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  • Title: Advanced life support for out-of-hospital cardiac arrest--the changing role of a hospital-based flying squad.
    Author: Gleeson AP, Mitchell RG, Robertson CE.
    Journal: Eur J Emerg Med; 1998 Sep; 5(3):285-7. PubMed ID: 9827829.
    Abstract:
    The success of hospital-based flying squads in the management of out-of-hospital cardiac arrest has been well documented, but since the introduction of ambulance paramedics the need for such teams to deal with cardiac arrests has been questioned. We performed a 3-year retrospective study of non-traumatic arrests attended by Medic 1, the flying squad based at the Royal Infirmary of Edinburgh. There were 99 males and 46 females, mean age 57.6 years (range 17-86 years). Seventy-eight (53.9%) patients were pronounced dead at scene, 47 patients (32.4%) were admitted to hospital and 20 (13.7%) survived to hospital discharge. All but two of the survivors had return of spontaneous circulation prior to the arrival of Medic 1. Accident flying squads operating as a secondary response unit to victims of non-traumatic cardiac arrest are unlikely to have a significant effect upon overall survival.
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