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Table 2 EMS systems data

From: The impact of response time reliability on CPR incidence and resuscitation success: a benchmark study from the German Resuscitation Registry

Description of the EMS systems

Bonn

Göppingen

Gütersloh

Marburg

Münster

Rendsburg-Eckernförde

Tübingen

P-value

Average

Providers

City of Bonn/fire department

EMS, district of Göppingen, Klinik am Eichert Göppingen

EMS district of Gütersloh

EMS, district of Marburg

City of Münster/fire department

EMS, district of Rendsburg-Eckernförde

EMS, DRK and ASB Tübingen

 

All

Vehicles

Two-tiered system

Yes

Yes

Yes

Yes

Yes

Yes

Yes

  

ALS unit (emergency physician)

Unit-hours (1/year/100,000 inhabitants)

5,561.9

6,463.5

10,959.2

10,436.9

6,252.7

6,429.6

8,011.3

< 0.001

7,773.9

BLS unit

Unit-hours (1/year/100,000 inhabitants)

26,807.6

18,250.0

25,923.0

43,876.9

16,350.5

32,148.2

24,033.8

< 0.001

26,964.8

ALS + BLS unit

Unit-hours (1/year/100,000 inhabitants)

32,369.5

24,713.5

36,882.1

54,313.7

22,603.2

38,577.8

32,045.1

< 0.001

34,738.6

ALS + BLS unit

Unit-hours/year/area (hours/km2)

723.1

134.0

136.5

108.3

209.1

48.1

135.0

< 0.001

114.2

Quality assurance

Training programme

RA + RS: 30 hours/year

RA + RS: 30 hours/year

NA: 12 hours/year

RA + RS: 30 hours/year

NA: 8 hours/year

RA + RS: 38 hours/year

NA: 8 hours/year

RA + RS: 30 hours/year

NA: 4 hours/year

RA + RS: 30 hours/year

RA + RS: 30 hours/year

NA: 12 hours/year

  
 

Additional emergency physician requested by ambulance crew

9.0

11.5

8.8

11.6

17.9

8.7

3.8

< 0.001

10.5

Equipment

LDB CPR (%)

15.4

0.0

0.0

0.0

0.3

0.0

0.0

< 0.001

3.6

 

ACD CPR (%)

4.5

42.6

0.0

5.5

7.2

0.0

6.8

< 0.001

10.6

 

Feedback system (%)

0.0

0.0

0.0

1.8

90.3

0.0

0.0

< 0.001

15.3

Prehospital cooling

Cooling of ROSC patients (%)

72.0

50.3

40.2

33.3

64.0

1.0

7.9

< 0.001

46.2

  1. ACD = active compression decompression; ALS unit = NEF (Notarzteinsatzfahrzeug): emergency vehicle providing advanced life support, including an emergency physician; ASB = Arbeiter Samariter Bund; BLS unit = RTW (Rettungswagen): emergency vehicle providing basic life support and defibrillation, without an emergency physician; CPR = cardiopulmonary resuscitation; DRK = Deutsches Rotes Kruez (German Red Cross); EMS = emergency medical service; LDB = load-distributing band; NA: Notarzt = emergency physician; RA: Rettungsassistent = PM: paramedic; ROSC = return of spontaneous circulation; RS: Rettungssanitäter = EMT: emergency medical technician. P-values were calculated by t-test or χ2 test, with significance set at P < 0.05.