Emergency life-saving interventions and diagnostic procedures | OBSERvE-DUS n = 621 | OBSERvE-1 [6] n = 532 | OBSERvE 2 [7] n = 457 | Kreß et al. [4] n = 193 | p (χ²-test) | |
---|---|---|---|---|---|---|
Out-of-hospital EMS setting [n, (%)] | ||||||
venous access | 379 (61.0) | 515 (96.8) | 404 (88.4) | not reported | a<0.0001, b<0.0001, cn.a. | |
12-lead-ECG | 344 (55.4) | 266 (50.0) | 200 (43.8) | not reported | a0.0672, b0.0002, cn.a. | |
airway management | 125 (20.1) | 163 (30.6) | 158 (34.5) | not reported | a<0.0001, b<0.0001, cn.a. | |
mechanical ventilation | 125 (20.1) | 160 (30.1) | 158 (34.5) | not reported | a0.0001, b<0.0001, cn.a. | |
catecholamines | 56 (9.0) | 128 (24.0) | 88 (19.3) | not reported | a<0.0001, b<0.0001, cn.a. | |
CPR | 73 (11.8) | 98 (18.4) | 92 (20.1) | not reported | a0.0017, b0.0002, cn.a. | |
non-invasive ventilation | 35 (5.6) | 37 (7.0) | 57 (12.5) | not reported | 0.3276, b<0.0001, cn.a. | |
intraosseous access | 21 (3.4) | 18 (3.4) | 12 (2.6) | not reported | a1.0000, b0.4513, cn.a. | |
arterial line | 0 (0.0) | 1 (0.2) | 0 (0.0) | not reported | a1.0000, b1.0000, cn.a. | |
rescue thrombolysis | 1 (0.2) | 3 (0.6) | 7 (1.5) | not reported | a0.2742, b0.0146, cn.a. | |
chest tube | 0 (0.0) | 1 (0.2) | 0 (0.0) | not reported | a1.000, b1.000, cn.a. | |
therapeutic hypothermia | 0 (0.0) | 4 (0.8) | 0 (0.0) | not reported | a1.000, b1.000, cn.a. | |
ACCD | 8 (1.3) | 18 (3.4) | 41 (9.0) | not reported | a0.0170, b<0.0001, cn.a. | |
ED resuscitation room setting [n, (%)] | ||||||
venous access | 617 (99.4) | 409 (76.9) | 352 (77.0) | not reported | a<0.0001, b<0.0001, cn.a. | |
12-lead-ECG | 540 (87.0) | 460 (86.5) | 362 (79.2) | not reported | a0.8028, b0.0006, cn.a. | |
airway management | 212 (34.1) | 141 (27.1) | 107 (23.4) | 56 (29.0) | a0.0104, b0.0001, c0.1880 | |
mechanical ventilation | 211 (34.0) | 304 (57.2) | 251 (55.0) | 56 (29.0) | a<0.0001, b<0.0001, c0.1966 | |
catecholamines | 189 (30.4) | 128 (24.1) | 144 (31.5) | 48 (24.9) | a0.0170, b0.6994, c0.1420 | |
CPR | 40 (6.4) | 65 (12.2) | 60 (13.1) | 19 (9.8) | a0.0006, b0.0002, c0.1108 | |
non-invasive ventilation/HFNC | 73 (11.7) | 87 (16.4) | 89 (19.5) | 60 (31.1) | a0.0214, b0.0004, c<0.0001 | |
intraosseous access | 4 (0.6) | 1 (0.2) | 3 (0.7) | 6 (3.1) | a0.2927, b0.8391, c0.0052 | |
arterial line | 320 (51.5) | 309 (58.1) | 245 (53.6) | 78 (40.4) | a0.0249, b0.4953, c0.0071 | |
central venous line | 193 (31.1) | not reported | not reported | 8 (4.2) | an.a., bn.a.c<0.0001 | |
rescue thrombolysis | 80 (12.9) | 13 (2.4) | 5 (1.1) | not reported | a<0.0001, b<0.0001, cn.a. | |
chest tube | 23 (3.7) | 0 (0.0) | 4 (0.9) | 4 (2.1) | an.a., b0.0037, c0.2789 | |
therapeutic hypothermia | 2 (0.3) | 20 (3.8) | 5 (1.1) | not reported | a<0.0001, b0.1035, cn.a. | |
ACCD | 11 (1.8) | 19 (3.6) | 43 (9.4) | not reported | a0.0570, b<0.0001, cn.a. | |
ED Diagnostic procedures [n, (%)] | ||||||
blood samples | 609 (98.1) | 496 (93.2) | 383 (83.8) | not reported | a<0.0001, b<0.0001, cn.a. | |
blood gas analysis | 586 (94.4) | 496 (93.2) | 383 (83.8) | not reported | a0.3982 b<0.0001, cn.a. | |
blood cultures | 217 (34.9) | 45 (8.5) | 60 (13.1) | not reported | a<0.0001, b<0.0001, cn.a. | |
abdominal sonography (FAST) | 102 (16.4) | not reported | not reported | not reported | a,b,cn.a. | |
echocardiography | 291 (46.9) | 149 (28.0) | 166 (36.3) | 26 (13.5) c | a<0.0001, b0.0007, c<0.0001 | |
chest x-ray | 313 (50.4) | 227 (42.7) | 126 (27.6) | not reported | a0.0090, b<0.0001, cn.a. | |
CT/MRI | 331 (56.8) | 227 (42.7) | 167 (36.5) | 65 (33.7) c | a<0.0001, b<0.0001, c<0.0001 | |
gastroscopy | 5 (0.8) | not reported | not reported | not reported | a,b,cn.a. |