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Tommaso Scquizzato
Center for Intensive Care and Anesthesiology


IRCCS San Raffaele Scientific Institute, Milan, Italy


scquizzato.tommaso@hsr.it / follow @tscquizzato
Apptoalertfirstrespondersto
out-of-hospitalcardiacarrest
Congresso Nazionale Emergenza Urgenza | Riva del Garda 20-22 settembre 2021
Congresso Nazionale Emergenza Urgenza | Riva del Garda 20-22 settembre 2021
solo l8%sopravvive


alla dimissione dallospedale
Gr辰sner et al. Resuscitation 2020.
0%
20%
40%
60%
80%
100% Serbia
Romania
Bosnia
Portugal
Luxembourg
Italy
Belgium
France
Germany
Greece
Croatia
Netherlands
Austria
Cyprus
Slovenia
Hungary
Poland
Sweden
Spain
Iceland
UK
Denmark
Slovakia
Switzerland
Finland
Ireland
Czech
Rep.
Norway
58%averageinEU
33%inItaly

BystanderCPRinEurope
Gr辰sner et al. Resuscitation 2020.
Apptoalertfirstresponders
nearacardiacarrest
Apptolocateautomated
externaldefibrillators
Whoarethefirstresponders?
Congresso Nazionale Emergenza Urgenza | Riva del Garda 20-22 settembre 2021
citizens* who are voluntarily active as first responders in a
system/network created to provide non-professional
assistance in the event of out-of-hospital cardiac arrest
Nearestfirstrespondersarenotifiedbythedispatchcenter
OHCA
500-1000 m
OHCA
NEAR YOU
Congresso Nazionale Emergenza Urgenza | Riva del Garda 20-22 settembre 2021
EMS
DISPATCHER
DA-CPR
NEAREST AED AND
FIRST RESPONDERS ARE
LOCATED AND ALERTED
EMERGENCY
CALL
AMBULANCE
DISPATCH
OHCA
Congresso Nazionale Emergenza Urgenza | Riva del Garda 20-22 settembre 2021
62%
ofEUcountrieshadasystemfor
alertingfirstresponders
Scquizzato et al. Resuscitation 2020.
34
differentapporSMS
systemsidentifiedinEU
Scquizzato et al. Resuscitation 2020.
78%
ofEUcountrieshadasystemtomap
andlocatetheclosestAED
Scquizzato et al. Resuscitation 2020.
BystanderCPR
OUTCOMES
64% in the app/SMS group vs.55% in the standard response group
Scquizzato et al. Resuscitation 2019.
Returnofspontaneouscirculation
OUTCOMES
19% in the app/SMS group vs.13% in the standard response group
Scquizzato et al. Resuscitation 2019.
Survivalathospitaldischarge


orat30days
OUTCOMES
14% in the app/SMS group vs.9.4% in the standard response group
Scquizzato et al. Resuscitation 2019.
Strategy
Technology
Patients
outcomes
First


Responders


System


forOHCA
i
n
fl
u
e
n
c
e
d
e
v
e
l
o
p
s
improves
Congresso Nazionale Emergenza Urgenza | Riva del Garda 20-22 settembre 2021
Alertingfirstrespondersthrough
mobile-phonetechnology:
Improves the rate of bystander-CPR
Improves survival also with good
neurological recovery
Reduces the time to first
compression and AED shock delivery
1
2
3
Congresso Nazionale Emergenza Urgenza | Riva del Garda 20-22 settembre 2021
ILCOR/ERCrecommends:
Implementing technologies to alert first
responders via app or SMS
Developing communities/groups of first
responders
Mapping the location of public AEDs
1
2
3
Semeraro et al. Resuscitation 2021.
2021GUIDELINES
Tommaso Scquizzato
Center for Intensive Care and Anesthesiology


IRCCS San Raffaele Scientific Institute, Milan, Italy


scquizzato.tommaso@hsr.it / follow @tscquizzato
Followmeonsocialmedia
@tscquizzato @resulab
#SystemSavingLives

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App to alert first responders to out-of-hospital cardiac arrest