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SEACAG REVIEW
ISSUE 2 FEBRUARY 2001
Out of Hospital Cardiac Arrest Survival Audit

Project Overview
This ambitious clinical audit project has successfully engaged nine Ambulance Service Trusts from 3 Regions - London, south-east & eastern regions. Five services have contributed 12 months data to the audit (April 1999 - March 2000) and the other four services have contributed a month's cardiac arrest data (March 2000). SEACAG's progress with this audit reflects a major achievement given the obstacles that have been overcome in the audit design, service engagement, personnel changes and not least database incompatibilities. It is of key significance that this pre hospital cardiac arrest audit data is in line with all the requirements of the National Service Framework - CHD and will be available in advance of the key milestones set for this area.

Data collection update
Data collection is now complete with the exception of tracing survivors through to on year survival. The following tables give on overview of the numbers involved in the audit.

Full year's data 1st April 1999 - 31st March 2000 Cardiac arrests attended whether or not resuscitation attempts took place
BHAPS
Essex
Kent
Surrey
Two Shires
TOTAL
1756
2081
1806
1425
1540
8608 Cardiac Arrests

 

One month's data 1st March 2000 - 31st March 2000 Cardiac arrests attended whether or not resuscitation attempts took place
East Anglia
Hampshire
Royal Berkshire
London
TOTAL
171
34
34
400-500 (currently data cleaning)
639 (approx) Cardiac Arrests

Data Analysis
Lesley Cave of London Ambulance Service and Lucy Evans of Two Shires Ambulance Service will carry out the analyses and produce the 1st draft report of the audit. The report will contain 2 pieces of work:

1. A comparative analysis of each of the five Trusts over the twelve month period with an analysis of the combined dataset to an overview of SECAG outcomes.
2. An anaysis of the same criteria for all nine Trusts for March 2000

The aim is to produce teh 1st draft report by the beginning of April 2001. The 1st draft will be circulated amongst all members and sent to Professor Dougals Chamberlain, Consultant Cardiologist and Chairman of the Joint Royal Colleges Ambulance Liaison Committee for comment prior to a final draft being presented.
The target is to be in a position to submit an abstract to the 999 EMS research forum at Ambex 2001.

E-mail [email protected]

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