Role of the Saudi Red Crescent Authority in Out-of-Hospital Cardiac Arrest Survival Rates
DOI:
https://doi.org/10.22399/ijcesen.4048Abstract
The Saudi Red Crescent Authority (SRCA) plays a critical role in improving out-of-hospital cardiac arrest (OHCA) survival rates across Saudi Arabia through its comprehensive emergency medical services (EMS). By implementing extensive training programs for its personnel and collaborating with local hospitals, the SRCA ensures that emergency responders are equipped with the necessary skills to deliver timely and effective cardiopulmonary resuscitation (CPR) and defibrillation. Moreover, the SRCA actively propagates public awareness initiatives to educate citizens on recognizing cardiac arrest symptoms and the importance of calling emergency services immediately. These efforts aim to create a robust community response system, thereby increasing the chances of survival for individuals experiencing cardiac arrest outside hospital settings. In addition to direct emergency care, the SRCA's strategic deployment of automated external defibrillators (AEDs) in public spaces significantly enhances the likelihood of effective resuscitation during OHCA incidents. The organization routinely partners with educational institutions and local businesses to install AEDs and conduct CPR training workshops, empowering citizens to take immediate action in emergencies. Furthermore, the SRCA collects and analyzes data on cardiac arrest incidents, allowing for ongoing evaluation and improvement of their response strategies. These multifaceted approaches not only bolster OHCA survival rates but also contribute to fostering a culture of preparedness and responsiveness regarding cardiac emergencies throughout the Kingdom.
References
[1] Sasson C, Rogers MAM, Dahl J, et al. Predictors of survival from out-of-hospital cardiac arrest: a systematic review and meta-analysis. Circ Cardiovasc Qual Outcomes. 2010;3(1):63–81.
[2] Alsharari A, Alduraywish A, Al-Zarea E, et al. Current status of knowledge about cardiopulmonary resuscitation among the university students in the northern region of Saudi Arabia. Cardiol Res Pract. 2018;2018.
[3] Wissenberg M, Lippert FK, Folke F, Weeke P, Hansen CM, Christensen EF, et al. Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest. J Am Med Assoc. 2013;310(13):1377–84.
[4] Al Enizi B, Saquib N, Zaghloul M, et al. Knowledge and attitudes about basic life support among secondary school teachers in Al-Qassim, Saudi Arabia. Int J Health Sci. 2016;10(3):415–422.
[5] Huang LH, Ho YN, Tsai MT, et al. Response time threshold for predicting outcomes of patients with out-of-hospital cardiac arrest. Emerg Med Int. 2021;11:2021.
[6] Virani SS, Alonso A, Aparicio HJ, Benjamin EJ, Bittencourt MS, Callaway CW, et al. Heart disease and stroke statistics - 2021 update: a report from the American heart association. Circulation. 2021;143:E254–743.
[7] Lim SL, Smith K, Dyson K, Chan SP, Earnest A, Nair R, et al. Incidence and outcomes of out-of-hospital cardiac arrest in Singapore and Victoria: a collaborative study. J Am Heart Assoc. 2020;9(21):e015981.
[8] McNally B, Robb R, Mehta M, et al. Out-of-hospital cardiac arrest surveillance — Cardiac Arrest Registry to Enhance Survival (CARES), United States, October 1, 2005–December 31, 2010. MMWR Surveill Summ. 2011;60(8):1–19.
[9] Al-Mulhim MA, Alshahrani MS, Asonto LP, et al. Impact of epinephrine administration frequency in out-of-hospital cardiac arrest patients: a retrospective analysis in a tertiary hospital setting. J Int Med Res. 2019;47(9):4272–4283.
[10] Subki AH, Mortada HH, Alsallum MS, et al. Basic life support knowledge among a nonmedical population in Jeddah, Saudi Arabia: Cross-Sectional Study. Interact J Med Res. 2018;7(2):e10428.
[11] Alhabib KF, Batais MA, Almigbal TH, Alshamiri MQ, Altaradi H, Rangarajan S, et al. Demographic, behavioral, and cardiovascular disease risk factors in the Saudi population: results from the prospective urban rural epidemiology study (PURE-Saudi). BMC Public Health. 2020;20(1):1–14.
[12] Bin Salleeh HM, Gabralla KA, Leggio WJ, Al Aseri ZA. Out-of-hospital adult cardiac arrests in a university hospital in central Saudi Arabia. Saudi Med J. 2015;36(9):1071–5.
[13] Hawkes C, Booth S, Ji C, Brace-McDonnell SJ, Whittington A, Mapstone J, et al. Epidemiology and outcomes from out-of-hospital cardiac arrests in England. Resuscitation. 2017;110:133–40.
[14] Doan TN, Schultz BV, Rashford S, Bosley E. Surviving out-of-hospital cardiac arrest: the important role of bystander interventions. Australas Emerg Care. 2020;23(1):47–54.
[15] Alnajjar H, Hilal RM, Alharbi AJ, et al. Evaluation of awareness, knowledge, and attitudes towards basic life support among non-medical students at two academic institutions in Jeddah, Saudi Arabia. Adv Med Educ Pract. 2020;11:1015.
[16] Berdowski J, Berg RA, Tijssen JGP, Koster RW. Global incidences of out-of-hospital cardiac arrest and survival rates: systematic review of 67 prospective studies. Resuscitation. 2010;81(11):1479–87.
[17] Perkins GD, Jacobs IG, Nadkarni VM, Berg RA, Bhanji F, Biarent D, et al. Cardiac arrest and cardiopulmonary resuscitation outcome reports: update of the utstein resuscitation registry templates for out-of-hospital cardiac arrest. Circulation. 2015;132(13):1286–300.
[18] Wik L, Steen PA, Bircher NG. Quality of bystander cardiopulmonary resuscitation influences outcome after prehospital cardiac arrest. Resuscitation. 1994;28(3):195–203.
[19] Girotra S, van Diepen S, Nallamothu BK, Carrel M, Vellano K, Anderson ML, et al. Regional variation in out-of-hospital cardiac arrest survival in the United States. Circulation. 2016;133(22):2159–68.
[20] Gallagher EJ, Lombardi G, Gennis P. Effectiveness of bystander cardiopulmonary resuscitation and survival following out-of-hospital cardiac arrest. J Am Med Assoc. 1995;274(24):1922–5.
[21] Blom MT, Beesems SG, Homma PCM, Zijlstra JA, Hulleman M, van Hoeijen DA, et al. Improved survival after out-of-hospital cardiac arrest and use of automated external defibrillators. Circulation. 2014;130(21):1868–75.
[22] Lindner TW, Søreide E, Nilsen OB, Torunn MW, Lossius HM. Good outcome in every fourth resuscitation attempt is achievable-an utstein template report from the Stavanger region. Resuscitation. 2011;82(12):1508–13.
[23] Iwami T, Kawamura T, Hiraide A, Berg RA, Hayashi Y, Nishiuchi T, et al. Effectiveness of bystander-initiated cardiac-only resuscitation for patients with out-of-hospital cardiac arrest. Circulation. 2007;116(25):2900–7.
[24] Valenzuela TD, Roe DJ, Cretin S, Spaite DW, Larsen MP. Estimating effectiveness of cardiac arrest interventions: a logistic regression survival model. Circulation. 1997;96(10):3308–13.
[25] Pei-Chuan Huang E, Chiang WC, Hsieh MJ, Wang HC, Yang CW, Lu TC, et al. Public knowledge, attitudes and willingness regarding bystander cardiopulmonary resuscitation: a nationwide survey in Taiwan. J Formos Med Assoc. 2019;118(2):572–81.
[26] Holmberg M, Holmberg S, Herlitz J. Effect of bystander cardiopulmonary resuscitation in out-of-hospital cardiac arrest patients in Sweden. Resuscitation. 2000;47(1):59–70.
[27] Batt AM, Al-Hajeri AS, Cummins FH. A profile of out-of-hospital cardiac arrests in Northern Emirates, United Arab Emirates. Saudi Med J. 2016;37(11):1206.
[28] Cheskes S, McLeod SL, Nolan M, Snobelen P, Vaillancourt C, Brooks SC, et al. Improving access to automated external defibrillators in rural and remote settings: a drone delivery feasibility study. J Am Heart Assoc. 2020;9(14):16687.
[29] Claesson A, Fredman D, Svensson L, Ringh M, Hollenberg J, Nordberg P, et al. Unmanned aerial vehicles (drones) in out-of-hospital-cardiac-arrest. Scand J Trauma Resusc Emerg Med. 2016;24(1):1–9.
[30] Claesson A, Bäckman A, Ringh RNM, Svensson L, Nordberg P, Djärv T, et al. Time to delivery of an automated external defibrillator using a drone for simulated out-of-hospital cardiac arrests vs emergency medical services. J Am Med Assoc. 2017;317(22):2332–4.
[31] Derkenne C, Jost D, Miron De L'Espinay A, Corpet P, Frattini B, Hong V, et al. Automatic external defibrillator provided by unmanned aerial vehicle (drone) in greater Paris: a real world-based simulation. Resuscitation. 2021;162:259–65.
[32] Schierbeck S, Hollenberg J, Nord A, Svensson L, Nordberg P, Ringh M, et al. Automated external defibrillators delivered by drones to patients with suspected out-of-hospital cardiac arrest. Eur Heart J. 2022;43(15):1478–87.
[33] Conroy KM, Jolin SW. Cardiac arrest in Saudi Arabia: a 7-year experience in Riyadh. J Emerg Med. 1999;17(4):617–23.
[34] Qara FJ, Alsulimani LK, Fakeeh MM, et al. Knowledge of nonmedical individuals about cardiopulmonary resuscitation in case of cardiac arrest: a cross-sectional study in the population of Jeddah, Saudi Arabia. Emerg Med Int. 2019;2019:1–11.
[35] Shams A, Raad M, Chams N, et al. Community involvement in out of hospital cardiac arrest: a cross-sectional study assessing cardiopulmonary resuscitation awareness and barriers among the Lebanese youth. Medicine. 2016;95(43):e5091.
[36] Holmberg M, Holmberg S, Herlitz J, Gardelov B. Survival after cardiac arrest outside hospital in Sweden. Swedish Cardiac Arrest Registry. Resuscitation. 1998;36(1):29–36.
[37] Gräsner JT, Herlitz J, Tjelmeland IB, et al. European resuscitation council guidelines 2021: epidemiology of cardiac arrest in Europe. Resuscitation. 2021;161:61–79.
[38] Atwood C, Eisenberg MS, Herlitz J, et al. Incidence of EMS-treated out-of-hospital cardiac arrest in Europe. Resuscitation. 2005;67(1):75–80.
[39] Hasselqvist-Ax I, Riva G, Herlitz J, et al. Early cardiopulmonary resuscitation in out-of-hospital cardiac arrest. N Engl J Med. 2015;372(24):2307–2315.
[40] Holmberg M, Holmberg S, Herlitz J, Axelsson C. Survival after cardiac arrest outside hospital over a 12-year period in Gothenburg. Resuscitation. 1994;27(3):181–7.
[41] Eisenberg MS, Bergner L, Hallstrom A. Cardiac resuscitation in the community. Importance of rapid provision and implications for program. J Am Med Assoc. 1979;241(18):1905–7.
[42] Holmberg M, Holmberg S, Herlitz J. Incidence, duration and survival of ventricular fibrillation in out-of-hospital cardiac arrest patients in Sweden. Resuscitation. 2000;44(1):7–17.
[43] Reades R, Studnek JR, Vandeventer S, et al. Intraosseous versus intravenous vascular access during out-of-hospital cardiac arrest: a randomized controlled trial. Ann Emerg Med. 2011;58(6):509–516.
[44] McMullan J, Gerecht R, Bonomo J, et al. Airway management and out-of-hospital cardiac arrest outcome in the CARES registry. Resuscitation. 2014;85(5):617–622.
[45] Holmén J, Herlitz J, Ricksten SE, et al. Shortening ambulance response time increases survival in out-of-hospital cardiac arrest. J Am Heart Assoc. 2020;9(21):e017048.
[46] Scquizzato T, D'Amico F, Rocchi M, et al. Impact of COVID-19 pandemic on out-of-hospital cardiac arrest system-of-care: a systematic review and meta-analysis. Prehosp Emerg Care. 2021:1–12.
[47] Baldi E, Sechi GM, Mare C, et al. Out-of-hospital cardiac arrest during the covid-19 outbreak in Italy. N Engl J Med. 2020;383(5):496–498.
[48] Couper K, Taylor-Phillips S, Grove A, et al. COVID-19 in cardiac arrest and infection risk to rescuers: a systematic review. Resuscitation. 2020;151:59–66.
[49] McCarthy JJ, Carr B, Sasson C, et al. Out-of-hospital cardiac arrest resuscitation systems of care: a scientific statement from the American Heart Association. Circulation. 2018;137(21):e645–e660.
[50] Stiles MK, Wilde AAM, Abrams DJ, Ackerman MJ, Albert CM, Behr ER, et al. 2020 APHRS/HRS expert consensus statement on the investigation of decedents with sudden unexplained death and patients with sudden cardiac arrest, and of their families. Heart Rhythm. 2021;18(1):e1–50.
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