City of Austin Performance Report 2014-15

Percent of Patients with Cardiac Arrest from Cardiac Causes Delivered to an Appropriate Medical Facility with a Return of Circulation

Measure Description
This measure is the percentage of patients with full cardiac arrest caused by heart-related issues (excluding trauma) who are delivered to an appropriate medical facility with a return of circulation while under the care of Austin/Travis County Emergency Medical Services (ATCEMS).
Calculation Method
This measure is calculated by analyzing the medical records of cardiac arrest patients to identify patients with cardiac causes. The number of patients with cardiac arrests caused by cardiac causes delivered to an appropriate medical facility with a return of pulse is divided by the total presumed cardiac patients transported.
FY 2014-15 Results
In FY 2014-15, 30.0% of cardiac arrests due to presumed cardiac etiology were delivered to an appropriate medical facility with a pulse.
Assessment of Results
ATCEMS has continually invested in training its paramedics through annual mandatory continuing education and providing them with the right tools and equipment that allow them to offer outstanding clinical care to cardiac arrest patients. Although the performance in FY 2014-15 is slightly lower than the performance in FY 2013-14, EMS has reached the performance target for FY 2014-15 of 30%. It is important to note the many variables present in this measure, including patient history, availability of early CPR and defibrillation prior to EMS arrival that may have an impact on the outcome. Cardiac arrest survival and return of pulse data historically includes notable variation.
Ambulance crew practicing using a defibrillator.
Next Steps
ATCEMS continues to prioritize community outreach to increase awareness of recognition and implementation of early CPR through the CPR Take-10 program and the creation and distribution of public service announcement materials. In addition, enhanced training on the cardiac arrest guidelines was offered to the pit crews to incorporate learning opportunities and process improvements.
Contact Information
For more information contact Jasper Brown, Chief of Staff, at (512) 972-7201.