Medical Director Findings

Medical Director Summary — 2026-1Q

In 2026-1Q, the system worked 20 cardiac arrests; 14 were transported and 4 were pronounced in the field. 6 patients (30.0%) received CPR before EMS transport arrival, and 5 (25.0%) presented in a shockable rhythm. ROSC was achieved in 11 of 17 resuscitated patients (64.7%), with 2 sustained 20+ minutes. 11 arrived at hospital with a pulse (55.0%); 0 re-arrested after ROSC. Post-arrest STEMI was detected in 4 case(s); average time to 12-lead was n/a minutes. Pre-alert was documented on 64.3% of transported arrests.

Focus Areas This Quarter

Action Items

5 transported arrest(s) had no pre-alert (64.3% vs 90% target).

Resuscitation documentation at 85.0% — below the 95% target (eArrest.03).

5 record(s) list transport EMS as the CPR initiator (eArrest.20) — likely documentation error, itemized in the flag sheet.

2 alert(s) documented under a non-cardiac type — documentation mismatch.

4 post-arrest STEMI(s) detected — confirm cath-lab destination on review.

Quarter-over-Quarter Change — 2025-4Q → 2026-1Q

Trend vs Prior Quarter

ROSC rate improved ▲ 29.1 pts (35.6% → 64.7%)

Survival to hospital improved ▲ 23.8 pts (31.2% → 55.0%)

Pre-arrival CPR declined ▼ 13.8 pts (43.8% → 30.0%)

Shockable presentation held steady ▬ 0.0 pts (25.0% → 25.0%)

Total arrests fell ▼ 44 (64 → 20)

ROSC achieved fell ▼ 10 (21 → 11)

Post-arrest STEMI fell ▼ 1 (5 → 4)