National survival from ventricular fibrillation is estimated at 21 percent, Drs. Mickey Eisenberg and Bruce Psaty write.

Experts Advise Auditing All Witnessed VF Collapses

Dr. Mickey S. Eisenberg, MD, Ph.D., and co-author Bruce M. Psaty, MD, Ph.D., write in the July 7 issue of JAMA that "a starting assumption is that every patient with witnessed ventricular fibrillation should survive."

Two authors writing in the new issue of JAMA advocate having EMS medical directors audit every case of ventricular fibrillation (VF) with a witnessed collapse to understand why some of those victims don't survive. "A starting assumption is that every patient with witnessed ventricular fibrillation should survive. This assumption is not unreasonable, considering that defibrillation if provided within 3 minutes of collapse can achieve a survival rate of 74% in the community. If the patient did not survive, the audit should determine why not," write Dr. Mickey S. Eisenberg, MD, Ph.D., of Seattle & King County Public Health's Division of Emergency Medical Services, and co-author Bruce M. Psaty, MD, Ph.D., of the Cardiovascular Health Research Unit, University of Washington and the Group Health Research Institute, Group Health Cooperative, in Seattle.

2010 is the 50th anniversary of the invention of CPR. While its use has saved thousands of people since 1960, outcomes remain disappointing because bystander-initiated CPR occurs in only an estimated 31 percent of out-of-hospital cardiac arrests, they write.

They say the American Heart Association's recent shift in favor of hands-only CPR will help, as will dispatcher-assisted telephone CPR. Auditing witnessed VF collapses, which they contend is likely to show a community how to raise its survival rate, is rarely done, however. "Yes, we audit every case of witnessed VF. I suspect it is done by fewer than 1 percent of communities," Eisenberg said in answer to an e-mailed question.

Download Center

HTML - No Current Item Deck
  • Free Safety Management Software Demo

    IndustrySafe Safety Management Software helps organizations to improve safety by providing a comprehensive toolset of software modules to help businesses identify trouble spots; reduce claims, lost days, OSHA fines; and more.

  • Easy to Use Safety Incident App

    Record incidents on the go with IndustrySafe’s mobile app. Collect data for multiple types of incidents including including near misses, vehicle and environmental incidents, and employee and non-employee injuries; at job sites and remote locations—with or without web access.

  • Safety Training 101

    When it comes to safety training, no matter the industry, there are always questions regarding requirements and certifications. IndustrySafe is here to help. We put together a resource that’s easy to digest so you can get answers to your training questions and ensure you're complying with OSHA's standards.

  • Conduct EHS Inspections and Audits

    Record and manage your organization’s inspection data with IndustrySafe’s Inspections module. IndustrySafe’s pre-built forms and checklists may be used as is, or can be customized to better suit the needs of your organization.

  • Track Key Safety Performance Indicators

    IndustrySafe’s Dashboard Module allows organizations to easily track safety KPIs and metrics. Gain increased visibility into your business’ operations and safety data.

  • Industry Safe
comments powered by Disqus