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Arch Emerg Med. 1992 June; 9(2): 203–207.
PMCID: PMC1285861

Flying squad response to out-of-hospital cardiac arrest--a decade of experience.

Abstract

The Flying Squad (MEDIC I) based at the Royal Infirmary, Edinburgh, commenced operation in 1980. The MEDIC I response to out of hospital non-traumatic cardiac arrest over the past decade is reported. On-scene resuscitation was attempted in 384 patients. A total of 149 (39%) patients were successfully resuscitated and transferred to hospital. Thirty-six (9.4%) patients survived to discharge from hospital. Patients receiving basic life support prior to the arrival of MEDIC I and in ventricular fibrillation had a survival rate of 14.5% (25/174). During 1988-89, 21 patients were initially attended by ambulance crews equipped with semi-automatic external defibrillators and eight (38%) of these patients survived. The response of a hospital-based flying squad to support trained ambulance crews, especially when equipped with a defibrillator may provide an economically and operationally feasible alternative to training all first responders in the full range of paramedic skills.

Full text

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Bett JH. Experience with a mobile coronary care unit in Brisbane. Ann Emerg Med. 1989 Sep;18(9):969–974. [PubMed]
  • Barton D, Pritty P. Flying Squad response to medical emergencies. Arch Emerg Med. 1990 Mar;7(1):28–34. [PMC free article] [PubMed]
  • Cobbe SM, Redmond MJ, Watson JM, Hollingworth J, Carrington DJ. "Heartstart Scotland"--initial experience of a national scheme for out of hospital defibrillation. BMJ. 1991 Jun 22;302(6791):1517–1520. [PMC free article] [PubMed]
  • Collins J. Organization and function of an accident flying squad. Br Med J. 1966 Sep 3;2(5513):578–580. [PMC free article] [PubMed]
  • Cummins RO, Eisenberg MS. Cardiopulmonary resuscitation--American style. Br Med J (Clin Res Ed) 1985 Nov 16;291(6506):1401–1403. [PMC free article] [PubMed]
  • Dark PM, Little K, Steedman DJ, Gordon MW, Robertson CE. An objective analysis of an accident flying squad. Scott Med J. 1990 Jun;35(3):73–76. [PubMed]
  • Rowley JM, Mounser P, Garner C, Hampton JR. Advanced training for ambulance crews: implications from 403 consecutive patients with cardiac arrest managed by crews with simple training. Br Med J (Clin Res Ed) 1987 Nov 28;295(6610):1387–1389. [PMC free article] [PubMed]
  • Rowley DI, Collins Role of an accident flying squad in medical emergencies. Resuscitation. 1978;6(4):243–248. [PubMed]
  • Steedman DJ. Medical teams for accidents and major disasters. Injury. 1990 Jul;21(4):206–208. [PubMed]
  • Stults KR, Brown DD, Schug VL, Bean JA. Prehospital defibrillation performed by emergency medical technicians in rural communities. N Engl J Med. 1984 Jan 26;310(4):219–223. [PubMed]
  • Weaver WD, Copass MK, Hill DL, Fahrenbruch C, Hallstrom AP, Cobb LA. Cardiac arrest treated with a new automatic external defibrillator by out-of-hospital first responders. Am J Cardiol. 1986 May 1;57(13):1017–1021. [PubMed]
  • Weaver WD, Hill D, Fahrenbruch CE, Copass MK, Martin JS, Cobb LA, Hallstrom AP. Use of the automatic external defibrillator in the management of out-of-hospital cardiac arrest. N Engl J Med. 1988 Sep 15;319(11):661–666. [PubMed]

Articles from Archives of Emergency Medicine are provided here courtesy of BMJ Group