/show/1700.