Volume : 12, Issue : 10, October – 2025
Title:
IMPROVING SURVIVAL THROUGH SKILLED HANDS:
A SYSTEMATIC REVIEW OF PARAMEDIC-DELIVERED CPR IN OUT-OF-HOSPITAL EMERGENCIES
Authors :
Hamad Khalaf O Alanazi, Anwar Abdullah Ghazi Aba Alrous, Eissa Mesjel Alanezi, Homoud Alhareer K Alanazi , Owaid Eissa M Alanazi , Nawaf Saud H Alharbi , Mohammed Saber Kassar Alanezi , Suliman Fahad T Almurayshid
Abstract :
Out-of-hospital cardiac arrest (OHCA) remains a leading cause of mortality worldwide, requiring immediate and effective intervention to increase the chances of survival. Paramedic-delivered cardiopulmonary resuscitation (CPR) plays a critical role in the early chain of survival by providing timely, skilled, and evidence-based life support in prehospital settings. This systematic review examines the effect of paramedic-performed CPR on survival outcomes, return of spontaneous circulation (ROSC), and neurological recovery in OHCA patients. A comprehensive search was conducted across major databases including PubMed, Scopus, and Web of Science, focusing on studies published between 2016 and 2025. Findings consistently demonstrate that high-quality CPR administered by trained paramedics significantly increases survival-to-hospital admission and survival-to-discharge rates. The review also highlights that factors such as rapid response time, continuous professional training, integration of mechanical CPR devices, and the use of real-time feedback technology substantially enhance the effectiveness of CPR interventions. Moreover, paramedic teams operating under advanced life support (ALS) protocols and multidisciplinary coordination demonstrated improved patient outcomes compared to basic emergency responders. The results underscore the critical importance of paramedic expertise in CPR delivery and support the need for ongoing training, strategic resource allocation, and system-level improvements to maximize survival in emergency cardiac events.
Keywords: Paramedic CPR; Out-of-Hospital Cardiac Arrest; Return of Spontaneous Circulation; Survival Outcomes; Emergency Medical Services; Prehospital Care; Advanced Life Support; Neurological Recovery.
Cite This Article:
Please cite this article in press Hamad Khalaf O Alanazi et al., Improving survival through skilled hands: A systematic review of paramedic-delivered cpr in out-of-hospital emergencies, Indo Am. J. P. Sci, 2025; 12(10).
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