PT - JOURNAL ARTICLE AU - S Cusack AU - D J Steedman AU - C E Robertson AU - K Little TI - Flying squad response to out-of-hospital cardiac arrest--a decade of experience. AID - 10.1136/emj.9.2.203 DP - 1992 Jun 01 TA - Archives of Emergency Medicine PG - 203--207 VI - 9 IP - 2 4099 - http://emj.bmj.com/content/9/2/203.short 4100 - http://emj.bmj.com/content/9/2/203.full SO - Arch Emerg Med1992 Jun 01; 9 AB - The Flying Squad (MEDIC I) based at the Royal Infirmary, Edinburgh, commenced operation in 1980. The MEDIC I response to out of hospital non-traumatic cardiac arrest over the past decade is reported. On-scene resuscitation was attempted in 384 patients. A total of 149 (39%) patients were successfully resuscitated and transferred to hospital. Thirty-six (9.4%) patients survived to discharge from hospital. Patients receiving basic life support prior to the arrival of MEDIC I and in ventricular fibrillation had a survival rate of 14.5% (25/174). During 1988-89, 21 patients were initially attended by ambulance crews equipped with semi-automatic external defibrillators and eight (38%) of these patients survived. The response of a hospital-based flying squad to support trained ambulance crews, especially when equipped with a defibrillator may provide an economically and operationally feasible alternative to training all first responders in the full range of paramedic skills.