Chain of Survival at Mass Gatherings: A Case Series of Resuscitation Events[1]
Summary
Exploratory case-series study of the chain of survival in the mass-gathering environment: thematic analysis of telephone-interview narratives from St John Ambulance Australia members who actively participated in resuscitation events during 2007. Four themes mapped onto the four classic chain-of-survival links, and a fifth theme emerged as a NEW link specific to mass gatherings — "early planning" — alongside sub-themes exemplifying facilitators and barriers to resuscitation in this environment. Concludes that a preparatory phase for responders is of specific importance at mass gatherings.
So what
The paper that added a link to the chain of survival for events: resuscitation success at a mass gathering begins before the event does, with planning — AED placement, responder briefing, extraction routes — functioning as the zeroth link. This is the qualitative counterpart to Wassertheil's quantitative proof (5-minute defibrillation by design) and gives the medical-direction pages a citable frame: the medical director's plan is itself a resuscitation intervention.
Key findings
- Thematic analysis of first-person resuscitation narratives at mass gatherings
- Four themes matched the classic chain-of-survival links
- Fifth, novel link identified: early planning - specific to mass gatherings
- Facilitators and barriers to each link catalogued for the event environment
Read the paper
- Publisher (DOI) ↗may be paywalled
- PubMed ↗abstract · free