HeartRescue Partners Program Evaluation Case Definition and Data Elements
This list is not exclusive. States participating in the HeartRescue Project Partners program are encouraged to collect additional information with the goal of improving cardiac arrest survival. Some of these additional data elements are included as optional items on this list.
Case Inclusion Criteria
- Out-of-hospital non-traumatic cardiac arrest
- Patient assessed by organized EMS personnel
- Patient received either:
- External defibrillation by lay responders or emergency personnel
- Chest compressions by EMS personnel (includes all levels of EMS: Basic EMT, Fire, ALS, and Police that are asked by the 911 center to respond to the cardiac arrest)
Case Data Elements
Table of system level data elements
Item |
Element |
|---|---|
|
1
|
Population of the area served by the EMS systems participating in the Medtronic Flagship Program (2010 census most likely source)
|
Table of case level data elements
Item |
Element |
|---|---|
|
2
|
Unique case identifier
|
|
3
|
Census tract ID
|
|
4
|
Date and time of initial 911 dispatch (dd/mm/yyyy hh:mm)
|
|
5
|
Presumed arrest etiology
Cardiac Drowning Electrocution Respiratory Trauma Other |
|
6
|
Age in years
|
|
7
|
Year of arrest event
|
|
8
|
Incident state
AZ CA MN NC PA SD WA |
|
9
|
Incident county
|
|
10
|
Witnessed arrest
Yes No Unknown |
|
11
|
Arrest after 911 arrival
Yes No Unknown |
|
12
|
Resuscitation attempted by 911 responder and/or shock delivered by an AED before 911 responder arrival
Yes No Unknown |
|
13
|
Bystander CPR provided
Yes No Unknown |
|
14
|
Dispatcher CPR instructions provided
Yes No Unknown |
|
15
|
Who initiated CPR
EMS Family member First responder (Fire/Police) Lay medical provider Other Unknown |
|
16
|
Date and time of first CPR (dd/mm/yyyy hh:mm)
|
|
17
|
Bystander CPR type
Compression and ventilation Compression-only Ventilation only Unknown |
|
18
|
AED or manual defibrillator applied prior to EMS arrival
Yes, with defibrillation Yes, without defibrillation No Unknown |
|
19
|
AED used at any time
Yes No Present, but not used AED malfunctioned Unknown |
|
20
|
Who first defibrillated the patient?
Bystander, not family member EMS Family member First responder (Fire/Police) Lay medical provider Not applicable Unknown |
|
21
|
If first responder defibrillated the patient, was that responder a police officer?
Yes No Unknown |
|
22
|
Date and time of first EMS personnel arrival at scene (dd/mm/yyyy hh:mm)
|
|
23
|
Date and time of ALS arrival at scene (dd/mm/yyyy hh:mm)
|
|
24
|
Date and time of first 911 responder shock (dd/mm/yyyy hh:mm)
|
|
25
|
Initial arrest rhythm of patient
Ventricular fibrillation Ventricular tachycardia without pulse Pulseless electrical activity (PEA) Asystole Unknown shockable Unknown not shockable Missing |
|
26
|
Type of EMS resuscitation protocol used
2005 AHA Guidelines 2010 AHA Guidelines Cardiocerebral resuscitation Other Unknown |
|
27
|
Any prehospital ROSC for at least 30 seconds
Yes No Unknown |
|
28
|
Return of spontaneous circulation (ROSC) upon ED arrival
Yes No Unknown |
|
29
|
EMS induced hypothermia
Yes No Unknown |
|
30
|
Prehospital 12-lead ECG acquired
Yes No Unknown |
|
31
|
Prehospital 12-lead ECG has STEMI
Yes No Unknown |
|
32
|
ITD used
Yes No Unknown If yes, select how: Face mask Endotracheal tube |
|
33
|
Mechanical CPR device used
Yes No If yes, please specify: a. Active Compression Decompression (LUCAS) b. Load-Distributing Band (AutoPulse) c. Mechanical Piston (Thumper) d. Other |
|
34
|
Out-of-hospital disposition
911 did not attempt resuscitation Resuscitation terminated at scene Transported to hospital |
|
35
|
Date and time of ED arrival (dd/mm/yyyy hh:mm)
|
|
36
|
Hospital 12-lead ECG has STEMI or STEMI equivalent
Yes No Unknown |
|
37
|
Did the patient undergo coronary angiography?
Yes No Unknown |
|
38
|
Date and time of angiography (dd/mm/yyyy hh:mm)
|
|
39
|
Admitted to hospital
Yes No Unknown |
|
40
|
Was hypothermia care initiated or continued in the hospital?
Yes No Unknown |
|
41
|
Percutaneous coronary intervention (PCI) performed?
Yes No Unknown |
|
42
|
Coronary artery bypass graft surgery (CABG) performed?
Yes No Unknown |
|
43
|
ICD placement
Yes, implanted during initial hospitalization Not yet, but documented plan for ICD placement after initial hospital discharge No Unknown |
|
44
|
Was a DNR order initiated for the patient?
Yes No Unknown |
|
45
|
Date and time of first DNR order (dd/mm/yyyy hh:mm)
|
|
46
|
Final hospital diagnosis of acute myocardial infarction
Yes No Unknown |
|
47
|
Survival to hospital discharge
Yes No Unknown |
|
48
|
Overall Cerebral Performance Category score at hospital discharge
1 2 3 4 5 Unknown |
Download (10.82 MB)