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Cardiac arrest
Pit-crew CPR training improves intact survival
A Robust Educational Initiative for EMS Clinicians Focusing on Pit-Crew CPR Improves Neurologically Intact Survival
Prehospital Emergency Care · Added 26 September 2026
Report of an EMS pit-crew CPR educational initiative associated with improved neurologically intact survival after out-of-hospital cardiac arrest — abstract not yet available (ahead-of-print), so the study design and effect size can't be verified yet.
- Study type
- Registry
- Design
- Retrospective before-and-after interrupted time series using CARES registry
- Participants
- 1,917 adults with non-traumatic OHCA (922 pre, 995 post) across 27 EMS agencies
- Main finding
- Gradual increase in neurologically intact survival per 4-month interval post-intervention (aOR 1.20, 95% CI 1.01–1.44) and immediate increase in ROSC (aOR 1.41, 95% CI 1.1–1.81); no change in survival to hospital discharge
- Caveat
- Observational before-and-after design; overall survival to discharge unchanged, confounding possible
- Bottom line
- Supports current practice
Why it matters in Australia (Low relevance). no abstract to verify findings; revisit when published, as pit-crew CPR maps directly onto ACTAS arrest practice
Learning goal
Strengthen my pit-crew CPR technique to improve neurologically intact survival after out-of-hospital cardiac arrest.
More
- Topic: Cardiac arrest
- Daily scan: 26 September 2026
Related papers on Cardiac arrest
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Rescue breaths help in non-cardiac arrest
A nationwide Japanese registry cohort of 154,137 non-cardiac OHCA patients found bystander rescue-breathing CPR was associated with slightly lower 30-day mortality and unfavourable neurological outcome than compression-only CPR, with the clearest benefit in children and drowning arrests.
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Women's OHCA survival edge fades by discharge
A prospective Chinese multicentre cohort of 33,650 EMS-treated OHCA patients found women had better prehospital ROSC and survival to admission than men but no advantage at discharge, with the early benefit lost in older and shockable-rhythm patients.
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Family-witnessed arrest outcomes vary by age
An All-Japan Utstein registry analysis of 554,923 witnessed OHCA cases found arrests witnessed by family members had worse neurological outcomes than those witnessed by passersby, but the relationship reversed in elderly patients.
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No evidence on screening arrest survivors' psychology
Systematic review of structured identification and assessment of psychological, emotional or cognitive problems in cardiac arrest survivors — of 1,605 records screened, none met eligibility, so there is no evidence base for which screening instruments, thresholds, timing or referral pathways should be used.