Emergency medicine residents effectively direct inhospital cardiac arrest teams

Bruce D. Adams, Kathy Zeiler, Walter O. Jackson, Brian Hughes

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

Study Objective: We compared 2 models of physician leadership for inhospital cardiac arrest teams (CATs): emergency medicine (EM) residents and staff hospitalist physicians. Methods: A before-after study was conducted on all adult inhospital CAT activations over a 2-year period. The primary outcome was return of spontaneous circulation (ROSC). Results: There were 749 total code blues during the 2-year study period. Ninety-one were excluded by protocol. EM residents directed 288 codes, hospitalists directed 248 codes, and other specialties directed the remaining 62. There was no statistically significant difference in percent ROSC or survival to hospital discharge. EM residents responded first for 59.2% of the codes compared with a first response rate of 28% for hospitalists (P < .05). Time to achieve ROSC was quicker in the EM resident cohort. Conclusion: Our findings validate the use of a 24-hour EM resident staffing model for CAT response to inhospital cardiac arrests.

Original languageEnglish (US)
Pages (from-to)304-310
Number of pages7
JournalAmerican Journal of Emergency Medicine
Volume23
Issue number3
DOIs
StatePublished - May 1 2005

ASJC Scopus subject areas

  • Emergency Medicine

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