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.

  • The Top 5 Safety and Technology Trends to Watch in 2019

    Get the latest on trends you can expect to hear more about in 2019, including continued growth of mobile safety applications, wearable technology, and smart PPE; autonomous vehicles; pending OSHA recordkeeping rulemaking; and increased adoption of international safety standard, ISO 45001.

  • Get the Ultimate Guide to OSHA Recordkeeping

    OSHA’s Form 300A posting deadline is February 1! Are you prepared? To help answer your key recordkeeping questions, IndustrySafe put together this guide with critical compliance information.

  • Safety Training 101

    When it comes to safety training, no matter the industry, there are always questions regarding requirements and certifications. We’ve put together a guide on key safety training topics, requirements for certifications, and answers to common training questions.

  • 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.

  • Industry Safe

OH&S Digital Edition

  • OHS Magazine Digital Edition - January 2019

    January 2019


      Production vs. Safety 
      Meeting the Requirements for Emergency Equipment
      The State of Contractor Safety
      The Three Keys to Effective Chemical Management
    View This Issue