Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/10397
Title: Hatzolah emergency medical responder service: to save a life.
Austin Authors: Chan, Tony;Braitberg, George;Elbaum, Danny;Taylor, David McD 
Affiliation: Austin Health, Heidelberg, Victoria, Australia
Issue Date: 18-Jun-2007
Publication information: Medical Journal of Australia; 186(12): 639-42
Abstract: "First responders" are people trained in advanced first aid who can respond at the same time as, and often more quickly than, ambulance services to suspected medical emergencies. Hatzolah is a volunteer First Responder group, based on halakhic (Jewish legal) principles, in a localised area of metropolitan Melbourne with the highest density of Holocaust survivors outside Israel. Low numbers of "call-outs" to Victoria's Metropolitan Ambulance Service (MAS) from this community suggested that many were reluctant to make contact with a "uniformed" external agency. Hatzolah is an autonomous organisation operating under adapted MAS clinical practice guidelines and clinical governance processes. Hatzolah responders undergo an 18-month MAS training course comprising first aid, cardiopulmonary resuscitation, the use of semiautomated defibrillators, and oxygen therapy. We describe the first 11 years (1995-2005) of the Hatzolah service. The number of patients attended to annually has risen steadily, peaking at 867 in 2005. The most frequent reasons for call-outs were falls (19.4%), chest pain (9.7%), or respiratory distress (7.6%). Hatzolah's median response times were 2 or 3 min for all cases. They attended 35 patients with cardiac arrest (median response time, 2 min), and arrived before the MAS to 29 call-outs (83%). Nineteen patients (54%) with cardiac arrest were resuscitated and transported from the scene alive. Among those transported, significantly more had a shockable cardiac rhythm (50% v 13%, P = 0.03). Five (14%) survived to hospital discharge. Hatzolah has evolved into an organisation providing a complementary service to the MAS. It serves as a model for the establishment of other metropolitan community First Responder groups.
Gov't Doc #: 17576181
URI: https://ahro.austin.org.au/austinjspui/handle/1/10397
Journal: Medical Journal of Australia
URL: https://pubmed.ncbi.nlm.nih.gov/17576181
Type: Journal Article
Subjects: Aged
Cardiopulmonary Resuscitation
Emergency Service, Hospital.utilization
Female
Health Services Accessibility
Heart Arrest.epidemiology.therapy
Humans
Jews
Male
Victoria.epidemiology
Appears in Collections:Journal articles

Show full item record

Page view(s)

16
checked on May 31, 2024

Google ScholarTM

Check


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.