Document Type

Poster

Associated Faculty

Dr. Valerie Herbert

Sponsoring Academic Department

School of Nursing

Publication Date

2025

Abstract/ Summary

This literature review examines the impact of emergency medical response times on out-of-hospital cardiac arrest patients in rural communities. Having emergency medical services that respond promptly to cardiac emergencies is a crucial determinant in the patient’s risk of cardiac mortality. Shorter medical response times contribute to an increased probability of receiving early defibrillation. When a cardiac arrest is witnessed by emergency medical services that can support the concept of rapid response, the survival rates improve. To examine the impact of patients in rural communities, a review of the research was conducted in CINAHL and NIH using the keywords of out-of-hospital cardiac arrest, prehospital arrest, rural, response time, compression time, and outcomes. Other key inclusion criteria included studies in the United States within the last five years. Exclusion criteria included the key phrase in-hospital cardiac arrest. The results were narrowed to 677 articles, which were further reduced by including the keywords interventions, emergency medical services, and mortality. The evidence indicated that using mechanical compression devices in special circumstances, navigation through mobile applications, and bystander education can improve the risk of patient mortality and patient outcomes long-term. Rural communities were especially impacted by the lack of timely access to these life-saving approaches. It is essential to assess the integration of such interventions into rural communities and evaluate their potential to reduce response times, which could significantly enhance patient outcomes.

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