Javier García del Águila

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OBJECTIVE Hospital mortality in myocardial infarction ST-elevation myocardial infarction has decreased in recent years, in contrast to prehospital mortality. Our objective was to determine initial complications and factors related to prehospital mortality in patients with acute myocardial infarction with ST segment elevation (STEMI). METHODS Observational(More)
Most survival outcomes in out-of-hospital cardiac arrest (OHCA) are provided by emergency medical services (EMS) without a doctor on board. Our objective was to determine such outcomes in a whole country with public physician-led EMS. METHODS We analyzed data from a nationwide prospective registry of OHCA cases attended by 19 public EMS in Spain, covering(More)
Dispatch-assisted bystander cardiopulmonary resuscitation in out-of-hospital cardiac arrest has been shown as an effective measure to improve the survival of this process. The development of a unified protocol for all dispatch centers of the different emergency medical services can be a first step towards this goal in our environment. The process of(More)
INTRODUCTION AND OBJECTIVES There is a paucity of data on prehospital cardiac arrest in Spain. Our aim was to describe the incidence, patient characteristics, and outcomes of out-of-hospital emergency care for this event. METHODS We conducted a retrospective analysis of a prospective registry of cardiopulmonary arrest handled by an out-of-hospital(More)
We have carefully read the much-anticipated publication of the findings of the DIOCLES project. 1 The results show an encouraging general improvement in the mortality rates for acute coronary syndrome in Spain, although some points require clarification. The increase in the number of patients who reach hospital via out-of-hospital emergency medical services(More)
OBJECTIVE Little is known about the evolution and long-term neurological status of pediatric patients who survive out-of-hospital cardiac arrest. Our aim is to describe long-term survival and neurological status. DESIGN Retrospective observational study, based on the Andalusian Register of out-of-hospital Cardiac Arrest. SETTING Pre-hospital Care. (More)
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