SMS lifesaver

SMS Lifeguard is a Swedish system in the form of an app where volunteers who are proficient in CPR (cardiopulmonary resuscitation) are alerted via the emergency center in the event of suspected cardiac arrest while waiting for an ambulance. The system is connected to the emergency center that handles ambulance routing in the region. When 112 receives a call about a person suffering from suspected cardiac arrest, an alarm is simultaneously sent to the ambulance and volunteer lifeguards who are nearby. The lifeguard confirms the alarm in the app and receives a map to the affected person and the nearest defibrillator. The volunteers go to the scene and begin lifesaving efforts until the ambulance or rescue service arrives.[1] Today, a total of 15 of 21 Swedish regions are connected to the system and several regions are in discussions about introducing it.

In Denmark, the system has been nationwide since 1 May 2020, where the system is called TrygFonden Hjerteløber. This also made Denmark the first country in Europe to introduce the system nationally.

Research

A study in Sweden, the Netherlands and Switzerland indicates that 30-day survival increases by 28% when volunteer lifeguards are called to someone who has suffered a cardiac arrest outside of a hospital [1]. Other Swedish studies from the Karolinska Institute can demonstrate that SMS lifeguards have an important role in cardiac arrest, as SMS lifeguards used a defibrillator in a third of cases and that CPR could be started in almost 50% of cases before the ambulance and rescue services had arrived. [2] In an initial 18-month quality evaluation since its introduction in Region Skåne from 2026, it was seen that an average of 25 alarms were called out per week, relatively evenly distributed across all days of the week. Furthermore, it was seen that there were relatively few SMS lifeguards in rural areas. It was also seen that SMS lifeguards in the Skåne region were former ambulance and rescue services in 31% of cases and were able to initiate an important life-saving intervention, in several cases the SMS lifeguard also had a defibrillator with him. The ambulance was first on site in 33% of cases. Approximately 60% of the SMS lifeguards in Skåne are women with a median age of 40 years. 40% of the registered lifeguards had stated that they work in healthcare.[3]

External links

• Tidigare och pågående forskning kring systemet SMS-livräddare

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