- Poster presentation
- Open Access
- Published:
Implementation of the FAST emergency vehicle pre-emption system may improve the outcomes of out-of-hospital cardiac arrests: a 7-year observational study
Critical Care volume 15, Article number: P292 (2011)
Introduction
The interval of call to arrival is one of the major factors associated with good outcomes of out-of-hospital cardiac arrests (OHCAs). The FAST system helps emergency vehicles reach a scene quickly by controlling the traffic signals. The aim of study is to investigate whether the FAST system may improve the outcomes of OHCAs by decreasing the response time.
Methods
We analyzed the data from OHCAs that were witnessed or recognized by citizens from April 2003 to March 2010. The OHCA data were compared between the two groups transported by ambulances with and without FAST units. The comparisons were made in the central and peripheral areas with and without FAST-controlled signals.
Results
Dispatch of and transportation by FAST-loaded ambulances significantly decreased the interval of call to arrival and significantly augmented the incidence of sustained ROSC and 1-year survival only in the central area (Figure 1). Monovariate analysis followed by logistic regression analysis revealed that FAST implementation is an independent factor associated with 1-year survival (adjusted odds ratio with 95% CI = 1.306 (1.014 to 1.691)) and sustained ROSC (1.249 (1.108 to 1.410)).
Effect of the FAST implementation on outcomes of OHCAs in the two regions.
Conclusions
The implementation of FAST may improve the outcomes of OHCAs mainly by reducing the interval of call to arrival.
References
Resuscitation. 2006, 69: 229-234. 10.1016/j.resuscitation.2005.08.014
Acad Emerg Med. 2005, 12: 594-600. 10.1111/j.1553-2712.2005.tb00912.x
BMJ. 2001, 322: 1385-1388. 10.1136/bmj.322.7299.1385
Author information
Authors and Affiliations
Rights and permissions
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
About this article
Cite this article
Inaba, H., Tanaka, Y., Fukushima, K. et al. Implementation of the FAST emergency vehicle pre-emption system may improve the outcomes of out-of-hospital cardiac arrests: a 7-year observational study. Crit Care 15 (Suppl 1), P292 (2011). https://doi.org/10.1186/cc9712
Published:
DOI: https://doi.org/10.1186/cc9712
Keywords
- Logistic Regression
- Response Time
- Logistic Regression Analysis
- Emergency Medicine
- Cardiac Arrest