A Decade of Out-of-Hospital Cardiac Arrest Survival in Australia and New Zealand: Trends and Outcomes Across Ambulance Services (2014–2024)

A/Prof. Shohreh Majd1, Mrs. Mojca Bizjak-Mikic1, Mr. David Waters1, Mrs. Marsha Taheri1

1Council Of Ambulance Authorities, Australia

Biography:

A/Professor Shohreh Majd is a neuroscientist, university lecturer, and research/policy manager with expertise in workplace stress and trauma. With over 15 years in academia and policy, she focuses on workforce well-being in ambulance services, addressing critical issues like occupational violence in paramedicine through neuroscience and evidence-based strategies.

Abstract:

Out-of-hospital cardiac arrest (OHCA) remains a critical public health challenge, with survival rates varying based on early intervention and resuscitation efforts. This study examines the OHCA survival rates across Australian and New Zealand ambulance services over a 10-year period (2014–15 to 2023–24), focusing on cases where return of spontaneous circulation (ROSC) was achieved upon hospital arrival. The analysis categorizes survival rates based on whether the cardiac arrest was witnessed by paramedics, witnessed by non-paramedics with an initial shockable rhythm (ventricular fibrillation/ventricular tachycardia—VF/VT), or involved non-paramedics performing attempted resuscitation. Data from various ambulance services highlight trends in survival outcomes and potential improvements in prehospital emergency care. The findings contribute to ongoing efforts to optimize OHCA response strategies and enhance patient survival rates through evidence-based interventions.

 

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