Emergency Medical System response to out-of-hospital cardiac arrest in Milan, Italy

Nuccia Morici, Giovanni De Luca, Ersilia Lucenteforte, Liliane Chatenoud, Giancarlo Fontana, Carlo La Vecchia, Giovanni Sesana

Research output: Contribution to journalArticlepeer-review


The objective of this study was to investigate how rapidly the Emergency Medical System provides life support to patients suffering out-of-hospital cardiac arrest in Milan, Italy. The study population included 1426 consecutive participants with out-of-hospital cardiac arrest between January 2007 and October 2008. The mean age was 72.7 years. The incidence of ventricular tachycardia/ventricular fibrillation as the presenting rhythm was 12.7%. Eighty percent of out-of-hospital cardiac arrests occurred at home and bystander cardiopulmonary resuscitation (CPR) was in progress in 11.1% of all cases. The mean time interval from collapse-to-first shock was 18.67±5.37min. The mean Emergency Medical System unit response time interval was 7.07±3.14min; time elapsed from arrival-to-first CPR was 7.75±4.32min. In Conclusions, the dispatch to arrival and dispatch to CPR intervals are comparable with those reported in other large urban areas, but the time from arrival-to-first CPR was longer than recommended by current guidelines.

Original languageEnglish
Pages (from-to)234-236
Number of pages3
JournalEuropean Journal of Emergency Medicine
Issue number4
Publication statusPublished - 2010


  • Emergency Medical System response
  • out-of-hospital cardiac arrest
  • time lines

ASJC Scopus subject areas

  • Emergency Medicine
  • Medicine(all)


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