MICR still paying off

MICR still paying off

Cardiac Arrest Survival Rates Triple For Ariz. FD
STAFF EXPLORER NEWSPAPER
THE EXPLORER (TUCSON, ARIZONA)
CREATED: DECEMBER 11, 2012

Survival rates have more than tripled for cardiac arrest patients in the Northwest Fire District (NWFD) as a result of a new treatment protocol and a close partnership with the University of Arizona Medical Center.

(see article at http://www.firehouse.com/news/10840863/cardiac-arrest-survival-rates-tri...)

Essentially, the overall survival rate has gone from 4.9% to 14.6% for all arrests and from 11.1% to 37.5% for witnessed arrests.

This builds on the MICR work Bobrow et al. published in JAMA in March 2008.
http://jama.jamanetwork.com/article.aspx?articleid=181606

The enabler was a focus on the issues, minimization of interruptions, and postponing or eliminating intubation. The JAMA article announced a similar percentage gain: "Among the 886 patients in the 2 metropolitan cities, survival-to-hospital discharge increased from 1.8% (4/218) before MICR training to 5.4% (36/668) after MICR training (odds ratio [OR], 3.0; 95% confidence interval [CI], 1.1-8.9). In the subgroup of 174 patients with witnessed cardiac arrest and ventricular fibrillation, survival increased from 4.7% (2/43) before MICR training to 17.6% (23/131) after MICR training (OR, 8.6; 95% CI, 1.8-42.0)." That's more than a three-fold improvement in just shy of three years.

The more than three-fold improvement just reported was reached within 8 months of the implementation of MICR principles.

Has your local EMS implemented MICR?

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The mission of the Sudden Cardiac Arrest (SCA) Foundation is to prevent death and disability from sudden cardiac arrest. The vision of the SCA Foundation is to increase awareness about sudden cardiac arrest and influence attitudinal and behavioral changes that will reduce mortality and morbidity from SCA.

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