Cardiac Arrests

As mentioned previously, the incidence of cardiac arrests in mass gatherings is higher than that in the normal population. It has been postulated that, due to the natural excitement generated by competitive sports, individuals who have cardiac disease are more likely to become symptomatic. However, medical systems at mass gatherings have demonstrated much higher success rates than even the most advanced EMS systems, primarily due to the ability to provide early bystander CPR, airway control, defibrillation, and ALS care. Survival rates for hospital discharge have varied from 20 to 100 percent survival from documented cardiac arrest. This evidence also supports the use of AEDs in mass gatherings where ALS support is not available in less than 5 min.

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