3. Collaborators
Ryan Reece, MD – Assistant Professor, University of Michigan
James A. Cranford, PhD – Associate Research Scientist, University of Michigan
Robert Dunne, MD – Professor, Wayne State University
Ryan Silvagi, EMT-P – Research Assistant, Wayne State University
Damon Gorelick, EMT-P/IC – Director of Operations, Detroit East Medical
Control Authority
Erin Brennan, MD – Clinical Assistant Professor, Wayne State University
Stefanie Wise, MD – Clinical Assistant Professor, Wayne State University
Howard A. Klausner, MD – Clinical Associate Professor, Wayne State
University
4. Introduction
• Out-of-hospital cardiac arrest (OHCA) remains a major public health
problem despite the advances and research into improving outcomes.
• Previous research indicates that areas with lower socioeconomic status
(SES) have lower bystander CPR and AED application rates.
• Two regions in Michigan (Detroit and Genesee County) are characterized
by relatively poor OHCA outcomes.
• Detroit scores lower than Genesee County on indicators of SES.
6. Methods
• IRB reviewed and exempt project
– Approvals from EMS agencies and MCAs
• Review of Cardiac Arrest Registry to Enhance Survival
(CARES) Data
• Genesee County and Detroit East Medical Control
Authorities; GCMCA & DEMCA
• Year 2017 – 2021
• Demographics, Socioeconomic Status/Census Tract
Data, Resuscitation Data, Outcome Data
13. Conclusion
• The DEMCA system had worse cardiac arrest
outcomes when compared to GCMCA.
• However, the DEMCA system was more likely to
witness and perform bystander CPR.
• Socioeconomic status may play a larger role.
• Additional work is needed to improve the chain
of survival in these communities.
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