Impact of COVID-19 'circuit-breaker' measures on emergency medical services utilisation and out-of-hospital cardiac arrest outcomes in Singapore

Emerg Med Australas. 2021 Feb;33(1):149-151. doi: 10.1111/1742-6723.13668. Epub 2020 Oct 26.

Abstract

Objective: To understand the impact of COVID-19 restrictions on emergency medical services (EMSs) utilisation and out-of-hospital cardiac arrest outcomes in Singapore.

Methods: This was a retrospective observational study comparing data collected by the Singapore Civil Defence Force on EMS utilisation in Singapore from 1 April to 31 May 2020 to previous figures.

Results: Overall, EMS call volume and total out-of-hospital cardiac arrests remained comparable to past years. There was an appreciable decline in prehospital return of spontaneous circulation rates, albeit not statistically lower than pre-COVID periods (P = 0.078).

Conclusion: The findings contribute to a growing body of literature internationally on the potential impact of the COVID-19 pandemic on EMS utilisation and outcomes.

Keywords: COVID-19; emergency medical services; out-of-hospital cardiac arrest; pandemic; resuscitation; return of spontaneous circulation.

Publication types

  • Observational Study

MeSH terms

  • Adolescent
  • Aged
  • Aged, 80 and over
  • COVID-19 / epidemiology*
  • Emergency Medical Services / statistics & numerical data*
  • Humans
  • Middle Aged
  • Out-of-Hospital Cardiac Arrest / epidemiology*
  • Out-of-Hospital Cardiac Arrest / therapy
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Retrospective Studies
  • Singapore / epidemiology
  • Treatment Outcome