||IMPROVING CARDIAC ARREST RECOGNITION AND EFFECTIVENESS (ICARE)
||National Institute for Health Research Policy Research Programme PR-ST-1014-00011
- Prof Caroline Watkins, Clinical Practice Research Unit, University of Central Lancashire (CPRU, UCLAN)
- Dr Michael Leathley, CPRU, UCLAN
- Dr Stephanie Jones, CPRU, UCLAN
- Dr Jo Gibson, CPRU, UCLAN
- Dr Chris Sutton, Clinical Trials Unit, UCLAN
- Dr Chris Price, Newcastle University
- Prof A N Siriwardena, CaHRU, University of Lincoln
- Dr David Roberts, Blackpool Teaching Hospitals NHS Foundation Trust
- Prof Tom Quinn, University of Surrey
- Mr David Dewitt, Blackpool Teaching Hospitals NHS Foundation Trust
- Prof Kevin Mackway-Jones, North West Ambulance Service NHS Trust and Manchester Royal Infirmary
- University of Central Lancashire
- Newcastle University
- University of Lincoln
- Blackpool Teaching Hospitals NHS Foundation Trust
- University of Surrey
- North West Ambulance Service NHS Trust and Manchester Royal Infirmary
||The aim of this study is to explore whether the recognition of, and response to, out of hospital cardiac arrest by English ambulance services can be improved.
- To explore and compare performance of dispatch systems (AMPDS and NHS Pathways) used by 999 call handlers for the recognition of out-of-hospital cardiac arrest and people at high risk of imminent cardiac arrest
- To identify ‘key indicator’ words used by people making emergency calls relating to people in cardiac arrest or at high risk of imminent cardiac arrest and estimate their sensitivity and specificity
- To synthesise the findings from the identification of the ‘key indicator’ words and the variables predictive of cardiac arrest to determine if it is possible to improve the accuracy of recognising out of hospital cardiac arrest and / or people at high risk of imminent cardiac arrest.
Recommendations to improve recognition of people in cardiac arrest and / or at high risk of imminent cardiac arrest
A model to examine the impact and economic consequences of implementing these recommendations.
||Peer reviewed report, publications and conference presentations.
||Findings could lead to better recognition of patients in, and at risk of cardiac arrest, by 999 call handlers which may impact on out of hospital cardiac arrest survival. Better recognition of cardiac arrest could also improve service provision and resource use by reducing the number of inappropriate diversions of ambulances, and therefore delayed arrival at other urgent incidents.